Section R9-10-516. Emergency and Safety Standards

A.      An administrator shall ensure that policies and procedures for providing emergency treatment are established, documented, and implemented that protect the health and safety of patients and include:

1.        Basic life support procedures, including the administra- tion of oxygen and cardiopulmonary resuscitation; and

2.        Transfer arrangements for patients who require care not provided by the recovery care center.

B.       An administrator shall ensure that emergency treatment is pro- vided to a patient admitted to the recovery care center accord- ing to policies and procedures.

C.      An administrator shall ensure that:

1.        A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes:

a.         When, how, and where patients will be relocated, including:

i.         Instructions for the evacuation or transfer of patients,

ii.        Assigned responsibilities for each employee and personnel member, and

iii.      A plan for providing continuing services to meet patient’s needs;

b.        How each patient’s medical record will be available to individuals providing services to the patient during a disaster;

c.         A plan to ensure each patient’s medication will be available to administer to the patient during a disas- ter; and

d.        A plan for obtaining food and water for individuals present in the recovery care center or the recovery care center’s relocation site during a disaster;

2.        The disaster plan required in subsection (C)(1) is reviewed at least once every 12 months;

3.        Documentation of a disaster plan review required in sub- section (C)(2) is created, is maintained for at least 12 months after the date of the disaster plan review, and includes:

a.         The date and time of the disaster plan review;

b.        The name of each personnel member, employee, or volunteer participating in the disaster plan review;

c.         A critique of the disaster plan review; and

d.        If applicable, recommendations for improvement;

4.        A disaster drill for employees is conducted on each shift at least once every three months and documented;

5.        An evacuation drill for employees and patients:

a.         Is conducted at least once every six months;

b.        Includes all individuals on the premises except for;

i.         A patient whose medical record contains docu- mentation that evacuation from the recovery care center would cause harm to the patient, and

ii.        Sufficient personnel members to ensure the health and safety of patients not evacuated according to subsection (C)(5)(b)(i);

6.        Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the evacuation drill, and includes:

a.         The date and time of the evacuation drill;

b.        The amount of time taken for employees and patients to evacuate to a designated area;

c.         If applicable:

i.         An identification of patients needing assistance for evacuation, and

ii.        An   identification  of  patients  who  were  not evacuated;

d.        Any problems encountered in conducting the evacu- ation drill; and

e.         Recommendations for improvement, if applicable; and

7.        An evacuation path is conspicuously posted on each hall- way of each floor of the recovery care center.

D.      An administrator shall:

1.        Obtain a fire inspection conducted according to the time- frame established by the local fire department or the State Fire Marshal,

2.        Make any repairs or corrections stated on the inspection report, and

3.        Maintain documentation of a current fire inspection.

Historical Note

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pur- suant to A.R.S. § 41-1026, valid for only 90 days (Supp.

89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to

A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2).

Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted with changes effective October 30, 1989 (Supp. 89-4). Section repealed effective April 4, 1994 (Supp. 94-2). New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-

2). Amended by exempt rulemaking at 20 A.A.R. 1409,

pursuant to Laws 2013, Ch. 10, § 13; effective July 1,

2014 (Supp. 14-2).