Current through Register No. 40, October 3, 2024
(a) Each facility
shall have an emergency management committee, of which the facility
administrator must 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, as appropriate.
(d) An emergency management program shall
include, at a minimum, the following elements:
(1) The emergency management plan, as
described in (e) and (f) below;
(2)
The roles and responsibilities of the committee members;
(3) 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, and human-caused emergencies to
include, but not be limited to, missing participants and bomb
threats;
(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) Include the facility'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. Water;
c. Ventilation;
d. Fire protection systems;
e. Fuel sources;
f. Medical gas and vacuum systems, if
applicable; and
g. Communications
systems;
(7) Include a
plan for alerting and managing staff in a disaster, and for accessing Critical
Incident Stress Management (CISM), if necessary;
(8) Include the management of participants,
particularly with respect to physical and clinical issues to include relocation
of participants with their participant record including the medication
administration records, if time permits, as detailed in the emergency
plan;
(9) Include an educational
program for the staff, which provides an overview of the components of the
emergency management program, concepts of the ICS, and the staff's specific
duties and responsibilities; and
(10) If the facility 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) Annually, the
facility shall participate in a community-based disaster drill which may be a
table top discussion drill with outside agencies.
(h) The facility shall review and update its
emergency plan, as needed, as a result of drills and exercises, real event(s),
and annual plan review.
(i)
Notwithstanding (a) -(g) above, when an ASC is a part of a larger institution
which has a comprehensive emergency preparedness plan, the ASC may use the
institution's plan, and if so, it shall:
(1)
Identify the portions of the plan that pertain to the ASC in a separate
document for use by ASC personnel;
(2) Provide annual training to prepare
personnel in its application as required by (g) above; and
(3) Review and update the plan as required by
(h) above.
