Compliance, A Common Concern
Inspections by the Joint Commission find life safety challenges to be commonplace accross healthcare facilities.
Keeping compliant with codes challenges acute care, assisted care and ambulatory care. Fire extinguisher compliance, O2 tank compliance and accessibility issues continue to be in the top concerns. With the myriad of codes and thousands of points of risk, even the best facilities can struggle.
Common Joint Commission Deficiencies:
EC.02.03.01: Improperly stored gas cylinders. This can involve more than 12 E cylinders being stored in a smoke compartment, unsecured gas cylinders or improper storage of larger volumes of gas. Gas cylinder storage should be according to the 2005 edition of NFPA 99.
EC.5.40: Maintaining fire protection equipment
LS.02.01.35: Maintaining systems for extinguishing fires.
EC.02.06.01: Maintaining a safe, functional environment. Temperature and humidity levels in the ORs, delivery rooms, central sterile, endoscopy, cath lab and substerile storage areas are being evaluated closely by Joint Commission surveyors, along with appropriate pressure differentials.
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Falsifying fire extinguisher records is bad news for two security offices in Onondaga New York. Fire extinguisher tags filled in falesly can be found all over the country, in hospitals, retail stores, hotels and more. They are easy to spot, just look for same day of the month, same pen, same person as a patten on a tag. This caught up with the officers in Onondaga: Onondaga Community College fired two security officers after accusing them of tampering with 1,410 records...Read more
We all know that keeping up with building codes and ADA is a challenge. Understanding what is a readily achievable barrier removal opportunity can confuse even the best developers. There is a great post by ADA Compliance Consultants, Inc. that covers this issue quite clearly. Regardless if you are the owner of the building or are a tenant in the building, the State and Federal guidelines still require that barriers be removed. The better question to ask is which barriers...Read more
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