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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