Current through Register Vol. 50, No. 9, September 20, 2024
A. The
BHS provider shall have written disaster and emergency preparedness plans which
are based on a risk assessment using an all hazards approach for both internal
and external occurrences, developed and approved by the governing body and
updated annually:
1. to maintain continuity
of the providers operations in preparation for, during and after an emergency
or disaster;
2. to manage the
consequences of all disasters or emergencies that disrupt the providers ability
to render care and treatment, or threaten the lives or safety of the clients;
and
3. that are prepared in
coordination with the providers local and/or parish Office of Homeland Security
and Emergency Preparedness (OHSEP) and include provisions for persons with
disabilities.
B. The BHS
provider 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 clients, if any, during the disaster or emergency.
1. - 4. Repealed.
C. The BHS provider shall develop and
maintain a disaster and emergency preparedness plan that complies with both
federal and state laws. Client care shall be well-coordinated within the BHS
provider, across health care providers and with state and local public health
departments and emergency systems.
1. - 6.
Repealed.
D. The BHS
provider shall develop and maintain training and testing programs, including
initial training in policies and procedures and demonstrate knowledge of
disaster and emergency procedures. Such training shall be provided at least
annually.
1. - 3. Repealed.
E. Additional Requirements. The
residential facility or outpatient clinic shall:
1. post floor plans with diagrams giving
clear directions on how to exit the building safely and in a timely manner at
all times;
2. post emergency
numbers by all telephones;
3. have
a separate floor plan or diagram with designated safe zones or sheltering areas
for non-fire emergencies;
4. train
its employees in emergency or disaster preparedness. Training shall include
orientation, ongoing training and participation in planned drills for each
employee and on each shift; and
5.
ensure that emergency equipment and supplies are:
a. immediately available for use during
emergency situations;
b.
appropriate for the BHS providers client population;
c. maintained by appropriate personnel;
and
d. are specified by the medical
staff and approved by the governing body for treatment of all age groups
serviced by the BHS provider.
6. upon request by the department, submit a
copy of its emergency preparedness plan for review; and
7. upon request by the department, submit a
written summary attesting how the emergency plan was followed and executed. The
summary shall contain, at a minimum:
a.
pertinent plan provisions and how the plan was followed and executed;
b. plan provisions that were not
followed;
c. reasons and mitigating
circumstances for failure to follow and execute certain plan
provisions;
d. contingency
arrangements made for those plan provisions not followed; and
e. a list of all injuries and deaths of
clients that occurred during execution of the plan, evacuation or temporary
relocation including the date, time, causes and circumstances of the injuries
and deaths.
F.
The residential BHS providers disaster and emergency preparedness plans shall
include, at a minimum:
1. in the event of a
disaster or an emergency, an assessment of all clients to determine the
clients:
a. who continue to require services
and should remain in the care of the provider; or
b. who may be discharged to receive services
from another provider;
2. the determination as to when the provider
will shelter in place and when the provider will evacuate for a disaster or
emergency and the conditions that guide these determinations in accordance with
local or parish OHSEP;
3.
provisions for when the provider shelters-in-place that include:
a. the decision to take this action is made
after reviewing all available and required information on the
emergency/disaster, the provider, the providers surroundings, and consultation
with the local or parish OHSEP;
b.
provisions for seven days of necessary supplies to be provided by the provider
prior to the emergency, including drinking water or fluids and non-perishable
food; and
c. the delivery of
essential services to each client;
4. provisions for when the provider evacuates
with clients:
a. the delivery of essential
provisions and services to each client, whether the client is in a shelter or
other location;
b. the providers
method of notifying the clients family or caregiver, including:
i. the date and approximate time that the
provider or client is evacuating;
ii. the place or location to which the
client(s) is evacuating which includes the name, address and telephone number;
and
iii. a telephone number that
the family or responsible representative may call for information regarding the
clients evacuation;
c.
provisions for ensuring that supplies, medications, clothing and a copy of the
treatment plan are sent with the client, if the client is evacuated;
d. the procedure or methods that will be used
to ensure that identification accompanies the client. The identification shall
include the following information:
i. current
and active diagnosis; ii. all medication, including dosage and times
administered;
iii.
allergies;
iv. special dietary
needs or restrictions; and
v.
legal representative, if applicable, including contact
information;
e.
transportation or arrangements for transportation for an evacuation that is
adequate for the current census;
5. provisions for staff to maintain
continuity of care during an emergency; and
6. staff distribution and assignment of
responsibilities and functions during an emergency.
G. The outpatient clinics disaster and
emergency preparedness plan shall include, at a minimum:
1. in the event of an emergency or disaster,
an assessment of all clients to determine the clients:
a. who continue to require services;
or
b. who may be discharged to
receive services from another provider;
2. a plan for each client to continue to
receive needed services during a disaster or emergency either by the provider
or referral to another program; and
3. measures to be taken to locate clients
after an emergency or disaster and determine the need for continued services
and/or referral to other programs.
H. The provider shall:
1. follow and execute its disaster and
emergency preparedness plan in the event of the occurrence of a declared
disaster or other emergency;
2. if
the state, parish or local OHSEP orders a mandatory evacuation of the parish or
the area in which the agency is serving, ensure that all clients are evacuated
according to the providers disaster and emergency preparedness plan;
3. review and update its disaster and
emergency preparedness plan at least once a year;
4. cooperate with the department and with the
local or parish OHSEP in the event of an emergency or disaster and provide
information as requested;
5.
monitor weather warnings and watches as well as evacuation orders from local
and state emergency preparedness officials;
6. upon request by the department, submit a
copy of its emergency preparedness plan for review; and
7. upon request by the department, submit a
written summary attesting how the emergency plan was followed and executed. The
summary shall contain, at a minimum:
a.
pertinent plan provisions and how the plan was followed and executed;
b. plan provisions that were not
followed;
c. reasons and mitigating
circumstances for failure to follow and execute certain plan
provisions;
d. contingency
arrangements made for those plan provisions not followed; and
e. a list of all injuries and deaths of
clients that occurred during execution of the plan, evacuation or temporary
relocation including the date, time, causes and circumstances of the injuries
and deaths.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2151-2161.
