<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 10.05.05.08" title_num="10" subtitle_num="05" chapter_num="05" heading="Emergency Services.">
  <paragraph num="A.">
    <text>Basic Life Support. Licensed personnel employed by the freestanding ambulatory surgical facility shall have certification in basic life support. A licensed staff individual trained in basic life support shall be on duty whenever there is a patient in the facility.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The licensee shall have:</text>
    <paragraph num="(1)">
      <text>A registered nurse available on site for emergency treatment whenever there is a patient in the freestanding ambulatory surgical facility;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>At least one physician available by phone 24 hours a day to respond to emergency situations; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Formal arrangements to obtain radiology and laboratory services at all times in case of emergencies.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The freestanding ambulatory surgical facility shall have at least the following emergency equipment available to the operating rooms:</text>
    <paragraph num="(1)">
      <text>Emergency call system;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Oxygen;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Mechanical ventilatory assistance including airways, manual breathing bag, and ventilator;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Cardiac defibrillator;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Cardiac monitoring equipment;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Tracheostomy set;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Laryngoscopes and endotracheal tubes;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Suction equipment; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Emergency medical equipment and supplies specified by the medical staff.</text>
    </paragraph>
  </paragraph>
</regulation>