This document is a written plan for providing a safe environment for everyone who enters the organization’s facilities.
Disaster Plan
The frequency at which drills should occur.
Once per shift, per quarter for all units & programs
At the time of the disaster, these can include flashlights, blankets, and an Emergency Crank Operated NOAA Radio
Disaster Supplies/Disaster Kit
Describes the enforceable duties that healthcare professionals and healthcare business persons owe to patients to provide them with certain services or benefits.
Patient Rights
How often is the organization required to perform a functional test of battery-powered lights on the inventory required for egress and exit signs, for a duration of 1 1/2 hours?
Every 12 months
This is a document that lists information relating to occupational safety and health for the use of various substances and products.
Material Safety Data Sheets (MSDS)
What does a Code Red alert you to?
Fire
This contains information to ensure a systematic, safe, and efficient evacuation of all guests and staff from the premises.
Off-Site Evacuation Plan
This provides our guests with information about how to report expressions of dissatisfaction or abuse, for example.
Complaints/Grievance Phone Numbers & Policy
This is the minimum duration of a monthly functional test of emergency lighting systems/exit signs.
30 seconds
Completing this walk-through and assessment monthly helps to assess the condition of the facility.
Monthly Environment of Care Rounds Assessment
What does a Code Yellow alert you to?
Internal Disaster
This consists of any members of the emergency team who are on-site at the time of a disaster, and functions as the coordination center.
The Command Post
This is a document that outlines how a covered entity may use or disclose individuals´ Protected Health Information (PHI).
HIPAA Privacy Notice
How far below a sprinkler head can items be stored?
At least 18 inches
This document helps the organization to identify potential emergencies that could impact ability to provide services
Hazard Vulnerability Analysis (HVA)
What does a Code Purple alert you to?
Active Shooter or Hostage Situation
Steps to take in an Active Shooter scenario or drill (shorthand procedures)
Run, Hide, Fight
This posting provides information regarding on-demand and onsite language interpretation and document translation services.
Language Line Posting
The acceptable water temperature in areas where participants have access
100-116 degrees F
This activity is completed quarterly to every program administering or storing medications to ensure compliance.
Pharmacy Inspection
What does a Code Green alert you to?
Natural Events
Procedure for utilizing a fire extinguisher
P-Pull the pin on the extinguisher
A-Aim the nozzle at the base of the fire
S-Squeeze the handle to discharge the contents
S-Sweep the base of the fire
This provides information about when a manufacturer requests the return of a product due to safety issues or defects that could endanger consumers or result in legal action.
The temperature that medication refrigerators should be maintained
Between 36 and 46 degrees F