Tenn. Comp. R. & Regs. 1200-08-24-.13 - DISASTER PREPAREDNESS
(1) Physical
Facility and Community Emergency Plans.
(a)
Every birthing center shall have a current internal emergency plan, or plans,
that provides for fires, bomb threats, severe weather, utility service
failures, plus any local high risk situations such as floods, earthquakes,
toxic fumes and chemical spills.
(b) The plan(s) must include provisions for
the relocation of persons within the building and/or either partial or full
building evacuation. Plans that provide for the relocation of patients to other
healthcare facilities must have written agreements for emergency transfers.
Their agreements may be mutual, i.e., providing for transfer either
way.
(c) Copies of the plan(s),
either complete or outlines, shall be available to all staff. Provisions that
have security implications may be omitted from the outline versions.
Familiarization information shall be included in employee orientation sessions
and more detailed instructions must be included in continuing education
programs. Records of orientation and education programs must be maintained for
at least three (3) years.
(d)
Drills of the fire safety plan shall be conducted at least once a year on each
major work shift, for a minimum of three times a year for each facility. A
combined drill of the other internal emergency plans shall be conducted at
least once a year. The risk focus may vary by drill. Both types of drills are
for the purposes of educating staff, resource determination, testing personal
safety provisions and communications with other facilities and community
agencies. Records which document and evaluate these drills must be maintained
for at least three (3) years.
(e)
As soon as possible, real situations that result in a response by local
authorities must be documented. This includes a critique of the activation of
the plan. Actual documented situations that provided educational and training
value may be substituted for a drill.
(2) Emergency Planning with Local Government
(a) All birthing centers shall establish and
maintain communications with the local office of the Tennessee Emergency
Management Agency. This includes the provision of the information and
procedures that are needed for the local comprehensive emergency plan. The
facility shall cooperate, to the extent possible, in area disaster drills and
local emergency situations.
(b) A
file of documents demonstrating communications and cooperation with the local
agency must be maintained.
Notes
Authority: T.C.A. ยงยง 4-5-202, 68-11-202, 68-11-204, 68-11-206, and 68-11-209.
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