Section He-P 802.38 - Freestanding Hospital Emergency Facility(a) A freestanding hospital emergency facility, as defined in He-P 802.03(aj) , shall be governed by the same regulations as a general hospital with the following additions: (1) Each FHEF shall be owned and operated by a licensed parent general hospital, that participates in Medicare; and(2) Shall document how the needs of patients will be met during hours when the FHEF is not in operation.(b) Each FHEF shall have a full-time administrator who may also be the administrator of the parent hospital and who: (1) Meets the requirements for an administrator as defined in He-P 802.16(b) (1) -(2) ; and(2) Shall be responsible to the parent hospital administrator or governing body for the daily management and operation of the hospital which shall act as liaison to the parent hospital for the patients and personnel of the FHEF, in addition to those responsibilities defined in He-P 802.16(b) .(c) The FHEF medical staff shall be members of the parent hospital in accordance with the parent hospital by-laws.(d) The FHEF shall have a medical director of emergency services.(e) The medical director of emergency services shall meet the requirements set forth in He-P 802.31(a) and (b) .(f) The director of nursing services shall, in lieu of the requirements in He-P 802.16(e) and (f) : (1) Be part of the parent hospital's single organized nursing services; (2) Be at least a registered nurse currently licensed in New Hampshire; (3) Have a bachelor's degree in nursing or related field; and (4) Hold a current certificate in advanced cardiac life support from the American Heart Association and be an emergency nurse certified by the Board of Certification for Emergency Nursing.(g) Each FHEF shall provide the services disclosed under He-P 802.18(a) .(h) An existing parent hospital shall be responsible for providing information required in He-P 802.18(b) (1) -(5) as applicable. (i) The FHEF shall offer comprehensive emergency care 24 hours a day, 7 days a week.(j) The FHEF shall have at least one physician experienced in emergency care present in the emergency care area or able to be present within 5 minutes during the entire hours of operation.(k) Emergency service policies and procedures regarding assessment and treatment by physicians and other personnel shall be developed by the parent hospital and followed by the FHEF.(l) The parent hospital's procedure to handle suspected or alleged cases of child or adult abuse or neglect and emergency service shall be utilized by the FHEF and the personnel shall be trained in this procedure.(m) Patients who require hospital admission shall be evaluated and stabilized prior to transfer to the parent hospital or hospital of the patient's choice.(n) Patients who are treated and released from the FHEF shall be discharged and treated in accordance with He-P 802.18(g) .(o) A medical record shall be maintained and kept active for each patient admitted to the freestanding hospital emergency facility and shall be subject to all rules under He-P 802.19, and in the event of transfer to a hospital, copies of the record of the medical assessment and notes about treatments given shall be transferred with the patient while the original record shall be maintained in the FHEF.(p) An emergency laboratory shall be available to the FHEF during all hours of operation.N.H. Admin. Code § He-P 802.38
Derived From Volume XLI Number 6, Filed February 11, 2021, Proposed by #13166, Effective 1/28/2021, Expires 1/28/2031.