House File 182 - Introduced HOUSE FILE BY HUNTER Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act requiring the establishment of emergency plans and 2 procedures for dialysis patients. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 1737HH 81 5 rn/sh/8 PAG LIN 1 1 Section 1. NEW SECTION. 135.20 DIALYSIS PATIENTS == 1 2 EMERGENCY PLANS AND PROCEDURES. 1 3 1. A dialysis agency shall establish written plans and 1 4 procedures designed to protect the safety of its patients 1 5 undergoing dialysis treatment and faced with a fire, natural 1 6 disaster, or medical emergency requiring immediate action. 1 7 For purposes of this section, "dialysis agency" means an 1 8 individual or entity performing dialysis treatment in a home, 1 9 medical, or any other setting. 1 10 2. The plans and procedures established shall be 1 11 individualized for each dialysis patient, and shall include, 1 12 at a minimum, an evacuation plan from the dialysis agency's 1 13 building or patient's home, emergency contact information for 1 14 each patient, and the procedure for disconnecting each 1 15 patient's dialysis equipment in the event of an emergency. A 1 16 dialysis agency shall familiarize its employees and patients 1 17 with the individualized plans and procedures. 1 18 3. In the event of a medical emergency, a dialysis agency 1 19 shall contact the physician specified in a patient's 1 20 individualized plans and procedures, and follow the 1 21 physician's instructions. If the patient's physician is not 1 22 available and no other physician is available who has been 1 23 designated as a substitute contact, the dialysis agency shall 1 24 contact the nearest hospital emergency room or clinic and seek 1 25 instruction regarding the patient's care. 1 26 4. The department shall develop sample forms for 1 27 utilization by a dialysis agency in establishing the plans and 1 28 procedures, and shall formulate a plan for distributing 1 29 information regarding the requirements of this section. 1 30 EXPLANATION 1 31 This bill provides for the establishment of emergency plans 1 32 and procedures for dialysis patients. 1 33 The bill provides that a dialysis agency shall establish 1 34 written plans and procedures designed to protect the safety of 1 35 patients undergoing dialysis treatment and faced with a fire, 2 1 natural disaster, or medical emergency requiring immediate 2 2 action. The bill defines a dialysis agency to refer to an 2 3 individual or entity performing dialysis treatment in a home, 2 4 medical, or any other setting. The bill provides that the 2 5 plans and procedures established shall be individualized for 2 6 each dialysis patient, and shall include at a minimum an 2 7 evacuation plan, emergency contact information, and equipment 2 8 disconnection procedures. 2 9 The bill provides that in the event of a medical emergency, 2 10 a dialysis agency shall contact the physician specified in a 2 11 patient's individualized plans and procedures, an alternative 2 12 physician, or a nearby hospital emergency room or clinic for 2 13 instruction regarding the patient's care. 2 14 The bill provides that the Iowa department of public health 2 15 shall develop sample forms for utilization by a dialysis 2 16 agency in establishing the plans and procedures, and shall 2 17 formulate a plan for distributing information regarding these 2 18 requirements. 2 19 LSB 1737HH 81 2 20 rn:rj/sh/8