Utah Administrative Code
Topic - Health
Title R432 - Health Care Facility Licensing
Rule R432-100 - General Hospital Standards
Section R432-100-40 - Emergency Operations Plan
Current through Bulletin 2024-06, March 15, 2024
(1) The licensee shall have an emergency operations plan for the maintenance of a safe environment in the event of an emergency or disaster that overwhelms the facility.
(2) The administrator or designee is responsible for the development of the plan, coordinated with applicable state and local emergency response partners and agencies. The plan shall:
(3) The hospital administrator and the board shall approve the emergency operations plan.
(4) The licensee shall document any emergency incidents and responses.
(5) The licensee shall hold disaster drills or exercises twice yearly according to threats identified in the facility's annual hazard vulnerability analysis.
(6) The licensee shall have a fire emergency evacuation plan written in consultation with qualified fire safety personnel. This plan may be included in the facility's emergency operations plan.
(7) The licensee shall post evacuation routes posted in prominent locations throughout the hospital.
(8) The licensee shall document fire drills and ensure fire drill documentation is in accordance with Rule R710-4, State of Utah Fire Prevention Board.
(9) A licensee may exceed its licensed capacity by up to 20% in response to any incident that overwhelms the facility.