NAC449.97034. Written policies for operation of unit; agreement with hospital or medical facility for transfer of patients during emergencies.

     1. A parent facility or independent facility which is issued a license to operate a mobile unit must, before operating the mobile unit, establish written policies for the operation of the mobile unit. The written policies must be established in consultation with any other appropriate provider of health care as determined by the parent facility or independent facility and must include, without limitation, provisions relating to:

     (a) The care of patients;

     (b) The orientation, training and supervision of employees;

     (c) The scope of services and the evaluation of the quality of those services;

     (d) The criteria for selecting patients to receive services at the mobile unit;

     (e) The procedure for:

          (1) Performing each service provided at the mobile unit;

          (2) Storing and handling any medication provided to a patient of the mobile unit; and

          (3) Collecting, storing and disposing of any biohazard or liquid or solid waste from the mobile unit;

     (f) The control of any infectious disease or organism in the mobile unit;

     (g) The preparation and maintenance of any statement, log, document or other record relating to any service provided to a patient of the mobile unit;

     (h) The transportation of a patient of the mobile unit, including, without limitation:

          (1) The manner in which the patient must be transported;

          (2) Any equipment that must be used to transport the patient; and

          (3) The appropriate protection required for the patient during inclement weather;

     (i) The manner in which the mobile unit must be evacuated during an emergency and the services that the mobile unit must provide during the emergency, including, without limitation, a plan for coordinating the evacuation and the provision of those services with the parent facility or independent facility of the mobile unit; and

     (j) The identification of any specific requirements for the mobile unit necessary to provide any service at a service site for the mobile unit.

     2. A parent facility or independent facility that establishes written policies for the operation of a mobile unit which include the provisions required by paragraph (i) of subsection 1 shall ensure that each employee and patient of the mobile unit understands those provisions.

     3. Each parent facility or independent facility specified in subsection 1 shall maintain a written agreement with at least one hospital or other medical facility for the transfer of the patients of a mobile unit of the parent facility or independent facility during an emergency. The written agreement must include, without limitation, provisions relating to:

     (a) The manner in which the hospital or medical facility must communicate with the mobile unit during the emergency;

     (b) The transfer of each patient of the mobile unit to or from the hospital or medical facility;

     (c) The number of persons required to assist in the transfer of a patient; and

     (d) Any requirements of the mobile unit or a patient of the mobile unit to conduct the transfer of a patient.

     4. A parent facility or independent facility that establishes written policies for the operation of a mobile unit pursuant to this section shall ensure that the written policy is consistent with any other policy or procedure of the parent facility or independent facility relating to the provision of services to a patient of the mobile unit.

     (Added to NAC by Bd. of Health by R063-02, eff. 7-24-2002)