(1) Any hospital
which complies with the required applicable building and fire safety
regulations at the time the board adopts new codes or regulations will, so long
as such compliance is maintained (either with or without waivers of specific
provisions), be considered to be in compliance with the requirements of the new
codes or regulations.
hospital shall provide fire protection by the elimination of fire hazards, by
the installation of necessary fire fighting equipment and by the adoption of a
written fire control plan. Fire drills shall be held at least quarterly for
each work shift for hospital personnel in each separate patient-occupied
hospital building. There shall be a written report documenting the evaluation
of each drill and the action recommended or taken for any deficiencies found.
Records which document and evaluate these drills must be maintained for at
least three (3) years. All fires which result in a response by the local fire
department shall be reported to the department within seven (7) days. The
report shall contain sufficient information to ascertain the nature and
location of the fire, its probable cause and any injuries incurred by any
person or persons as a result of the fire. Initial reports by the facility may
omit the name(s) of patient(s) and parties involved, however, should the
department find the identities of such persons to be necessary to an
investigation, the facility shall provide such information.
Tenn. Comp. R. &
Original rule filed
March 18, 2000; effective May 30, 2000. Amendments filed September 6, 2005;
effective November 20, 2005.
Authority: T.C.A. §§
68-11-202, 68-11-204, 68-11-206,
68-11-209, and 68-11-216.