HospitalInspections.org

Based on observation and interview the facility failed to provide emergency task illumination for the emergency generator in case of power failure and generator failure. This deficient practice affects all occupants of the facility. The facility census was 0.

Findings included:

1. Observation on 06/12/12 at 10:10 AM during a tour of the facility showed the room where the emergency generator is located was not provided with a battery emergency lighting unit of at least 1 and ½ hour duration to provide task illumination in the event of mechanical failure of the generator.

2. Staff I, Manager Facilities Management, confirmed at that time a battery emergency lighting unit was not provided for the generator room.

Section 3-4.2.2.2 of the National Fire Protection Association (NFPA 99) states emergency battery light for task illumination for emergency power at the generator set location shall be provided.

Based on observation and interview the facility failed to ensure all portable medical gas cylinders were individually secured. This deficient practice affects the operation of the facility. The facility census was 0.

Findings included:

1. Observation on 06/12/12 at 9:50 AM during a tour of the facility showed 13 " H " size portable gas cylinders, all containing oxygen, located in the medical gas room not individually secured.

2. Staff I, Manager Facilities Management, confirmed at that time the portable medical gas cylinders were not individually secured.

Section 5.1.3.3.2 of the National Fire Protection Association (NFPA 99) states that locations for the central supply systems and the storage of medical gas shall meet the following requirements: (7) be provided with racks, chains or other fastenings to individually secure all cylinders, whether connected, unconnected, full, or empty from falling.

Based on observation and interview the facility failed to install an Alcohol Based Hand Rub dispenser in a location away from an ignition source. This deficient practice affects all occupants of the facility. The facility census was 0.

Findings included:

1. Observation on 06/12/12 at 9:33 AM during a tour of the facility showed two alcohol based hand rub dispensers, both containing a 16 ounce container of 62% ethyl alcohol, mounted on a wall approximately 30 inches above a duplex electrical outlet in the Radiology department.

2. Staff I, Manager Facilities Management, confirmed at that time both dispenser were located on the walls above a duplex electrical outlet.

The 2000 edition of the Life Safety Code, published by the National Fire Protection Association, states alcohol based hand rub dispensers shall not be installed over or adjacent to an ignition source.

Based on observation and interview the facility failed to provide emergency task illumination for the emergency generator in case of power failure and generator failure. This deficient practice affects all occupants of the facility. The facility census was 0.

Findings included:

1. Observation on 06/12/12 at 10:10 AM during a tour of the facility showed the room where the emergency generator is located was not provided with a battery emergency lighting unit of at least 1 and ½ hour duration to provide task illumination in the event of mechanical failure of the generator.

2. Staff I, Manager Facilities Management, confirmed at that time a battery emergency lighting unit was not provided for the generator room.

Section 3-4.2.2.2 of the National Fire Protection Association (NFPA 99) states emergency battery light for task illumination for emergency power at the generator set location shall be provided.

Based on observation and interview the facility failed to ensure all portable medical gas cylinders were individually secured. This deficient practice affects the operation of the facility. The facility census was 0.

Findings included:

1. Observation on 06/12/12 at 9:50 AM during a tour of the facility showed 13 " H " size portable gas cylinders, all containing oxygen, located in the medical gas room not individually secured.

2. Staff I, Manager Facilities Management, confirmed at that time the portable medical gas cylinders were not individually secured.

Section 5.1.3.3.2 of the National Fire Protection Association (NFPA 99) states that locations for the central supply systems and the storage of medical gas shall meet the following requirements: (7) be provided with racks, chains or other fastenings to individually secure all cylinders, whether connected, unconnected, full, or empty from falling.