1. (1) The administration of every facility shall have in effect and available for all supervisory personnel and staff, written copies of the following required disaster plans, for the protection of all persons in the event of fire and other emergencies, for evacuation to areas of refuge and/or evacuation from the building. A detailed log with staff signatures of training received shall be maintained. All employees shall be trained annually as required in the following plans and shall be kept informed with respect to their duties under the plans. A copy of the plans shall be readily available at all times in the telephone operator’s position or at the security center. Each of the following plans shall be exercised annually prior to the month listed in each plan:

   1. (a) Fire Safety Procedures Plan (to be exercised at any time during the year) shall include:

      1. 1. Minor fires;
      2. 2. Major fires;
      3. 3. Fighting the fire;
      4. 4. Evacuation procedures; and
      5. 5. Staff functions by department and job assignment.

   2. (b) Tornado/Severe Weather Procedures Plan shall include:

      1. 1. Staff duties by department and job assignment; and
      2. 2. Evacuation procedures.

   3. (c) Bomb Threat Procedures Plan (to be exercised at any time during the year) shall include:

      1. 1. Staff duties;
      2. 2. Search team, searching the premises;
      3. 3. Notification of authorities;
      4. 4. Location of suspicious objects; and
      5. 5. Evacuation procedures.

   4. (d) Floods Procedures Plan, if applicable, shall include:

      1. 1. Staff duties;
      2. 2. Evacuation procedures; and
      3. 3. Safety procedures following the flood.

   5. (e) Severe Cold Weather and Severe Hot Weather Procedures Plans shall include:

      1. 1. Staff duties;
      2. 2. Equipment failures;
      3. 3. Insufficient HVAC on emergency power; and
      4. 4. Evacuation procedures.

   6. (f) Earthquake Disaster Procedures Plan shall include:

      1. 1. Staff duties;
      2. 2. Evacuation procedures;
      3. 3. Safety procedures; and
      4. 4. Emergency services.
2. (2) In the event of natural disaster or electrical power failure, no new dialysis procedures shall be begun, and dialysis procedures in progress shall be brought to conclusion as soon as possible.

3. (3) Emergency Planning With Local Government Authorities.

   1. (a) All facilities shall establish and maintain communications with the county Emergency Management Agency. This includes the provision of the information and procedures that are needed for the local comprehensive emergency plan. The facilities shall cooperate, to the extent possible, in area disaster drills and local emergency situations.
   2. (b) Each facility shall conduct both the physical facility and community emergency drills as required in these regulations, even if the local Emergency Management Agency is unable to participate.
   3. (c) A file of documents demonstrating communications and cooperation with the local agency must be maintained

Authority: T.C.A. §§ 68-11-202, 68-11-204, 68-11-206, and 68-11-209. Administrative History: Original rule filed April 22, 2003; effective July 6, 2003. Transferred from chapter 1200-08-32 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Amendments filed December 18, 2025; effective March 18, 2026.