R9-10-232. Disaster Management

An administrator shall ensure that: 1. A disaster plan is developed and documented that includes: a. Procedures for protecting the health and safety of patients and other individuals; b. Assigned personnel responsibilities; and c. Instructions for the evacuation, transport, or transfer of patients, maintenance of medical records, and arrangements to provide any other hospital services to meet the patients’ needs; 2. A plan exists for back-up power and water supply; 3. A fire drill is performed on each shift at least once every three months; 4. A disaster drill is performed on each shift at least once every 12 months; 5. Documentation of a fire drill required in subsection (3) and a disaster drill required in subsection (4) includes: a. The date and time of the drill; b. A critique of the drill; and c. Recommendations for improvement, if applicable; and 6. Documentation of a fire drill or a disaster drill is maintained by the hospital for at least 12 months after the date of the drill.