Ariz. Admin. Code § 9-10-2009

Current through Register Vol. 30, No. 49, December 6, 2024

Section R9-10-2009 - Equipment and Safety Standards

A. A medical director shall ensure that:

1. The equipment is:

a. Sufficient to accommodate:

i. The services stated in the pain management clinic's scope of services, and

ii. An individual accepted as a patient by the pain management clinic;

b. Maintained in working order;

c. Tested and calibrated at least once every 12 months or according to the manufacturer's recommendations; and

d. Used according to the manufacturer's recommendations;

2. Documentation of each equipment test, calibration, and repair is maintained on the premises for at least 12 months after the date of the testing, calibration, or repair;

3. Equipment and supplies are clean and, if applicable, sterile before each use;

4. Personnel members wash hands after each direct patient contact and after handling soiled linen, soiled clothing, or biohazardous medical waste; and

5. Biohazardous medical waste is identified, stored, and disposed of according to 18 A.A.C. 13, Article 14 and policies and procedures.

B. A medical director shall establish an infection control program and ensure that:

1. The infection control program includes:

a. A method to identify and document infections that occur at the pain management clinic;

b. Analysis of the types, causes, and spread of infections and communicable diseases at the pain management clinic;

c. The development of corrective measures to minimize or prevent the spread of infections and communicable diseases at the pain management clinic; and

d. Documentation of infection control activities, including:

i. The collection and analysis of infection control data,

ii. The actions taken related to infections and communicable diseases, and

iii. Reports of communicable diseases; and

2. Infection control documentation is maintained for at least 12 months after the date of documentation.

C. A medical director shall ensure that soiled linen and clothing are kept:

1. In a covered container, and

2. Separate from clean linen and clothing.

D. A licensee shall:

1. Obtain a fire inspection conducted according to the time-frame established by the local fire department or the State Fire Marshal;

2. Make and document any repairs or corrections stated on the fire inspection report;

3. Maintain documentation of a current fire inspection;

4. Ensure that a written emergency plan is established, documented, and implemented that includes procedures for protecting the health and safety of patients and other individuals if circumstances arise in the pain management clinic that immediately threaten the life or health of patients and other individuals, such as a fire, natural disaster, loss of electrical power, or threat or incidence of violence; and

5. Ensure that an evacuation drill is conducted at least once every six months that includes all personnel members on the premises on the day of the evacuation drill.

E. A licensee shall ensure that a pain management clinic has either:

1. Both of the following that are tested and serviced at least once every 12 months:

a. A fire alarm system installed according to the National Fire Protection Association 72: National Fire Alarm and Signaling Code, incorporated by reference in A.A.C. R9-1-412, that is in working order; and

b. A sprinkler system installed according to the National Fire Protection Association 13 Standard for the Installation of Sprinkler Systems, incorporated by reference in A.A.C. R9-1-412, that is in working order; or

2. Both of the following:

a. A smoke detector installed in each hallway of the pain management clinic that is:

i. Maintained in an operable condition;

ii. Either battery operated or, if hard-wired into the electrical system of the pain management clinic, has a back-up battery; and

iii. Tested monthly; and

b. A portable, operable fire extinguisher, labeled as rated at least 2A-10-BC by the Underwriters Laboratories, that:

i. Is available at the pain management clinic;

ii. Is mounted in a fire extinguisher cabinet or placed on wall brackets so that the top handle of the fire extinguisher is not over five feet from the floor and the bottom of the fire extinguisher is at least four inches from the floor;

iii. If a disposable fire extinguisher, is replaced when its indicator reaches the red zone; and

iv. If a rechargeable fire extinguisher, is serviced at least once every 12 months and has a tag attached to the fire extinguisher that specifies the date of the last servicing and the name of the servicing person.

Ariz. Admin. Code § R9-10-2009

Adopted by final rulemaking at 24 A.A.R. 3020, effective 1/1/2019.