Employee concern about possible radiation exposure from the radiology department has prompted Sutter Amador Hospital, Jackson, CA, to temporarily relocate its pediatric clinic.
Clinic employees expressed their concerns about potential radiation exposure and recent health issues to hospital officials, but hospital spokeswoman, Jody Boetzer, told The Sacramento Bee that she couldn’t confirm those health issues.
Sutter Amador Hospital hired an independent health physicist to perform a full risk assessment of the building to test it for radiation. The final report is expected to be delivered by the end of this week. The health physicist also performed radiation testing on March 30 in the radiology department and in the pediatric clinic, but found readings to be normal, reports The Sacramento Bee.
How does your facility handle fears of radiation exposure? What is your plan of action?
A few items have been popping up in surveys over the last couple of weeks; two require a homework assignment for you, the other I offer as general information. So here goes:
LS.01.02.01 – I thought this one would have gone away forever, but it would seem that there have been a few folks who have lost sight of a very important aspect of the Interim Life Safety Standards and that is the practical application of the risk assessment to determine whether or not the LSC deficiencies you are managing as plan for improvements (PFI’s) (and that’s anything that you are measuring as a PFI) require implementation of any Interim Life Safety Measures (ILSM). Now, every once in a while I get some pushback from folks because this requirement is not necessarily the most explicit in the world; a point with which I do not totally disagree. The key concept here is the phrase “covers situations when Life Safety Code deficiencies cannot be immediately corrected.” I think you’ll agree with me that anything you are managing as a PFI is a deficiency that cannot be immediately corrected, and the surveyors recognize this very clearly. So, homework assignment #1: make sure you have an ILSM assessment for your PFI’s. Pretty simple, so done, done, and on to the next one…
LS.02.01.20 EP #1 – Doors are unlocked in the direction of egress. Now I’m sure you’re all up to snuff on delayed egress doors and the like, but this one is a little, if you’ll excuse the use of the term, funky. Every once in a while, there are exterior doors (and even more rare, interior doors) that have dead bolt locking mechanisms on them. I’ve seen ‘em, you’ve seen ‘em, they are definitely out there. However, if you have dead bolt locking mechanisms on any of the doors in any of your egress paths, you need to make sure that the breakaway features of those doors will still work if the deadbolt is engaged. While this is valuable from a survey standpoint, it makes a great deal of sense to ensure folks can get out in an emergency—and some dead bolt locking arrangements will prevent folks from doing that. So, homework assignment #2: go check all your perimeter doors (and keep an eye out on the interior egress route doors, you don’t want to lock folks in there either).
The information you may very well have figured out—there are more survey days for the LSC surveyors, so they have more time to find stuff and they are finding more stuff. They have more time to look at documents, more time to find penetrations, more time to find corridor clutter, more time to find doors that don’t close and latch, more time to ask to see the ILSM assessments for your PFIs. I do know of at least one survey in which the LSC surveyor arrived a week or so after the rest of the survey team; I don’t know if we should consider that an anomaly or if there are already some scheduling challenges in the mix. Much too early to tell. But if I hear anything more on that point, I’ll be sure to share.
Ok – now get to that homework!
I wanted to share with our readers an exciting opportunity for those in charge of emergency exercises and drills in healthcare facilities.
If you wonder if your drills really prepare your staff for responding to emergencies, situations that may include vertical evacuations of your most vulnerable patients, then HCPro’ audioconference, Hospital Emergency Exercises: How to Design and Execute Realistic Exercises and Drills, is for you.
In the first part of the program, Marge McFarlane, PhD, CHSP, HEM, MEP, CHEP, a safety consultant currently serving the Wisconsin Hospital Emergency Preparedness Program as the Department of Homeland Security Exercise and Evaluation Program coordinator, identifies the wealth of resources already out there to help you design meaningful drills for all types of situations and accreditation requirements.
In the second part of the program, Meg Femino, who is Director for Emergency Management at Beth Israel Deaconess Medical Center, Boston, presents a case study for the vertical evacuation drill of large full scale NICU—the drill required first the horizontal evacuation of 34 infants to a smoke zone and then a vertical evacuation within 25 minutes 34.
In addition to the expert advice, participants will receive resource tools including:
- Exercise design checklists *
- Exercise design planning documents * Multiyear exercise review
- Sample exercise objectives/activities for target capabilities or critical functions
Preliminary approval was given by a California legislative committee for a bill to move forward that will increase security in hospitals and require workers to report acts of violence to the state.
