Emergency Preparedness

Appendix A – TJC/CMS Standards Emergency Operations Plan

Kern Medical Emergency Operations Plan

Compliant Location in Plan

Emergency Operations Plan that require advance preparation to manage patients during an emergency. EP12. The Hospital has a system to track the location of patients sheltered on the site during an emergency. EM.02.02.13: During disasters, the hospital may grant disaster privileges to volunteer licensed independent practitioners. EP 1. The hospital grants disaster privileges to volunteer licensed independent practitioners only when the Emergency Operations Plan has been activated in response to a disaster and the hospital is unable to meet immediate needs.

Y N

Y N

Appendix O.11

3.13 Appendix Q.1

Y N

Appendix Q.1 VI.E

EP 2. The medical staff identifies, in its bylaws, those individuals responsible for granting privileges to volunteer licensed independent practitioners.

Y N

3.13 Appendix Q.1

EP 3. The hospital determines how it will distinguish volunteer licensed independent practitioners from other licensed independent practitioners.

Y N

Appendix Q.1 VI. C-E

EP 4. The medical staff describes, in writing, how it will oversee the performance of volunteer licensed independent practitioners who are granted disaster privileges (for example, by direct observation, mentoring, and medical record review). EP 5. Before a volunteer practitioner is considered eligible to function as a volunteer licensed independent practitioner, the hospital obtains his or her valid government-issued photo identification (for example, a driver’s license or passport) and at least one of the following: -A current picture identification card from a health care

Y N

Appendix Q.1 IV: A,C,D

Y N

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January 2019

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