Safety Items
Drills
Disaster Plan
Postings
MFECRA
100

This document is a written plan for providing a safe environment for everyone who enters the organization’s facilities. 

Disaster Plan

100

The frequency at which drills should occur.

Once per shift, per quarter for all units & programs

100

At the time of the disaster, these can include flashlights, blankets, and an Emergency Crank Operated NOAA Radio

Disaster Supplies/Disaster Kit

100

Describes the enforceable duties that healthcare professionals and healthcare business persons owe to patients to provide them with certain services or benefits.

Patient Rights 

100

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

200

 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)

200

What does a Code Red alert you to?

Fire

200

This contains information to ensure a systematic, safe, and efficient evacuation of all guests and staff from the premises.  

Off-Site Evacuation Plan 

200

This provides our guests with information about how to report expressions of dissatisfaction or abuse, for example.  

Complaints/Grievance Phone Numbers & Policy

200

This is the minimum duration of a monthly functional test of emergency lighting systems/exit signs. 

30 seconds

300

Completing this walk-through and assessment monthly helps to assess the condition of the facility.

Monthly Environment of Care Rounds Assessment 

300

What does a Code Yellow alert you to?

Internal Disaster

300

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

300

This is a document that outlines how a covered entity may use or disclose individuals´ Protected Health Information (PHI).

HIPAA Privacy Notice 

300

How far below a sprinkler head can items be stored?

At least 18 inches

400

This document helps the organization to identify potential emergencies that could impact ability to provide services

Hazard Vulnerability Analysis (HVA)

400

What does a Code Purple alert you to?

Active Shooter or Hostage Situation 

400

Steps to take in an Active Shooter scenario or drill (shorthand procedures) 

Run, Hide, Fight

400

This posting provides information regarding on-demand and onsite language interpretation and document translation services.

Language Line Posting

400

The acceptable water temperature in areas where participants have access 

100-116 degrees F

500

This activity is completed quarterly to every program administering or storing medications to ensure compliance.

Pharmacy Inspection 

500

What does a Code Green alert you to?

Natural Events

500

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 

500

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. 

Monthly Product Recalls for the Quarter
500

The temperature that medication refrigerators should be maintained 

Between 36 and 46 degrees F