Code of Colorado Regulations
1000 - Department of Public Health and Environment
1011 - Health Facilities and Emergency Medical Services Division (1011, 1015 Series)
6 CCR 1011-1 Chapter 13 - FREESTANDING EMERGENCY DEPARTMENTS
Part 5 - OPERATIONS
Universal Citation: 1000 CO Code Regs 5
Current through Register Vol. 47, No. 5, March 10, 2024
5.1 Environmental Services
(A) Each FSED shall provide
environmental services and staff to ensure that the premises are clean and
sanitary.
(B) Personnel shall
receive adequate supervision. Initial and annual in-service training programs
shall be provided for environmental services personnel.
(C) Suitable equipment and supplies shall be
provided for cleaning of all surfaces. Such equipment shall be maintained in a
safe, sanitary condition.
(D)
Cleaning compounds and other hazardous substances (including products labeled
"Keep out of reach of children" on their original containers) shall be clearly
labeled to indicate contents and (except when a staff member is present) shall
be stored in a location sufficiently secure to deny access to
patients.
(E) Cleaning shall be
performed in a manner to minimize the spread of pathogenic organisms. Floors
shall be cleaned regularly.
(F) The
FSED shall provide for effective control and eradication of vermin. All
openings to the outer air shall be effectively protected against the entrance
of vermin by self-closing doors, closed windows, screens, controlled air
currents, or other effective means.
(G) There shall be separate clean and soiled
utility rooms.
(H) Carts used to
transport refuse shall be constructed of impervious materials, enclosed, used
solely for refuse, and maintained in a sanitary manner.
5.2 Maintenance Services
(A) The FSED shall be maintained to ensure
the safety of patients, staff, and visitors.
(B) A preventive maintenance program shall be
implemented to ensure that all essential mechanical, electrical, and patient
care equipment is periodically monitored, calibrated, and maintained in safe
operating condition.
(1) Preventive
maintenance includes, but is not limited to: routine inspections, cleaning,
testing, and calibrating in accordance with manufacturers' instructions, or if
there are not manufacturers' instructions, as specified by the FSED's written
policies and procedures. An FSED may, under certain conditions, use equipment
maintenance activities and frequencies that differ from those recommended by
the manufacturer. FSEDs that choose to employ alternate maintenance activities
and/or schedules must develop, implement, and maintain a documented alternate
equipment maintenance program to minimize risks associated with the use of
medical equipment.
(2) Preventive
maintenance shall be conducted in accordance with written maintenance
schedules.
(3) Records shall be
maintained showing the date of maintenance and action taken to correct any
deficiencies.
5.3 Waste Disposal Services
(A) All waste shall be disposed in compliance
with local, state, and federal laws.
(B) Medical waste shall be disposed of in
accordance with the Department's regulations pertaining to solid waste disposal
sites and facilities at
6 CCR
1007-2, Part 1, Section 13, Medical Waste.
(C) The FSED shall have policies and
procedures addressing the proper:
(1)
Discharge of sewage into a public sewer system.
(2) Collection, storage in covered
containers, and timely removal of garbage and refuse not treated as
sewage.
(3) Handling and disposal
of infectious waste in accordance with the requirements of Section
25-15-401, et seq., C.R.S. and
Part 11 of these rules.
(4)
Disposal of biological non-infectious waste.
(D) In-facility refuse containers shall be
kept clean, and single-service liners shall be used when appropriate to the
container.
(E) Each FSED shall have
a sufficient number of water-tight containers with tight-fitting lids to hold
all refuse that accumulates between collections.
(F) Containers used for storing or holding
refuse awaiting collection must be enclosed.
(G) Accumulated waste material shall be
removed from the building at least daily. (H) All external rubbish and refuse
containers shall be impervious and tightly covered.
5.4 Linen and Laundry Services
(A) Linen and laundry services shall be
provided in-house or by contract with a commercial laundry service.
(B) Separate clean and soiled linen areas
shall be provided and maintained.
(C) For services provided in-house, the water
temperature and duration of washing cycle shall be consistent with the
temperature and duration recommended by the manufacturers of the laundry
chemicals and equipment being used.
Disclaimer: These regulations may not be the most recent version. Colorado may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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