This section describes leaderships' role in assuring care is provided consistently throughout the facility according to patient needs.

The ambulatory surgical facility leaders must:

(1) Identify patient care responsibilities for all nursing personnel;

(2) Assure nursing services are provided in accordance with state nurse licensing law and recognized standards of practice;

(3) Assure a registered nurse is available for emergency treatment at all times a patient is present in the facility;

(4) Establish and implement a facility-wide procedure for double-checking drugs, biologicals, and agents as designated by the facility;

(5) Ensure immediate staff access to and appropriate dosages for emergency drugs;

(6) Require individuals conducting business in the ambulatory surgical facility comply with facility policies and procedures;

(7) Post the complaint hotline notice according to RCW 70.230.160; and

(8) Adopt and implement policies and procedures to report suspected abuse within forty-eight hours to local police or appropriate law enforcement agency according to RCW 26.44.030.