Current through Register No. 40, October 3, 2024
(a) Each facility
shall have an individual or group, known as an emergency management committee,
with the authority for developing, implementing, exercising, and evaluating the
emergency management program. The committee shall include the facility
administrator and others 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.
(b) The emergency management committee shall
develop and institute a written emergency preparedness plan (plan) to respond
to a disaster or an emergency.
(c)
The plan in (b) above shall:
(1) Include
site-specific plans for the protection of all persons on-site in the event of
fire, natural disaster, or severe weather and human-caused emergency to
include, but not be limited to missing patients 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) 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;
(8) Include a
plan for alerting and managing staff in a disaster, and accessing Critical
Incident Stress Management (CISM), if necessary;
(9) Include the management of patients,
particularly with respect to physical and clinical issues to include:
a. Relocation of patients 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;
(10)
Identify a designated media spokesperson to issue news releases and an area
where the media can be assembled, where they won't interfere with the
operations of the facility;
(11)
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;
(12) 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
(13) If the facility is located within 10
miles of a nuclear power plant and is part of the New Hampshire plan for
radiological emergency preparedness, include this plan in the event of a
radiological disaster or emergency.
(d) The facility shall conduct and document
with a detailed log, including personnel signatures, 2 drills a year at least
one of which shall rehearse mass casualty response for the facility with
emergency services, disaster receiving stations or both.
(e) For the purposes of emergency
preparedness, each licensee shall have the following supplies of foods and
water maintained on the premises based on the average daily census of patients
and staff:
(1) Enough refrigerated, perishable
foods for a 3-day period;
(2)
Enough non-perishable foods for a 7-day period; and
(3) Potable water for a 3-day
period.
