Current through Register No. 40, October 3, 2024
(a) The
administration of the licensed facility shall have, in effect and available to
all supervisory personnel, written copies of a plan for the protection of all
persons in the event of fire, including:
(1)
Evacuation to areas of refuge;
(2)
All personnel shall be periodically, at least annually if no changes are made
to the plan, be instructed and kept informed with respect to their duties under
this written plan. Copies of this plan shall be readily available at all times
in a central location, example, reception area, nurses station, or security
center;
(3) The emergency
procedures required by the emergency response plan shall include, but are not
limited to, evacuation routes, emergency notification numbers, and emergency
instructions and shall be posted in locations accessible to personnel and
visitors;
(4) The nursing home fire
safety plan shall provide for the following:
a. Use of alarms;
b. Transmission of alarm to fire
department;
c. Emergency phone call
to fire department;
d. Response to
alarms;
e. Isolation of fire;
f. Evacuation of immediate
area;
g. Evacuation of smoke
compartment;
h. Preparation of
floors and building for evacuation; and
i. Extinguishment of the fire;
(5) Ensuring that the fire safety
and evacuation plans are available to all supervisory personnel;
(6) Ensuring that all employees receive
in-service annual training to clarify their responsibilities in carrying out
the emergency plan;
(7) The
required plan shall be readily available at all times;
(8) Conducting fire drills, including the
transmission of a fire alarm signal and simulation of emergency fire situation,
as follows:
a. Infirm, bedridden, or
cognitively impaired residents shall not be required to be moved during drills
to safety areas or to the exterior of the building;
b. Drills shall be conducted quarterly on
each shift to familiarize nursing home personnel with the signals and emergency
action required under varied conditions; and
c. When drills are conducted between 9:00
p.m./2100 hours and 6:00 A.M./0600 hours, a coded announcement may be used
instead of audible alarms;
(9) Facilities shall complete a written
record of fire drills and include the following:
a. The date and time including AM/PM the
drill was conducted and if the actual fire alarm system was used;
b. The location of exits used;
c. The number of people, including residents,
personnel, and visitors, participating at the time of the drill;
d. The amount of time taken to completely
evacuate the facility or to an approved area of refuge or through a horizontal
exit;
e. The name and title of the
person conducting the drill;
f. A
list of problems and issues encountered during the drill;
g. A list of improvements and resolution to
the issues encountered during the fire drill; and
h. The names of all staff members
participating in the drill; and
(10) Written records of the fire drills that
shall be maintained on site and available to the department during an
inspection or investigation conducted in accordance with
RSA
151:6 and
RSA
151:6-a.
(b) All nursing homes shall have:
(1) At least one ABC type fire extinguisher
on every level or every 75 feet of corridor as required by NFPA 10;
(2) Be manually inspected when initially
placed in service;
(3) Be inspected
either manually or by means of an electronic monitoring device/system at
intervals not exceeding 31 days;
(4) Be inspected at least once per calendar
month; and
(5) Documentation of
manual fire extinguisher inspections that shall be maintained on-site in
accordance with NFPA 10 and available at the time of the inspection or
investigation. Documentation of electronically monitored fire extinguishers
shall be provided to the department within 2 business days of the completion of
the inspection or investigation.
(c) All nursing homes shall meet the health
care chapter of NFPA 101 as adopted pursuant to
RSA 153:1,
VI-a and amended in Saf-FMO 300 by the fire
marshal with the board of fire control, pursuant to
RSA
153:5.
(d) Extension cords shall be prohibited
except as allowed in accordance with NFPA 101 as adopted pursuant to
RSA 153:1,
VI-a and amended in Saf-FMO 300 by the fire
marshal with the board of fire control, pursuant to
RSA
153:5.
(e) Immediately following any fire or
emergency, such as a gas incident, terrorism, or other threatening condition,
the licensee shall notify the department by phone to be followed by written
notification within 72 hours, with the exception of a false alarm or emergency
medical services (EMS) transport for a non-emergent reason.
(f) The written notification in (d) above
shall include:
(1) The date and time of the
incident;
(2) A description of the
location and extent of the incident, including any damage;
(3) A description of events preceding and
following the incident;
(4) The
name of any employee or resident who was evacuated as a result of the incident,
if applicable;
(5) The name of any
employee or resident who required medical treatment as a result of the
incident, if applicable; and
(6)
The name of the individual the licensee wishes the department to contact if
additional information is required.
