HFAP Acute Care Hospital Manual Crosswalk of Standards against 2014 Standards

Transcription

1 Crosswalk of Standards against 2014 Standards Environment Required Plans & Performance Standards Building Security Security Management Local Security Support Periodic Monitoring for Safety Issues (a) Building Safety Safety / Committee Safety Team/ Committee Facilitator Safety Officer Teams Appointed for Specific Safety Areas Safety Team/ Committee Functions Review of Safety Policies/ Procedures Patient Call System (a)(1) & Lighting Chapter 11 Physical Environment Page 1

2 Crosswalk of Standards against 2014 Standards Electrical System Generator Inspections System Life Safety Branch Critical Branch Equipment System Electrical Wiring & Equipment System Testing Uses for Essential Electrical System Capacity & Rating Load Pickup of Temperature Ventilating Air System - & Testing Test Criteria Chapter 11 Physical Environment Page 2

3 Crosswalk of Standards against 2014 Standards Test Conditions Test Personnel of Batteries Record-Keeping System-Fuel (a)(2) Emergency Gas & Water Potable Water Electrical Systems Labeling Medical Gas Systems Labeling Utility Equipment & Controls - Labeling Smoking/ Tobacco Products Policy (b)(1)(i); (b)(1)(ii) Life Safety from Fire For Future Use Fire & Smoke Separations ; Smoke Detection & Fire Alarm System ; Chapter 11 Physical Environment Page 3

4 Crosswalk of Standards against 2014 Standards Fire Extinguishing System Means of Egress (b)(1)(ii) Corridor Door Latching Elimination of Roller Latches LSC During Construction LSC Assessment for Deficiencies LSC Corrective Action Plan (b)(2) CMS Waiver of Life Safety Code For Future Use (b)(3) CMS Recognition of State Fire & Safety Code in Lieu of NFPA 101 LSC Edition For Future Use (b)(5) Roller Latch Exception (b)(6) Storage & Disposal of Trash Hazardous Maaterials & Waste Program Chapter 11 Physical Environment Page 4

5 Crosswalk of Standards against 2014 Standards Program Minimizes Exposure ; Labels & MSDS Personal Protective Equipment (b)(7) Hazardous Maaterials - Routine Monitoring Written Fire Control Plans Fire Response - Staff Training Fire Drills - Quarterly Fire Drill - Critique (b)(8) Approval by State & Local Fire Agencies Disaster Plans ; External Disaster Plan - Victim Triage Disaster Drills & Staff Training Disaster Plan - Staff Call Tree Semi-annual Update Weapons of Mass Destruction Response Plan Chapter 11 Physical Environment Page 5

6 Crosswalk of Standards against 2014 Standards Disaster Response Plan Education of Staff Integrated Education Program Weapons of Mass Destruction Drills (c) Adequate Facilities (c)(1) (c)(2) Facilities Located for Safety of Patients Ensures Safety & Quality Electrical Equipment Nonmedical Equipment & Systems - Medical Equipment & Systems - (Biomedical) Medical Gas Systems - (Oxygen, Compressed Air, & Vacuum Systems) Chapter 11 Physical Environment Page 6

7 Crosswalk of Standards against 2014 Standards Labeling of Utility Lines, Chases, & Controls (c)(3) (c)(4) Facilities are Adequate to Support the Services Offered Ventilation, Light, & Temperature Controls Water Temperature Control Americans with Disabilities Act (ADA) Occupational Safety & Health Act (OSHA) Safe Medical Device Act (SMDA) (b)(9); (b)(9)(i); (b)(9)(ii); (b)(9)(iii); (b)(9)(iv); (b)(9)(v) Alcohol-Based Hand Rub (ABHR) Dispensers- Installation (b)(9); (b)(9)(a); (b)(9)(b); (b)(9)(c) Alcohol-Based Hand Rub (ABHR) Dispensers- Solution Storage (b)(9) Alcohol-Based Hand Rub (ABHR) Dispensers Chapter 11 Physical Environment Page 7

8 Crosswalk of Standards against 2014 Standards Chapter 11 Physical Environment Page 8