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Device and Media Controls

Last 1 Enterprises LLC / LastVet Safeguard category: Physical HIPAA Security Rule citation: 45 CFR §164.310(d)(1) Status: Scaffold (Bucket 1c). Not approved for enforcement until Ryan review.


Document metadata

Field Value
Policy owner TODO (Ryan)
Version 0.1-scaffold
Effective date TODO (Ryan)
Review cadence Annual (TODO: Ryan confirm)
Approver TODO (Ryan)
Last reviewed 2026-08-26 (scaffold only)

1. Purpose

Govern receipt, movement, removal, disposal, and reuse of hardware and electronic media containing ePHI.

2. Scope

R940 disks, NAS, backup media, decommissioned AWS volumes, portable drives.

3. Policy statements

  1. Disposal, media re-use, accountability, data backup and storage procedures shall be documented.
  2. Media containing ePHI shall be sanitized or destroyed before disposal or re-use.
  3. Backup media on WD My Cloud / R730xd shall be encrypted and access-controlled [Depends on 1a §4 TODO 2].

4. Roles and responsibilities

Role Responsibility
Security Officer (Ryan) TODO (Ryan): assign formal Security Rule responsible person per §164.308(a)(2)
Workforce members TODO (Ryan): acknowledge policy when hired / annually
Contractors / BAs TODO (Ryan): flow-down via BAA and agreements

5. LastVet-specific context (from existing docs)

ZFS encryption on imaging dataset; Postgres on tank-fast. AWS legacy rollback net should not receive real PHI. R730xd incoming for backup NAS.

7. Ryan TODO (substantive content deferred)

  • Disk decommission / wipe procedure for R940 drives.
  • AWS volume retirement checklist (R-011).
  • Backup tape/USB policy if ever used.