Transplant programs located within hospitals must be included in the hospital's emergency preparedness planning and program under §482.15, though they are not individually responsible for meeting all those requirements independently. A transplant program representative must actively participate in developing and maintaining the hospital's emergency preparedness program. Transplant programs must also maintain their own emergency preparedness policies and procedures and participate in mutually agreed-upon protocols with the hospital and the organ procurement organization (OPO).
View official sourceE-0002 (Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20) §482.78 Condition of participation: Emergency preparedness for transplant programs. A transplant program must be included in the emergency preparedness planning and the emergency preparedness program as set forth in § 482.15 for the hospital in which it is located. However, a transplant program is not individually responsible for the emergency preparedness requirements set forth in § 482.15. Interpretive Guidelines for §482.78. A representative from each transplant program must be actively involved in the development and maintenance of the hospital’s emergency preparedness program, as required under §482.15(g)(1). Transplant programs would still be required to have their own emergency preparedness policies and procedures as required under §482.78(a), as well as participate in mutually- agreed upon protocols that address the transplant program, hospital, and OPO’s duties and responsibilities during an emergency. Survey Procedures • Verify that a representative from the transplant program was included in the planning of the emergency preparedness program of the hospital in which the transplant program is located.