Periop JACHO Readiness

The Joint Commission allows wheeled equipment that is in use to be stored in the hallway. What is the time threshold for determining what equipment is actively in use?

• If equipment is in the hall (and off to one side without blocking life safety infrastructure) it can be considered in use if left for less than thirty minutes.
• If equipment is in the hall (and off to one side without blocking life safety infrastructure) it can be considered in use if more than 12 hours

• If equipment is in the hall (and off to one side without blocking life safety infrastructure) it can be considered in use if left for 24 hours

• If equipment is in the hall (and off to one side without blocking life safety infrastructure) it can be considered in use if left for 3 days

Where can associates locate Data Sheets (SDS) for chemicals in use in the hospital?

• Associates can locate Safety Data Sheets on google website

• Associates can locate Safety Data Sheets on the hospital intranet page.

What form of identification should be worn by vendors/visitors?

• All visitors and vendors should be wearing a sticky identification badge

• They don't need any form of identification badge

Who is responsible for eyewash quality assurance testing?

• It is no ones responsibility

• It is the responsibility of the department in which the eyewash station is located to test and documented that the device is functioning on a weekly basis

• It is the responsibility of EVS

Where can associates go to find information about the proper methods for cleaning hospital equipment (inclusive of wet times)

• On the web (google)

• EVS department

• On StarPort under the Equipment Manual icon

How should batteries be disposed of?

• Batteries should be captured in the soiled utility room provided by EVS and EVS will pick up

• Batteries should be thrown in the regular trash

• Batteries should be placed in the recycle bin

How do you know if a piece of medical equipment is safe to use?

• Check the medical equipment for a clinical engineering maintenance sticker

• All equipment is safe to use

• Ask Tracy or Lisa

Where can you find information regarding low level disinfection and the appropriate cleaning product to use on a medical device?

• In SPD

• On the web

• On the hospital intranet page under the equipment tab

• In EVS department

What is the protocol for FIRE in the hospital

How many eye station does the Operating room have and where are they located?

• 3, in the lounge, center core and back hall

• 3, in the center core, back hall and cysto room

• 3, in the center core, endo wash room and back hall

• 3, in the back hall, center core and anesthesia work room