Assemblywoman Mary Hayashi (D) and the California Nurses Association sponsored the bill and brought it to the Assembly Committee on Health, arguing that nurses are increasingly exposed to violence in the workplace, reports the Los Angeles Times. The bill comes after the death of a nurse who was bludgeoned in the medical facility she worked at in Northern California.
The California Hospital Association (CHA) opposes the proposed bill, saying it would put an increased burden on hospitals. The CHA says hospitals already have to report incidents of violence to the police, state Department of Public Health, and the Division of Occupational Safety and Health (OSHA).
The bill is waiting to go to the Assembly appropriations committee before going to the full Assembly.
Do you think this bill should pass? What does your facility require in terms of reporting violence? Let us know in our comment section.
Q: Our Chief Operating Officer (COO) is concerned that The Joint Commission may go to our infusion center. We understand that the life safety surveyor will focus his survey on healthcare occupancies, in our case the main hospital and ambulatory surgery center. Should we be concerned that the survey will include a visit to the infusion center?
Steve MacArthur: Generally speaking (and this would need to be validated, though I’m pretty sure), if the infusion center is not designated as a healthcare occupancy, then the Life Safety Code (LSC) surveyor will not need to visit that location. If we have designated it as ambulatory healthcare (sometimes this is something the state would determine), then it is likely that they will, considering they’ll have two days to fill.
I would check on the e-Statement of Conditions to see how we’ve identified the occupancy type and if it’s a business occupancy (and I suspect that it is), then the LSC surveyor will in all likelihood confine themselves to the main hospital and the Ambulatory Surgical Center. That said, it is also more than likely that at least one member of the survey team will pay a visit to that location, so we want to make sure that we’re appropriately managing general safety stuff, as well as the basics of life safety—no corridor obstructions, fire extinguisher checks in order, nothing stored in front of fire extinguishers, fire alarm pull stations, etc.
Q: I had a Life Safety Code question I was hoping you could help me with when you get a chance. Specifically, our nursing staff wants us to mount retractable stainless steel hooks on the inside of our patient room doors to be used with “gait belts” for physical therapy and for turning patients in their beds. These patient room doors go directly from the patient room into the corridor without any intervening room(s), and the door opens inward (into the patient room). None of these doors are part of a rated smoke or fire wall assembly.
All of our patient room doors are 1 and ¾ inch thick, solid-bonded core wood doors that resist the passage of smoke for up to 20 minutes and have a metal frame. Our hospital is NOT fully sprinkled, which means that some of these doors are in a smoke compartment that is protected throughout by an approved, supervised automatic sprinkler system in accordance with Section 184.108.40.206 of Chapter 19, Existing Health Care Occupancies, of the Life Safety Code of 2000, while some are not.
The hooks are mounted on a 4-inch by 4-inch wide stainless steel platform that stands 1 inch high. The platform would be secured to the door by four sheet metal or wood screws that would extend into the door about 1 inch, but would NOT come out the other side. The hook retracts very easily because it is designed to prevent suicides.
Unfortunately, I do not have a manufacturer name or model number, because our nursing department purchased them without checking with us first and now want us to install them. Again, we have a concern about securing this or any other device to corridor doors, but I can’t find a specific reference to this in the Life Safety Code, which is why I’m asking for your help.
A: Happy to be of service. I ran this by my Greeley colleague Brad Keyes and we are in agreement that as long as the doors in question are not fire rated doors or doors that serve a smoke compartment barrier (which you indicated was the case), then there should be no problem from a Life Safety Code perspective . Corridor doors to patient rooms are only required to resist the passage of smoke, regardless whether the smoke compartment has a sprinkler or not.
That said, whenever I encounter folks who are engaging in these types of modifications, I encourage them to check with the local AHJ to run it by them. You certainly know your AHJ better than I do, so you definitely have a better sense of how to (or even if to) approach this. I’ve just seen too many folks that went ahead with the modification without checking with the locals, only to have to undo everything when someone gets a hair across their posterior because they weren’t consulted (and I suspect you know if you have that type of a personality in the mix).
An innovative building design will allow the brand new Mills-Peninsula Medical Center in San Mateo, CA, to shift 30 inches in any direction during the event of an earthquake, preventing it from toppling down.