(g) Storage and use of oxygen cylinders or
systems shall comply with NFPA 99, Health Care Facilities Code including but
not limited to:
(1) Oxidizing gases such as
oxygen and nitrous oxide shall be separated from combustibles or flammable
materials by one of the following:
a. Minimum
distance of 6.1 m or 20 ft;
b.
Minimum distance of 1.5 m or 5 ft if the entire storage location is protected
by an automatic sprinkler system designed in accordance with NFPA 13,
Standard for the Installation of Sprinkler Systems;
or
c. A gas cabinet constructed per
NFPA 30, Flammable and Combustible Liquids Code, or NFPA 55,
Compressed Gases and Cryogenics Fluids Code, if the entire
storage location is protected by an automatic sprinkler system designed in
accordance with NFPA 13;
(2) Cylinders shall be protected from damage
by means of the following specific procedures:
a. Oxygen cylinders shall be protected from
abnormal mechanical shock, which is liable to damage the cylinder, valve, or
safety device;
b. Oxygen cylinders
shall not be stored near elevators or gangways or in locations where heavy
moving objects will strike them or fall on them;
c. Cylinders shall be protected from
tampering by unauthorized individuals;
d. Cylinders or cylinder valves shall not be
repaired, painted, or altered;
e.
Safety relief devices in valves or cylinders shall not be tampered
with;
f. Valve outlets clogged with
ice shall be thawed with warm, not boiling water;
g. A torch flame shall not be permitted,
under any circumstances, to come in contact with a cylinder, cylinder valve, or
safety device;
h. Sparks and flame
shall be kept away from cylinders;
i. Even if they are considered to be empty,
cylinders shall not be used as rollers, supports, or for any purpose other than
that for which the supplier intended them;
j. Large cylindersexceeding size E and
containers larger than 45 kg or 100 lb weight shall be transported on a proper
hand truck or cart complying with NFPA 99, section 11.4.3.1;
k. Freestanding cylinders shall be properly
chained or supported in a proper cylinder stand or cart; and
l. Cylinders shall not be supported by
radiators, steam pipes, or heat ducts; and
(3) Cylinders and their contents shall be
handled with care, which shall include the following specific procedures:
a. Oxygen fittings, valves, pressure reducing
regulators, or gauges shall not be used for any service other than that of
oxygen;
b. Gases of any type shall
not be mixed in an oxygen cylinder or any other cylinder;
c. Oxygen shall always be dispensed from a
cylinder through a pressure reducing regulator;
d. The cylinder valve shall be opened slowly,
with the face of the indicator on the pressure reducing regulator pointed away
from all persons;
e. Oxygen shall
be referred to by its proper name, "oxygen", not air, and liquid oxygen shall
be referred to by its proper name, not liquid air;
f. Oxygen shall not be used as a substitute
for compressed air;
g. The markings
stamped on cylinders shall not be tampered with, because it is against federal
statutes to change these markings;
h. Markings used for the identification of
contents of cylinders shall not be defaced or removed, including decals, tags,
and stenciled marks, except those labels/tags used for indicating cylinder
status such as full, in use, or empty;
i. The owner of the cylinder shall be
notified if any condition has occurred that might allow any foreign substance
to enter a cylinder or valve, giving details and the cylinder number;
j. Neither cylinders nor containers shall be
placed in the proximity of radiators, steam pipes, heat ducts;
k. Very cold cylinders or containers shall be
handled with care to avoid injury;
l. A precautionary sign, readable from a
distance of 1.5 m or 5 ft, shall be displayed on each door or gate of the
storage room or enclosure; and
m.
The sign shall include the following wording as a minimum:
CAUTION:
OXIDIZING GAS(ES) STORED WITHIN
NO SMOKING
(h) If the licensee has chosen to
allow smoking under
He-P
803.14(w), an outside location or a
room used only for smoking shall be provided which:
(1) Has a dedicated ventilation system, so
that smoke or odors cannot escape or be detected outside the designated smoking
room;
(2) Has walls and furnishings
constructed of non-combustible materials;
(3) Has metal waste receptacles and safe
ashtrays; and
(4) Is in compliance
with the requirements of
RSA 155:64-77, the Indoor
Smoking Act and He-P 1900.