1. A. An administrator shall ensure that policies and procedures for providing emergency treatment are established, documented, and implemented that protect the health and safety of patients and include:

   1. 1. Basic life support procedures, including the administration of oxygen and cardiopulmonary resuscitation; and
   2. 2. Transfer arrangements for patients who require care not provided by the recovery care center.
2. B. An administrator shall ensure that emergency treatment is provided to a patient admitted to the recovery care center according to policies and procedures.

3. C. An administrator shall ensure that:

   1. 1. A disaster plan is developed, documented, maintained in a location accessible to personnel members and other employees, and, if necessary, implemented that includes:

      1. a. When, how, and where patients will be relocated, including:

         1. i. Instructions for the evacuation or transfer of patients,
         2. ii. Assigned responsibilities for each employee and personnel member, and
         3. iii. A plan for providing continuing services to meet patient’s needs;
      2. b. How each patient’s medical record will be available to individuals providing services to the patient during a disaster;
      3. c. A plan to ensure each patient’s medication will be available to administer to the patient during a disaster; and
      4. d. A plan for obtaining food and water for individuals present in the recovery care center or the recovery care center’s relocation site during a disaster;
   2. 2. The disaster plan required in subsection (C)(1) is reviewed at least once every 12 months;

   3. 3. Documentation of a disaster plan review required in subsection (C)(2) is created, is maintained for at least 12 months after the date of the disaster plan review, and includes:

      1. a. The date and time of the disaster plan review;
      2. b. The name of each personnel member, employee, or volunteer participating in the disaster plan review;
      3. c. A critique of the disaster plan review; and
      4. d. If applicable, recommendations for improvement;
   4. 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;

   5. 5. An evacuation drill for employees and patients:

      1. a. Is conducted at least once every six months;

      2. b. Includes all individuals on the premises except for;

         1. i. A patient whose medical record contains documentation that evacuation from the recovery care center would cause harm to the patient, and
         2. ii. Sufficient personnel members to ensure the health and safety of patients not evacuated according to subsection (C)(5)(b)(i);

   6. 6. Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the evacuation drill, and includes:

      1. a. The date and time of the evacuation drill;
      2. b. The amount of time taken for employees and patients to evacuate to a designated area;

      3. c. If applicable:

         1. i. An identification of patients needing assistance for evacuation, and
         2. ii. An identification of patients who were not evacuated;
      4. d. Any problems encountered in conducting the evacuation drill; and
      5. e. Recommendations for improvement, if applicable; and
   7. 7. An evacuation path is conspicuously posted on each hallway of each floor of the recovery care center.

4. D. An administrator 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 inspection report, and
   3. 3. Maintain documentation of a current fire inspection.

Historical Note

New Section R9-10-2116 renumbered from R9-10-516 by exempt rulemaking at 25 A.A.R. 1222, effective April 25, 2019 (Supp. 19-2).