Utah Admin. Code R432-750-29 - Emergency and Disaster

(1) The licensee is responsible for the safety and well-being of patients in the event of an emergency or disaster.
(2)
(a) The licensee and the hospice administrator shall develop plans coordinated with the state and local emergency disaster authorities to respond to potential emergencies and disasters.
(b) The plan shall outline the protection or evacuation of any patients and include arrangements for staff response, or provisions of additional staff to ensure the safety of any patient with physical or mental limitations.
(c) Emergencies and disasters as referred to in this section include fire, severe weather, missing patients, interruption of public utilities, explosion, bomb threat, earthquake, flood, windstorm, epidemic, or mass casualty.
(d) To assure prompt and efficient implementation, the licensee shall distribute and make available, the emergency and disaster response plan to any facility staff and patients.
(e) The licensee and the hospice administrator shall review and update the plan as necessary to conform with local emergency plans.
(f) The licensee shall make the plan available for review by the OL.
(3) The licensee's emergency and disaster response plans shall address the following:
(a) the assignment of personnel to specific tasks during an emergency;
(b) delivery of essential care and services to facility occupants by alternate means;
(c) delivery of essential care and services to facility occupants when additional individuals are housed in the hospice during an emergency;
(d) delivery of essential care and services to facility occupants when personnel are reduced by an emergency;
(e) instructions on how to contain a fire and how to use the facility alarm systems;
(f) instructions on how to recruit additional help, supplies, and equipment to meet patient needs after an emergency or disaster;
(g) maintenance of safe ambient air temperatures within the facility including:
(i) the emergency heating is approved by the local fire department;
(ii) the individual in charge shall take immediate action in the best interest of patients when the ambient air temperatures reach 58 degrees Fahrenheit or below, as it may constitute an imminent danger to the health and safety of the patients in the hospice; and
(iii) the licensee shall have and implement a contingency plan regarding excessively high ambient air temperatures within the hospice that may exacerbate the medical condition of patients;
(h) the name and telephone number of emergency medical personnel, fire department, paramedics, ambulance service, police, and other appropriate agencies;
(i) the name of any individual to notify in an emergency in order of priority
(j) the name of the individual in charge and any individual with decision-making authority; and
(k) the procedure to evacuate and transport patients and staff to a safe place within the hospice or to other prearranged locations.
(4) The licensee shall ensure personnel and patients receive instruction and training in accordance with the plans to respond appropriately in an emergency and the licensee shall:
(a) annually review the procedures with existing staff and patients;
(b) document any drills, including the date, participants, problems encountered, and the ability of each patient to evacuate; and
(c) hold simulated disaster drills semi-annually.
(5)
(a) The licensee shall ensure the hospice administrator is in charge during an emergency.
(b) If not on the premises, the hospice administrator shall make every effort to report to the hospice, relieve subordinates, and take charge.
(6) Each hospice inpatient facility licensee shall provide in-house any equipment and supplies required in an emergency including emergency lighting, heating equipment, food, potable water, extra blankets, a first aid kit, and a radio.
(7) The licensee shall post the following information in appropriate locations throughout the facility to include:
(a) evacuation routes, location of fire alarm boxes, and fire extinguishers;
(b) the name of the individual in charge; and
(c) the names and telephone numbers of emergency medical personnel, agencies, and appropriate communication and emergency transport systems.
(8) The licensee shall post emergency telephone numbers at each nursing station.
(9) Fire drills and fire drill documentation shall comply with Rule R710-4.

Notes

Utah Admin. Code R432-750-29
Amended by Utah State Bulletin Number 2023-10, effective 5/5/2023 Amended by Utah State Bulletin Number 2025-05, effective 2/18/2025

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.