7 AAC 12.860 - Risk management
A facility, with the exception of home health agencies and hospice agencies that do not provide inpatient care on agency premises, must have a risk management program that has
(1) provision for monitoring, evaluating,
identifying, correcting, and reassessing care practices that negatively affect
quality of care and services provided or result in accident or injury to a
patient, resident, or staff, and provisions for documenting deficiencies found
and remedial actions taken;
(2) a
preventive maintenance program that is designed to ensure the proper
functioning, safety and performance of all electrical and mechanical equipment
used in the care, diagnosis, and treatment of patients or residents, and for
the physical plant including the electrical, plumbing, heating, and ventilation
systems and their parts, including
(A)
implementation of policies that specify procedures and frequencies for the
maintenance of all equipment and systems and all their parts, that meets or
exceeds manufacturers' recommendations; and
(B) documentation of the preventive
maintenance that has occurred;
(3) a procedure to investigate, analyze, and
respond to patient or resident grievances that relate to patient or resident
care;
(4) a job-specific
orientation program and an in-service training program for each employee that
provides annual instruction in
(A) policies
and procedures for that service;
(B) the employee's job responsibilities and
the skills necessary to meet those responsibilities;
(C) safety, fire, and disaster plans;
and
(D) principles and techniques
of infection control;
(5) provision of 24-hour emergency service by
a physician, on site or on call, including posting the on-call physician's name
and phone number at each nursing station; a frontier extended stay clinic or
free-standing birth center is exempt from the requirements of this
paragraph;
(6) quarterly fire
drills for each work shift, a record showing when each drill was held, and
coordination with community or area mass casualty drills;
(7) an annual review of written policies and
procedures approved, signed, and dated by the administrator or the
administrator's designee;
(8) a
training program by an instructor certified in cardiopulmonary resuscitation
(CPR) for all personnel who are engaged in patient care; the training program
must include certification of employees by an approved organization;
(9) a method of ensuring safe storage and
transportation of gas cylinder tanks; and
(10) a disaster plan developed in
coordination with the local community to address the facility's response in
case of a disaster; the plan must include community and state resources for
staffing and supplies, and prioritized options to account for staffing
shortages, disruptions in the supply line, community allocation of staff
resources, telephone triage, and plans for establishing and maintaining
communication with local, state, and federal emergency response agencies; the
disaster plan must be in place on or before January 1, 2007, and must address
response to
(A) an earthquake, flood, major
fire, tsunami, or other potential disaster relative to the area; and
(B) a pandemic influenza outbreak; the plan
must include plans for
(i) separate entrances
to buildings, and segregated seating, for patients with influenza-like illness;
and
(ii) other measures to contain
or prevent transmission of the illness.
Notes
Authority:AS 18.05.040
AS 18.20.075
AS 47.32.010
AS 47.32.030
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.