105 CMR 145.291
Emergency Electrical Service
(A) An emergency source of electrical power shall be provided on the premises of the dialysis
facility.
(B) The source of the emergency electrical service shall be as follows: an emergency electrical
generating set, including prime mover and generator, equipped with an automatic transfer switch,
which will transfer within ten seconds, and shall be reserved exclusively for supplying the
emergency electrical system. The generator set(s) shall have sufficient capacity and proper rating
to meet the maximum expected demand of the Essential Electrical System at any one time.
(C) The emergency electrical services shall be provided to circuits as follows:
(1) Lighting.
(a) All task lighting, exitways, exit signs, exit directional signs, exit doorways,
stairways, corridors, and lobby.
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(b) Patient treatment rooms/cubicles, nursing station, medication preparation area, clean
workroom, soiled workroom, equipment storage room, mechanical rooms and patient
lounge area.
(c) Generator set location and switch gear location.
(2) Equipment.
(a) Dialysis distribution systems and related equipment, and, if provided, the water
treatment system.
(b) A minimum of one duplex receptacle on each side of patient bed or chair.
(c) One duplex receptacle in the equipment breakdown room.
(d) Corridor receptacles in the patient treatment area.
(e) Essential refrigerators.
(f) Telephone equipment, nurses call and intercom systems that depend on electrical
power supplied by the facility.
(g) Central batch delivery equipment and related systems, if provided.
(h) HVAC systems.
(i) Fire alarm and extinguishing systems.
(D) The generator must be checked at least quarterly under the operating load to ensure its
proper operation.
(E) Records of routine tests as well as periodic maintenance checks must be maintained in the
facility's files and be available for review.