Current through Register Vol. 46, No. 3, March 25, 2022
A. An unannounced
fire drill shall be conducted at least quarterly for all shifts. Each staff
member and volunteer shall participate in a fire drill at least once each year.
Records of drills shall be maintained at the facility, indicating the date,
time, shift, description, and evaluation of the drill, and the names of staff
members and volunteers and patients directly involved in responding to the
drill. If fire drill requirements are mandated by statute or regulation, then
provisions of the statute or regulation shall be complied with and shall
supersede the provisions of Section 1504.
B. Drills shall be designed and conducted in
consideration of and reflecting the content of the fire response training
described in Section 1503 above.
All patients shall participate in fire drills. In instances when a patient
refuses to participate in a drill, efforts shall be made to encourage
participation, for example, counseling, implementation of incentives rewarding
patients for participation, specific staff or volunteer to patient assignments
to promote patient participation. Continued refusal may necessitate
implementation of the discharge planning process to place the patient in a
setting more appropriate to their needs and abilities.
D. In conducting fire drills, all patients
shall evacuate to the outside of the building to a selected assembly point.
Drills shall be designed to ensure that patients attain the experience of
exiting through all exits.