130 CMR, § 419.430

Current through Register 1533, October 25, 2024

Section 419.430 - Emergency Services and Plans

The DH provider must establish plans, policies, and procedures for medical and other emergencies developed with the assistance of local and state fire and safety experts, and posted in offices of staff and in clearly visible locations throughout each DH provider site. These plans and procedures must include, at a minimum, the following:

(A) Written emergency policies and procedures that must include

(1) an emergency evacuation plan that is in compliance with and coordinated with local fire department requirements and that must, at a minimum, require quarterly fire and evacuation drills for all staff members, and which must be documented in accordance with 130 CMR 419.416(B);

(2) a procedure to be followed if participant is missing or lost;

(3) procedures for handling medical emergencies at each DH provider site;

(4) persons and entities to be notified in case of an emergency;

(5) locations of alarm signals and fire extinguishers; and

(6) staff training in emergency procedures, including, but not limited to, assignment of specific tasks and responsibilities to the personnel and documentation of such training.

(B) Written procedure for emergency transportation to an acute care hospital must be in accordance with the following requirements.

(1) In the event of a medical emergency, a DH provider must call the emergency access number 911 and arrange for the transport of a member to an acute care hospital for emergency medical care.

(2) The DH provider must provide all pertinent health information to the emergency medical technician(s) and to any hospital to which any member is transported, including the member's Comfort Care/Do Not Resuscitate Verification Form, Massachusetts Medical Orders for Life-Sustaining Treatment (MOLST) Form, or other advance directive on file with the DH provider, as applicable.

(3) The DH provider must contact the member's PCP, authorized representative, and, if applicable, DDS service coordinator at the time of the emergency or immediately thereafter to advise of the emergency and all actions taken in response to the emergency.

(4) The DH provider must, immediately after such medical emergency, document in the member's clinical record the following:

(a) the nature of the emergency and actions taken in response to the emergency;

(b) the reason for the member's emergency transport to an acute care hospital, if applicable; and

(c) the name of the member's authorized representative who was notified of the medical emergency and the date and time the member's authorized representative was notified.

(C) A written Continuity of Operations Plan (COOP) in accordance with the resources available from the Massachusetts Department of Public Health's Office of Preparedness and Emergency Management;

(D) An emergency fact sheet on each member, updated upon change and reviewed annually, that contains the following information:

(1) the name and telephone number of the member's PCP;

(2) the member's diagnosis;

(3) any special treatments or medications the member may need;

(4) the member's allergies;

(5) insurance information; and

(6) the name and telephone number of the identified contact person, the authorized representative to be notified in case of emergency and, if applicable, DDS service coordinator.

(E) A written policy on staffing that includes that at least two staff members certified in first aid and cardiopulmonary resuscitation (CPR) be on duty at all times. The provider must maintain a current record of training and recertification of staff and post the names of certified individuals in a conspicuous location.

(F) A written policy pertaining to the emergency administration of, and staff training on the use of, rescue medications by non-licensed DH staff members in a life-threatening emergency, when medical professionals are not readily available, in accordance with DPH regulatory guidance at 105 CMR 700.003(C): Registration of Persons for a Specific Activity or Activities in Accordance with M.G.L. c. 94C, § 7(g).