The hospital is set to open its doors May 15 and will be stable enough that people within the hospital won’t feel a 4.0 magnitude earthquake or less, reports the San Mateo County Times. Quakes that reach 8.0 on the Richter scale will feel more like 4.0 quakes inside the building.
The new building has 176 base isolators that will allow it to move up to 2.5 feet with the movement of the earth. Anything weighing more than 20 pounds in the hospital will be bolted down to avoid any accidents.
The hospital will be able to stay open and operable for 72 hours after an earthquake due to storage tanks in the basement that store water and fuel.
What plans does your facility have for natural disasters such as earthquakes? Let us know in our comment section.
Colorado uses anklet devices to ensure infant safety, but Pennsylvania is using security tags on umbilical cords.
Harrisburg (PA) Hospital has implemented a GPS-like device for its infants, alerting staff if the baby is taken off the floor. A small computer chip inside the security tag does the trick. If the alarm goes off, the system shuts down the elevators that lead to the maternity floor, reports ABC27 of PA.
The infant security system has been in place for 14 months, and according to nurses, it makes parents feel safe. Additional safety precautions in place include surveillance cameras and other secret security measures. According to ABC27, nurses have seen no security problems.
How does your facility ensure no infants are being taken off the maternity ward? Let us know in our comment section.
Q: At my hospital, we do not allow electric blankets in patient rooms. Several Charge Nurse’s did ask where the reference was located regarding this issue. I could not find in anything referenced in The Joint Commission standards or in NFPA 101 LSC that referenced the use of electric blankets. Obviously, there is referenced information on prohibited use of electric space heaters. So can electric blankets be used in patient care occupied rooms?
Steve MacArthur: Well, it sounds like we’re in agreement that the thought of electric blankets is equally undesirable, but in looking at the regulatory landscape, there is no specific prohibition of the little blighters. So, the default setting is for them to be treated as any other piece of electrically-operated medical equipment that comes into contact with the patient, which means consideration has to be given to identifying a proper frequency for inspection, and then establishing a program for training end-users on the proper care and use. That said, some other considerations (courtesy of my esteemed colleague, Brad Keyes, CHSP) would be:
- Why do the nurses want to use electric blankets? That implies a problem with maintaining adequate temperature for the patient, which is a violation of EC.02.06.01, EP 13. It seems to me to be a conundrum: You are not prohibited from using electric blankets, but if you do, that implies that you’re not maintaining proper temperature levels for the patient which is a violation of EC.02.06.01, EP 13.
- What about the logistics of the electric cord? You can’t just drape it across the floor to an electrical outlet where someone can step on it or trip over it. You also would have the potential problem of the wheel on the bed rolling across the cord and pinching it, which is an electrical hazard. I absolutely agree with Brad’s points regarding the management of patient temperature, and I can tell you from personal experience (and you can try this at home) that clinical staff frequently do not use thermal blankets correctly. They just pile them on top of each other, resulting in one patient having five blankets and there being none on the linen cart for the rest of the unit. A single thermal blanket and a single sheet are really all you need to keep someone pretty toasty—the “holes” in the thermal blanket allows air flow, but if there’s nothing solid to cover the holes, the warmth just escapes.
In poking around the web, I don’t know that I found any evidence of a device that would be safe to use in the patient vicinity (within six feet of the patient). Also, in stumbling across the Electric Blanket Institute website (hwww.electricblanketinstitute.com/safety.html) they have a number of recommendations, one of which is not to use electric blankets on automatic beds because of the pretty significant risk of pinching damage.
Apparently there is also anecdotal information that electric blankets can have a deleterious effect on pacemakers, but they could provide no hard data in either direction. I think it comes down to there being no strict prohibition or a strict endorsement, which places it firmly in the land of the risk assessment. That said, if it were my house, I would say no, as much because there is no endorsement of the use of this product in hospitals. Now if someone were to identify one that is “safe” for use in hospitals, then we could have further discussion, but for the time being, I say stand firm and try the thermal blanket/sheet combination—low tech for sure, but if the patient is even “warmable” (and you know what I’m talking about), that should do the trick.
Tiny security devices are being put around infants’ ankles at the Vail Valley Medical Center in Colorado to set off an alarm if newborns are taken outside of a designated area.
The new security system, Hugs Infant Protection Service, allows staff to monitor the newborns. The ankle device is waterproof, reusable, non-allergenic, and comfortable, reports Vail Daily.
Does your facility have an infant security program? Let us know in our comment section.