1. (a) Each facility shall have an individual or group, known as an emergency management committee, of which the facility administrator shall be a member.
2. (b) The emergency management committee shall have the authority for developing, implementing, exercising, and evaluating the emergency management program.
3. (c) The emergency management committee shall include other individuals who have knowledge of the facility and the capability to identify resources from key functional areas within the facility and shall solicit applicable external representation, as appropriate.

4. (d) An emergency management program shall include, at a minimum, the following elements:

   1. (1) The emergency management plan, as described in (e) and (f) below;
   2. (2) The roles and responsibilities of the committee members;
   3. (3) How the plan is implemented, exercised, and maintained; and
   4. (4) Accommodation for emergency food and water supplies.
5. (e) The emergency management committee shall develop and institute a written emergency preparedness plan (plan) to respond to a disaster or an emergency.

6. (f) The plan in (e) above shall:

   1. (1) Include site-specific plans for the protection of all persons on-site in the event of fire, natural disaster, or severe weather and human-caused emergency to include, but not be limited to, missing patients and bomb threat;
   2. (2) Be approved by the local emergency management director and reviewed and approved, as appropriate, by the local fire department;
   3. (3) Be available to all personnel;
   4. (4) Be based on realistic conceptual events;

   5. (5) Include the facility’s response to both short-term and long-term interruptions in the availability of utility service in the disaster or emergency, including establishing contingency plans for continuity of essential building systems or evacuation to include the following, as applicable:

      1. a. Electricity;
      2. b. Water;
      3. c. Ventilation;
      4. d. Fire protection systems;
      5. e. Fuel sources;
      6. f. Medical gas and vacuum systems, if applicable; and
      7. g. Communications systems;
   6. (6) Include a plan for alerting and managing staff in a disaster;
   7. (7) Include the management of patients, particularly with respect to physical and clinical issues to include relocation of patients with their medical record including the medication administration records, if time permits, as detailed in the emergency plan;
   8. (8) Include an educational program for the staff, to provide an overview of the components of the emergency management program, and the staff’s specific duties and responsibilities; and
   9. (9) If the facility is located within 10 miles of a nuclear power plant and is part of the New Hampshire plan for radiological emergency preparedness, include this plan in the event of a radiological disaster or emergency.
   10. (e) Annually, the facility shall participate in a community-based disaster drill which may be a table top discussion, actual, or functional drill with outside agencies.
   11. (f) The facility shall review and update its emergency plan, as needed, as a result of drills and exercises, real event(s), or annual plan review. Any substantial changes to the plan as a result of drills and exercises, real events, shall be submitted to the local emergency management director for review.

Source. #14074, eff 9-20-24, EXPIRES: 9-20-34 (formerly He-P 810.24)