• The van should be registered and inspected by a private vehicle maintenance company.
• The van should undergo routine mechanical maintenance (e.g., oil change, etc.) every six months.
• Other mechanical upkeep should be completed as needed by a private vehicle maintenance company.
• At any time, if deemed unsafe by van staff or/in consultation with the lead organization’s facilities manager, the vehicle will be removed from service until necessary repairs have been made. The applicable manufacturer’s recommendations will be used as the basis for deciding when vehicle conditions warrant a vehicle’s removal from service. Examples of these conditions may include excessive leakage of vehicle fluids, problems with steering or braking, inoperable wiper blades, or poor tire condition.
• Membership should be obtained with an emergency roadside services company to provide mobile unit towing if needed.
• Patient care spaces and equipment should be cleaned and sanitized before and after each patient encounter on the mobile unit. The entire van should be cleaned after each day’s use and a deeper, more comprehensive cleaning should occur on a weekly basis. During this weekly cleaning, the condition and inflation of tires should also be checked.
• Every other time that the mobile unit is fueled, the oil and coolant levels should be checked.
• As needed, but not less than every other month, the exterior of the van should be washed.
• OSHA guidelines should be followed when cleaning up blood or bodily fluids.
• After hours, the mobile unit should have a secure, designated parking space that is accessible to the program staff.
• Mobile unit operations should only be sited on solid, level parking surfaces. If the mobile unit has wheel stabilizers, those should be deployed to safeguard against movement when parked on an incline of any kind.
• Mobile unit siting should maintain a minimum separation of at least 30 feet between the unit and any building outside air intakes or any HVAC or generator exhaust and at least 20 feet between the mobile unit and any unsprinklered building.
• The unit will be located to allow appropriate access to and exit from the unit without interference with adjacent building exits or fire lanes.
At the end of each day of the mobile unit’s operations, some equipment, including any computers that allow access to the EHR, should be delivered to a secure brick-and-mortar location. The equipment should then be
taken onto the unit by staff the next day of operation.