1224.33.3 Basic Emergency Medical Service
When 24-hour basic emergency service is to be provided, at a minimum, all the provisions of Standby Emergency Service under Section 1224.33.2 and the following shall be provided:
In addition to the requirements of Section 1220.127.116.11 the emergency entrance shall have direct access from public roads for ambulance and vehicle traffic conforming with the requirements of the local authorities having jurisdiction. Entrance and driveway shall be clearly marked. If a raised platform is used for ambulance discharge, provide a ramp for pedestrian and wheelchair access.
These rooms are for emergency procedures, including emergency surgery, and shall have at least 250 square feet (23.23 m2) of clear floor space. A minimum clearance of 5 feet (152 mm) shall be provided around all sides of the procedure table or gurney. Each room shall have cabinets and emergency supply shelves, image viewing capability, examination lights, and counter space for writing. Additional space with cubicle curtains for privacy may be provided to accommodate more than one patient at a time in the trauma room with a minimum clear floor area of 200 square feet (18.58 m2) for each patient bay defined by the privacy curtains. There shall be storage provided for immediate access to attire used for universal precautions. Doors leading from the ambulance entrance to the cardiac trauma room shall have an opening with a minimum width of 5 feet (1524 mm). At least one scrub sink shall be located outside the entrance to each trauma room. One scrub station consisting of two scrub positions is permitted to serve two trauma rooms if located adjacent to the entrance of each procedure room. The placement of scrub sinks shall not restrict the minimum required corridor width.
At least one orthopedic or cast room shall be provided within the emergency service space. Provisions shall include storage for splints and other orthopedic supplies, traction hooks, image viewing capability, and examination lights. If a sink is used for the disposal of plaster of paris, a plaster trap shall be provided. The clear floor space for this area shall be a minimum of 180 square feet (16.7 m2)
Communication connections shall be provided as required under Section 118.104.22.168. The communications center may be a part of the staff work and charting area.
Equipment and supply storage shall be provided as required under Section 122.214.171.124.
If provided shall comply with the requirements of Section 1126.96.36.199.3.
When a secure holding room is provided, it shall meet the following requirements. The location of the secure holding room(s) shall facilitate staff observation and monitoring of patients in these areas. The secure holding room shall have a minimum clear floor area of 60 square feet (5.57 square meters) with a minimum wall length of 7 feet (2.13 meters) and a maximum wall length of 11 feet (3.35 meters). This room shall be designed to prevent injury to patients:
- All finishes, light fixtures, vents, diffusers, and fire protection/alarm components shall be tamper resistant and ligature resistant.
- There shall not be any electrical outlets, medical gas outlets, or similar devices.
- There shall be no sharp corners, edges, or protrusions, and the walls shall be free of objects or accessories of any kind.
- Patient room doors shall swing out and shall have hardware on the exterior side of the door only. The minimum width shall be 44 inches (1120 mm).
- A small impact-resistant view panel or window shall be provided in the door for discreet staff observation of the patient.