Current through Register Vol. 50, No. 9, September 20, 2024
A. Disaster and emergency plans shall be
developed by the governing body, and updated annually, which are based on a
risk assessment using an all hazards approach for both internal and external
occurrences. Disaster and emergency plans shall include provisions for persons
with disabilities.
B. The ASC shall
develop and implement policies and procedures based on the emergency plan, risk
assessment and communication plan which shall be reviewed and updated at least
annually. Such policies shall include a system to track on duty staff and
sheltered patients, if any, during the emergency.
C. The ASC shall develop and maintain an
emergency preparedness communication plan that complies with both federal and
state laws. Patient care shall be well-coordinated within the ASC, across
health care providers and with state and local public health departments and
emergency systems.
D. The ASC shall
develop and maintain training and testing programs, including initial training
in policies and procedures and demonstrate knowledge of emergency procedures.
Such training shall be provided at least annually.
E. Additional Requirements
1. Each ASC shall post exit signs and
diagrams conspicuously through the facility.
2. Flash lights or battery operated lamps for
emergency use shall be available for ASC personnel and kept in operational
condition.
3. The ASC shall ensure
that emergency equipment is:
a. immediately
available for use during emergency situations;
b. appropriate for the ASC's patient
population; and
c. maintained by
appropriate personnel.
4. The ASC shall have written policies and
procedures that address the availability and relevant use of the following
emergency equipment in the ASC's operating/procedure rooms sufficient in number
to handle multiple simultaneous emergencies:
a. emergency call system;
b. oxygen;
c. mechanical ventilatory assistance
equipment, including:
i. airways;
ii. manual breathing bag; and
iii. ventilator;
d. cardiac defibrillator;
e. cardiac monitoring equipment;
f. tracheostomy set;
g. laryngoscope and endotracheal
tubes;
h. suction equipment;
and
i. any other emergency medical
equipment and supplies specified by the medical staff and approved by the
governing body for treatment of all age groups serviced in the ASC.
5. The ASC shall have an operable
backup generator of sufficient size to support and maintain necessary
life-sustaining medical equipment.
a. A
sufficient amount of fuel shall be maintained to ensure the operation of the
generator for at least four hours to maintain:
i. temperatures to protect patient health and
safety and for the safe and sanitary storage of provisions;
ii. emergency lighting; and
iii. fire detection, extinguishing and alarm
systems.
6.
The ASC is responsible for:
a. developing and
implementing policies and procedures for the safe emergency transfer of
patients from the ASC in the event that an emergency impacts the ASCs ability
to provide services;
b. developing
policies that address what types of emergency procedures, equipment and
medications shall be available; and
c. providing trained staff to sustain the
life of the patient prior to the transfer.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2131-2141.
