6 Colo. Code Regs. § 1011-1-5-16

Current through Register Vol. 47, No. 11, June 10, 2024

Section 6 CCR 1011-1-5-16 - EMERGENCY SERVICES

16.1 EMERGENCY CARE POLICIES

The facility shall complete a risk assessment using an all hazards preparedness approach. The facility shall develop and follow detailed written policies and procedures for missing residents and for care of all residents to meet the risks identified by the facility. Emergency policies shall be tailored to the geographic location of the facility; types of residents served and unique risks and circumstances identified by the facility. Policies shall take an all hazards preparedness approach and shall address:

A) Arrangements, developed in consultation with the medical director, for necessary medical care when a resident's practitioner is unavailable;

B) Subsistence needs of residents, staff and visitors;

C) Procedures and training programs that cover immediate care of residents during natural or man-made disasters;

D) Power needs with emergency and standby power systems;

E) Availability and transfer of all information necessary to meet the needs of the residents in the event of an evacuation while maintaining confidentiality standards;

F) Evacuation plans with alternate facility agreements; and

G) Notification of persons, suppliers and agencies in an emergency.

16.2 DISASTER PLANS

With the assistance of qualified experts, the facility shall develop written plans for protection of persons within the building during an impending or actual disaster. Plans shall include:

A) Written instructions for each identified risk that include persons to be notified and steps to be taken. The instructions shall be readily available 24 hours a day in more than one location with all staff aware of the locations;

B) A schematic plan of the building or portions thereof posted at each nurses' station and throughout the building, as needed, showing evacuation routes, smoke stop and fire doors, exit doors, and the location of fire extinguishers and fire alarm boxes;

C) Procedures for evacuating the premises;

D) Assignment of specific tasks and responsibilities to the personnel on each shift;

E) An emergency preparedness communication plan;

F) Protection and transfer of health information as needed to meet the care needs of residents;

G) Provision for care of residents when electronic and paper health information records may not be accessible;

H) Provision for unannounced drills and instruction to keep employees informed of their duties;

I) Provisions for conducting simulated fire drills at least quarterly on each shift;

J) Periodic testing of power systems and electronic record back-ups to ensure operability; and

K) Written memorandums of understanding with alternate health facilities and coordination with other community agencies.

16.3 MASS CASUALTY PLAN

Each facility shall develop a written mass casualty plan for managing residents and treating casualties in an external or community disaster. The program shall be developed in cooperation with other health facilities in the area and with official and other community agencies.

6 CCR 1011-1-5-16