Current through Register 1531, September 27, 2024
The DH provider must establish plans, policies, and procedures
for medical and other emergencies developed with the assistance of local and
state fire and safety experts, and posted in offices of staff and in clearly
visible locations throughout each DH provider site. These plans and procedures
must include, at a minimum, the following:
(A) Written emergency policies and procedures
that must include
(1) an emergency evacuation
plan that is in compliance with and coordinated with local fire department
requirements and that must, at a minimum, require quarterly fire and evacuation
drills for all staff members, and which must be documented in accordance with
130 CMR
419.416(B);
(2) a procedure to be followed if participant
is missing or lost;
(3) procedures
for handling medical emergencies at each DH provider site;
(4) persons and entities to be notified in
case of an emergency;
(5) locations
of alarm signals and fire extinguishers; and
(6) staff training in emergency procedures,
including, but not limited to, assignment of specific tasks and
responsibilities to the personnel and documentation of such
training.
(B) Written
procedure for emergency transportation to an acute care hospital must be in
accordance with the following requirements.
(1) In the event of a medical emergency, a DH
provider must call the emergency access number 911 and arrange for the
transport of a member to an acute care hospital for emergency medical
care.
(2) The DH provider must
provide all pertinent health information to the emergency medical technician(s)
and to any hospital to which any member is transported, including the member's
Comfort Care/Do Not Resuscitate Verification Form, Massachusetts Medical Orders
for Life-Sustaining Treatment (MOLST) Form, or other advance directive on file
with the DH provider, as applicable.
(3) The DH provider must contact the member's
PCP, authorized representative, and, if applicable, DDS service coordinator at
the time of the emergency or immediately thereafter to advise of the emergency
and all actions taken in response to the emergency.
(4) The DH provider must, immediately after
such medical emergency, document in the member's clinical record the following:
(a) the nature of the emergency and actions
taken in response to the emergency;
(b) the reason for the member's emergency
transport to an acute care hospital, if applicable; and
(c) the name of the member's authorized
representative who was notified of the medical emergency and the date and time
the member's authorized representative was
notified.
(C) A
written Continuity of Operations Plan (COOP) in accordance with the resources
available from the Massachusetts Department of Public Health's Office of
Preparedness and Emergency Management;
(D) An emergency fact sheet on each member,
updated upon change and reviewed annually, that contains the following
information
(1) the name and telephone number
of the member's PCP;
(2) the
member's diagnosis;
(3) any special
treatments or medications the member may need;
(4) the member's allergies;
(5) insurance information; and
(6) the name and telephone number of the
identified contact person, the authorized representative to be notified in case
of emergency and, if applicable, DDS service coordinator.
(E) A written policy on staffing that
includes that at least two staff members certified in first aid and
cardiopulmonary resuscitation (CPR) be on duty at all times. The provider must
maintain a current record of training and recertification of staff and post the
names of certified individuals in a conspicuous location.
