Cal. Code Regs. Tit. 22, § 72551 - External Disaster and Mass Casualty Program
(a) A written external disaster and mass
casualty program plan shall be adopted and followed. The plan shall be
developed with the advice and assistance of county or regional and local
planning offices and shall not conflict with county and community disaster
plans. A copy of the plan shall be available on the premises for review by the
Department.
(b) The plan shall
provide procedures in event of community and widespread disasters. The written
plan shall include at least the following:
(1)
Sources of emergency utilities and supplies, including gas, water, food and
essential medical supportive materials.
(2) Procedures for assigning personnel and
recalling off-duty personnel.
(3)
Unified medical command. A chart of lines of authority in the
facility.
(4) Procedures for the
conversion of all usable space into areas for patient observation and immediate
care of emergency admissions.
(5)
Prompt transfer of casualties when necessary and after preliminary medical or
surgical services have been rendered, to the facility most appropriate for
administering definitive care. Procedures for moving patients from damaged
areas of the facility to undamaged areas.
(6) Arrangements for provision of
transportation of patients including emergency housing where indicated.
Procedures for emergency transfers of patients who can be moved to other health
facilities, including arrangements for safe and efficient transportation and
transfer information.
(7)
Procedures for emergency discharge of patients who can be discharged without
jeopardy into the community, including prior arrangements for their care,
arrangements for safe and efficient transportation and at least one follow-up
inquiry within 24 hours to ascertain that patients are receiving required
care.
(8) Procedures for
maintaining a record of patient relocation.
(9) An evacuation plan, including evacuation
routes, emergency phone numbers of physicians, health facilities, the fire
department and local emergency medical services agencies and arrangements for
the safe transfer of patients after evacuation.
(10) A tag containing all pertinent personal
and medical information which shall accompany each patient who is moved,
transferred, discharged or evacuated.
(11) Procedures for maintaining security in
order to keep relatives, visitors and curious persons out of the facility
during a disaster.
(12) Procedures
for providing emergency care to incoming patients from other health
facilities.
(13) Assignment of
public relations liaison duties to a responsible individual employed by the
facility to release information to the public during a
disaster.
(c) The plan
shall be reviewed at least annually and revised as necessary to ensure that the
plan is current. All personnel shall be instructed in the requirements of the
plan. There shall be evidence in the personnel files, or the orientation
checklist, indicating that all new employees have been oriented to the plan and
procedures at the beginning of their employment.
(d) The facility shall participate in all
local and state disaster drills and test exercises when asked to do so by the
local or state disaster or emergency medical services agencies.
(e) A disaster drill shall be held by the
facility at six-month intervals. There shall be a written report of the
facility's participation in each drill or test exercise. Staff from all shifts
shall participate in drills or test exercises.
Notes
Note: Authority cited: Sections 208(a) and 1275, Health and Safety Code. Reference: Section 1276, Health and Safety Code.
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