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Revision 19-0; Effective July 1, 2019
HHSC contractors are required to always maintain a safe environment. Contractors must have written policies and procedures that address the handling of hazardous materials, fire safety and medical equipment.
Hazardous Materials – Contractors must have written policies and procedures that address:
- the handling, storage and disposing of hazardous materials and waste according to applicable laws and regulations;
- the handling, storage and disposing of chemical and infectious waste, including sharps; and
- an orientation and education program for personnel who manage or have contact with hazardous materials and waste.
Fire Safety – Contractors must have a written fire safety policy that includes a schedule for testing and maintenance of fire safety equipment. Evacuation plans for the premises must be clearly posted and visible to all staff and clients.
Medical Equipment – Contractors must have a written policy and maintain documentation of the maintenance, testing and inspection of medical equipment, including automated external defibrillators (AEDs). Documentation must include:
- assessments of the clinical and physical risks of equipment through inspection, testing and maintenance;
- reports of any equipment management problems, failures and use errors;
- an orientation and education program for personnel who use medical equipment; and
- manufacturer recommendations for care and use of medical equipment.
Radiology Equipment and Standards – All facilities providing radiology services must:
- possess a current Certificate of Registration from the Texas Department of State Health Services, Radiation Control Program;
- have operating and safety procedures as required by Title 25, TAC, Chapter 289, Texas Regulations for Control of Radiation; and
- post the “Notice to Employees – Texas Regulations for Control of Radiation.”
For information on x-ray machine registration, see the Texas Department of State Health Services, Radiation Control Program.
Smoking Ban – Contractors must have written policies that prohibit smoking in any portion of their indoor facilities. If a contractor subcontracts with another entity for the provision of health services, the subcontractor must comply with this policy.
Disaster Response Plan – Contractors must have written and oral plans that address how staff are to respond to emergency situations (i.e., fires, flooding, power outage, bomb threats, etc.). The disaster plan must identify the procedures and processes that will be initiated during a disaster and the staff [position(s)] responsible for each activity. A disaster response plan must be in writing, formally communicated to staff and kept in the workplace available to employees for review. For an employer with ten or fewer employees, the plan may be communicated orally to employees.
For additional resources on facilities and equipment, see the Occupational Safety and Health Administration website.