Authority: IC 16-21-1-7; IC 16-21-2-2.5

Affected: IC 16-21-1

Sec. 6. (a) A safety management program must include, but not be limited to, the following:

1. (1) A review of safety functions by a committee appointed by the chief executive officer that includes representatives from the following:

   1. (A) Administration.
   2. (B) Patient care services.
2. (2) An ongoing center-wide process to evaluate and collect information about hazards and safety practices to be reviewed by the committee.

3. (3) Development, implementation, and monitoring of a safety management program to include, but not be limited to, the following:

   1. (A) Periodic equipment inspections.
   2. (B) Insect, rodent, or other vermin control.
   3. (C) Instructions for operating and maintaining the building or building portion and equipment.
   4. (D) Chemical substance use and storage.
   5. (E) Surgical waste and similar material disposal.
   6. (F) General housekeeping precautions.

4. (4) The safety program includes, but is not limited to, the following:

   1. (A) Patient safety.
   2. (B) Health care worker safety.
   3. (C) Public and visitor safety.

5. (5) A written fire control plan that contains provisions for the following:

   1. (A) Prompt reporting of fires.
   2. (B) Extinguishing of fires.
   3. (C) Protection of patients, personnel, and guests.
   4. (D) Evacuation.
   5. (E) Cooperation with firefighting authorities.
   6. (F) Fire drills.
6. (6) Maintenance of written evidence of regular inspection and approval by state or local fire control agencies in accordance with center policy and state and local regulations.
7. (7) Emergency and disaster preparedness coordinated with appropriate community, state, and federal agencies.

(b) The center must maintain adequate battery-powered lighting and sufficient equipment needed to provide for the:

1. (1) completion of services; and
2. (2) safety of patients and staff;

in the event of a power loss.

(Indiana Department of Health; 410 IAC 27-17-6; filed Feb 3, 2006, 2:00 p.m.: 29 IR 1921; readopted filed Jul 12, 2012, 12:09 p.m.: 20120808-IR-410120265RFA; readopted filed Sep 26, 2018, 2:48 p.m.: 20181024-IR-410180328RFA; readopted filed Nov 14, 2024, 1:24 p.m.: 20241211-IR-410230798RFA)