1. A. An administrator of a non-accredited procurement organization shall ensure that:

   1. 1. Standard operating procedures are developed, documented, and maintained for the emergency transfer of non-transplant anatomical donations and non-transplant anatomical material to a designated back-up storage facility when the quality or security of non-transplant anatomical donations or non-transplant anatomical material may be compromised, including:

      1. a. The situations that would require an emergency transfer, including time limits and temperature tolerance for loss of refrigeration capability;
      2. b. The location of the back-up storage facility;
      3. c. The actions to be taken by the administrator and personnel members;
      4. d. The methods to be used for the emergency transfer;
      5. e. Specific labeling indicating that the transported non-transplant anatomical donations and non-transplant anatomical material must remain untouched until returned to the licensed non-accredited procurement facility after the situation has been resolved; and
      6. f. Requirements for the situation that resulted in an emergency transfer to be reviewed through the quality management program in R9-9A-203(A)(3) to prevent a recurrence;
   2. 2. A first aid kit is available at the procurement organization;

   3. 3. Smoke detectors are:

      1. a. Installed according to building size and the requirements of the local zoning jurisdiction;
      2. b. Maintained in an operable condition; and
      3. c. Either battery operated or, if hard-wired into the electrical system of the procurement organization, have a back-up battery;

   4. 4. A portable fire extinguisher that is labeled 2A-10-BC by the Underwriters Laboratory:

      1. a. Is readily available for use;
      2. b. For a disposable fire extinguisher, is replaced when the fire extinguisher’s indicator reaches the red zone; and
      3. c. For a non-disposable fire extinguisher, is serviced at least every 12 months and has a tag attached to the fire extinguisher that includes the date of service; and
   5. 5. A written fire and evacuation plan is established and maintained.

2. B. An administrator of a non-accredited procurement organization shall:

   1. 1. Obtain a fire inspection conducted according to the time-frame established by the local fire department or the State Fire Marshal,
   2. 2. Make any repairs or corrections stated on the fire inspection report, and
   3. 3. Maintain documentation of a current fire inspection.

Historical Note

R9-9A-302 made under Subchapter A, Article 3, by final expedited rulemaking at 30 A.A.R. 3657 (November 29, 2024), with an immediate effective date of November 5, 2024 (Supp. 24-4).