Section R9-10-616. Emergency and Safety Standards for a Hospice Inpatient Facility

A.      An administrator of a hospice inpatient facility 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 hospice inpatient facility or the hos- pice inpatient facility's relocation site during a disas- ter;

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

3.        Documentation of a disaster plan review required in sub- section (A)(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; and

5.        An evacuation path is conspicuously posted on each hall- way of each floor of the hospice inpatient facility.

B.       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 fire inspec- tion report, and

3.        Maintain documentation of a current fire inspection.

Historical Note

Adopted effective November 6, 1978 (Supp. 78-6). Sec- tion R9-10-616 repealed effective November 1, 1998, under an exemption from the provisions of the Adminis- trative Procedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). 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; effec- tive July 1, 2014 (Supp. 14-2).