Current through Register No. 40, October 3, 2024
(a) Each facility
shall have an emergency management committee, of which the facility
administrator shall be a member.
(b) The emergency management committee shall
have the authority for developing, implementing, exercising, and evaluating an
emergency management program.
(c)
The emergency management committee shall include other individuals who have
knowledge of the facility and the capability to identify resources from key
functional areas within the facility and shall solicit applicable external
representation including but not limited to:
(1) Elected state and local
officials;
(2) Police, fire, civil
defense, and public health professionals;
(3) Environment, transportation, and hospital
officials;
(4) Facility
representatives; and
(5)
Representatives from community groups and the media.
(d) An emergency management program shall
include, at a minimum, the following elements:
(1) The emergency management plan, as
described in (d) and (e) below;
(2)
The roles and responsibilities of the committee members;
(3) A description of how the plan is
implemented, exercised, and maintained; and
(4) Accommodation for emergency food and
water supplies.
(e) The
emergency management committee shall develop and institute a written emergency
preparedness plan (plan) to respond to a disaster or an emergency.
(f) The plan in (e) above shall:
(1) Include site-specific plans for the
protection of all persons on-site in the event of fire, natural disaster,
severe weather, or human-caused emergency such as missing clients and bomb
threat;
(2) Be approved by the
local emergency management director and reviewed and approved, as appropriate,
by the local fire department;
(3)
Be available to all personnel;
(4)
Be based on realistic conceptual events;
(5) Be modeled on the Incident Command System
(ICS) in coordination with local emergency response agencies;
(6) Provide that all personnel designated or
involved in the emergency operations plan of the facility shall be supplied
with a means of identification, such as vests, baseball caps, or hard hats,
which shall be worn at all times in a visible location during the
emergency;
(7) Develop and
implement a strategy to prevent an incident that threatens life, property, and
the environment of the facility;
(8) Develop and implement a mitigation
strategy that includes measures to be taken to limit or control the
consequences, extent, or severity of an incident that cannot be
prevented;
(9) Develop and
implement a protection strategy to protect life, property, and the environment
from human caused incidents and events and from natural disasters;
(10) For (7) -(9) above, incorporate the
findings of a hazard vulnerability assessment, the results of an analysis of
impact, program constraints, operational experience, and cost-benefit analysis
to provide strategies that can realistically be implemented without requiring
undue expenses to the -licensee;
(11) Conduct a facility-wide -walk-through
and review, to include the property that the licensee is located on, to
determine the status of hazards that may be incorporated into the prevention,
protection, and mitigation strategies and to determine the outcome of prior
strategies at least an annually;
(12) Include the licensee's response to both
short-term and long-term interruptions in the availability of utility service
in the disaster or emergency, including establishing contingency plans for
continuity of essential building systems or evacuation to include the
following, as applicable:
a.
Electricity;
b. Potable water;
c. Non-potable water;
d. Heating, ventilation, and air conditioning
(HVAC);
e. Fire protection
systems;
f. Fuel required for
building operations to include fuel loss, fuel spill, and fuel exposure that
creates a hazardous incident;
g.
Fuel for essential transportation to include fuel loss, fuel spill, and fuel
exposure that creates a hazardous incident;
h. Medical gas and vacuum systems, if
applicable;
i. Communications
systems; and
j. Essential services,
such as kitchen and laundry services, if applicable;
(13) Include a plan for alerting and managing
staff in a disaster, and accessing Critical Incident Stress Management (CISM),
if necessary;
(14) Include the
management of clients, particularly with respect to physical and clinical
issues to include:
a. Relocation of clients
with their medical record including the medicine administration records, if
time permits, as detailed in the emergency plan;
b. Access, as appropriate, to critical
materials such as pharmaceuticals, medical supplies, food supplies, linen
supplies, and industrial and potable water; and
c. How to provide security during the
disaster;
(15) Identify
a designated media spokesperson to issue news releases and an area where the
media can be assembled, where they will not interfere with the operations of
the facility;
(16) Reflect measures
needed to restore operational capability with consideration of fiscal aspects
because of restoration costs and possible cash flow losses associated with the
disruption;
(17) Include an
educational, competency-based program for the staff, to provide an overview of
the components of the emergency management program and concepts of the ICS and
the staff's specific duties and responsibilities; and
(18) If the -licensee is located within 10
miles of a nuclear power plant and is part of the New Hampshire Radiological
Emergency Response Plan (RERP), include the required elements of the
RERP.
(g) The licensee
shall conduct and document with a detailed log, including personnel signatures,
2 drills a year. A drill could be to test the facilities communication systems
and contact lists this would include local authorities, the State and any other
call trees the facility may utilize. One drill may be to rehearse mass
casualty, if available, that will test the facilities response with emergency
services, disaster receiving stations, or both. If a mass casualty drill is
utilized it must comply with the following:
(1) Drills and exercises shall be monitored
by at least one designated evaluator who has knowledge of the -licensee's plan
and who is not involved in the exercise;
(2) Drills and exercises shall evaluate
program plans, procedures, training, and capabilities to identify opportunities
for improvement;
(3) The -licensee
shall conduct a debriefing session not more than 72 hours after the conclusion
of the drill or exercise. The debriefing shall include all key individuals,
including observers, administration, clinical staff, and appropriate support
staff; and
(4) Exercises and actual
events shall be critiqued to identify areas for improvement. The critique shall
identify areas of non-compliance and opportunities for improvement based upon
monitoring activities and observations during the exercise. Opportunities for
improvement identified in critiques shall be incorporated in the -licensee's
improvement plan.
(h)
For the purposes of emergency preparedness, each licensee shall have in
writing, a plan for the management of emergency food, water, and other
supplies, which shall include:
(1) Assumptions
for calculations of food and water supplies including maximum number of staff
and clients, water source of supply, either tap or commercial, and expiration
in months, tracking of supplies, and rotation of products, contracts and
memorandums of understanding with food and water suppliers;
a. Enough non-perishable foods for a 2-day
period; and
b. Potable water for a
2-day period.
(2)
Storage location(s); and
(3)
Back-up supplies.
