Notice2023-28207
Guidelines for Safety Station Programs in Federal Facilities
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
December 22, 2023
Issuing agencies
General Services Administration
Abstract
The U.S. Department of Health and Human Services (HHS) and the U.S. General Services Administration (GSA) jointly issue this Federal Management Regulation (FMR) bulletin titled "Guidelines for Safety Station Programs in Federal Facilities." These guidelines were prepared, in part, in response to congressional direction contained in materials that accompanied the Consolidated Appropriations Act, 2023 (Pub. L. 117-328). See the SUPPLEMENTARY INFORMATION section for further details.
Full Text
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<title>Federal Register, Volume 88 Issue 245 (Friday, December 22, 2023)</title>
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[Federal Register Volume 88, Number 245 (Friday, December 22, 2023)]
[Notices]
[Pages 88619-88620]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-28207]
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GENERAL SERVICES ADMINISTRATION
[FMR Bulletin C-2024-01]
Guidelines for Safety Station Programs in Federal Facilities
AGENCY: Department of Health and Human Services and General Services
Administration.
ACTION: Notice.
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SUMMARY: The U.S. Department of Health and Human Services (HHS) and the
U.S. General Services Administration (GSA) jointly issue this Federal
Management Regulation (FMR) bulletin titled ``Guidelines for Safety
Station Programs in Federal Facilities.'' These guidelines were
prepared, in part, in response to congressional direction contained in
materials that accompanied the Consolidated Appropriations Act, 2023
(Pub. L. 117-328). See the SUPPLEMENTARY INFORMATION section for
further details.
DATES: December 22, 2023.
FOR FURTHER INFORMATION CONTACT: For further clarification of content,
contact Christopher Coneeney, Supervisory Realty Specialist, Office of
Government-wide Policy, U.S. General Services Administration, 1800 F
Street NW, Washington, DC 20405; at 202-208-2956; or
<a href="/cdn-cgi/l/email-protection#beddd6ccd7cd90ddd1d0dbdbd0dbc7fed9cddf90d9d1c8"><span class="__cf_email__" data-cfemail="d6b5bea4bfa5f8b5b9b8b3b3b8b3af96b1a5b7f8b1b9a0">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: A provision in House of Representatives
Report No. 117-393, which accompanied the bill making appropriations
for Financial Services and General Government for the fiscal year
ending September 30, 2023 (the House Report), directed GSA, in
coordination with HHS as the lead agency with health policy expertise,
to update the FMR bulletin on Guidelines for Public Access
Defibrillation Programs in Federal Facilities, which became effective
on August 14, 2009 (the 2009 Bulletin), to reflect advances in
automated external defibrillator (AED) technologies and to examine
whether AEDs should be required in Federally owned buildings under the
custody and control of GSA. The report may be found at <a href="https://www.congress.gov/117/crpt/hrpt393/CRPT-117hrpt393.pdf">https://www.congress.gov/117/crpt/hrpt393/CRPT-117hrpt393.pdf</a>. The House Report
acknowledged that sudden cardiac arrest is a leading cause of death for
Americans and that early intervention and timely use of an AED
significantly improves the chances of survival. It further noted that,
in 2001, Congress required the creation of a public access
defibrillator (PAD) program that included voluntary guidelines for
deployment of AEDs in Federal buildings and that, in 2009, GSA and HHS
issued the above-referenced FMR bulletin.
In addition to the House Report, the joint explanatory statement
accompanying division E--Financial Services and General Government
Appropriations Act, 2023, of the Consolidated Appropriations Act, 2023
(the Joint Explanatory Statement), directed HHS and GSA to examine
whether AEDs should be required in federally owned buildings under the
custody and control of GSA and to issue an updated FMR bulletin no
later than one year after enactment of the Consolidated Appropriations
Act, 2023. The link to the Joint Explanatory Statement can be found at
<a href="https://www.appropriations.senate.gov/imo/media/doc/Division%20E%20-%20FSGG%20Statement%20FY23.pdf">https://www.appropriations.senate.gov/imo/media/doc/Division%20E%20-%20FSGG%20Statement%20FY23.pdf</a>.
Accordingly, this bulletin cancels and replaces in its entirety the
2009 Bulletin and provides updated information for establishing an
agency safety station program, including public access AEDs, in
Federally owned buildings under the jurisdiction, custody and control
of GSA.
The revised guidelines provide a general framework and basic
information for the essential elements of designing and implementing a
safety station program in Federal facilities and includes the latest
updates in (a) PAD programs and AED technologies since the 2009
Bulletin issuance, (b) opioid reversal agents and (c) hemorrhagic
control. Safety station program configurations are flexible and can be
designed to accommodate all types of Federal facilities. The
configurations are modular in nature and usually include bystander-
empowered components with opioid reversal agents (such as naloxone) or
hemorrhagic control (such as Stop the Bleed[supreg] kits), or both, in
addition to AED technologies. The guidelines do not exhaustively
address or cover all aspects of a safety station program. They are
aimed at outlining
[[Page 88620]]
the key elements of a safety station program so that facility-specific
detailed plans and programs can be developed in an informed manner.
Safety station programs are voluntary and are not mandatory for Federal
facilities. The costs and expenses to establish and operate a safety
station program are the responsibility of the occupant agency or
agencies sponsoring the program and not GSA or HHS, except to the
extent GSA or HHS, or both, are sponsoring a program in a facility
where they are occupant agencies.
The importance of keeping opioid reversal agents easily accessible
has been highlighted by the U.S. Surgeon General and the Centers for
Disease Control and Prevention (CDC). On April 5, 2018, Surgeon General
Jerome Adams issued an advisory recommending that more individuals keep
naloxone on hand. The link to the advisory can be found at <a href="https://www.hhs.gov/surgeongeneral/reports-and-publications/addiction-and-substance-misuse/advisory-on-naloxone/index.html">https://www.hhs.gov/surgeongeneral/reports-and-publications/addiction-and-substance-misuse/advisory-on-naloxone/index.html</a>. On October 5, 2018,
the CDC's National Institute for Occupational Safety and Health (NIOSH)
issued the fact sheet ``Using Naloxone to Reverse Opioid Overdose in
the Workplace: Information for Employers and Workers'' to assist
workplace decision makers in establishing a naloxone availability and
use program. The link to the white paper can be found at <a href="https://www.cdc.gov/niosh/docs/2019-101/pdfs/2019-101.pdf">https://www.cdc.gov/niosh/docs/2019-101/pdfs/2019-101.pdf</a>. The Surgeon General
advisory and the CDC NIOSH fact sheet highlight the importance of
having opioid reversal agents in public spaces for quick access and why
they should be included in an agency's safety station program.
Krystal J. Brumfield,
Associate Administrator, Office of Government-wide Policy, U.S. General
Services Administration.
Rachel L. Levine,
Assistant Secretary for Health, U.S. Department of Health and Human
Services.
[FR Doc. 2023-28207 Filed 12-21-23; 8:45 am]
BILLING CODE 6820-14-P
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