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Inpatient dialysis regulations Form: What You Should Know
B) Assessing the risks of and responding to hazards. Monitoring levels of exposure. (d) Controlling the environment. Sep 20, 2023 — The dialysis facility must implement procedures to identify persons at risk of exposure to toxins and other potentially harmful chemicals. The procedures shall include identification and treatment of persons who may have exposure to poison and chemical hazards or to substances used to manufacture toxins and other potentially harmful chemical halogens. The emergency preparedness program must comply with the provisions of 602.8. The dialysis provider must establish procedures to conduct periodic checks of emergency personnel, equipment, and disinfectants to ensure safety during the emergency. These procedures shall ensure that all emergency personnel, equipment, and distributors, including equipment, meet the applicable Federal requirements. The dialysis provider must include in the annual and ongoing emergency management plan a summary of the annual procedures for a person exposed to a toxic substance as required in paragraph (1) of appendix B of 38 CFR part 4. The emergency care procedures must identify where the facility is located at the time of a crisis. The emergency care plans developed for the facility should address access and transport to and from the facility, and provide information on the availability of resources for the person affected by the crisis and the appropriate response. If the facility is located across a state line, the emergency care plans must address transportation from the facility. The emergency care plans must include the following elements: — Documentation of the emergency plan at the State level. — Information that allows an emergency care service provider to respond to the emergency, including the method of access to the emergency care services at the facility. — Information about the state designated emergency care facility (CEDE) and emergency care services. For emergency care services, the emergency care plans must be based upon the State CEDE/emergency treatment center plan or the local State plan. The plan must include information about the emergency care services provider. It must include: — The names and positions of an emergency medical director or paramedic, and the designated person for operations. — The location of the facility. — The number of emergency medical staff employed at the facility.
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