Singapore legislation
Regulation 15
of Healthcare Services (Outpatient Renal Dialysis Service) Regulations 2023
Regulation 15
Essential life‑saving measures must be available
Subregulation 1
A licensee must —
ensure that adequate and appropriate facilities, equipment and drugs for the provision of any essential life‑saving measure to a patient are readily available at every premises where the outpatient renal dialysis service is provided; and
at all times, be capable of providing any essential life‑saving measures to any patient who is at risk of death.
Subregulation 2
Without limiting paragraph (1), a licensee must ensure the following:
only resuscitation drugs that have not passed their expiry dates and are fit for use and resuscitation equipment that is fit for use are made available for use in the provision of any essential life‑saving measure;
the establishment and implementation of protocols for —
the rapid and accurate assessment of any patient who presents symptoms of being or feeling unwell;
any medical emergency related to the conduct of haemodialysis; and
any medical emergency related to the conduct of peritoneal dialysis by the patient or by the licensee where it is provided as part of peritoneal dialysis support;
every personnel who provides any essential life‑saving measure to a patient is adequately trained —
to provide the essential life‑saving measure in a proper, effective and safe manner; and
in the use of the equipment that is needed to deliver the essential life‑saving measure;
the safe and timely conveyance of a patient to the care of an acute hospital licensee if the licensee’s personnel are unable to stabilise the patient’s condition.
Subregulation 3
A licensee must ensure that each protocol mentioned in paragraph (2)(b) is documented and that all personnel are trained and proficient in implementing the protocol.