HospitalInspections.org

During the validation survey, based on observations and staff interviews, the facility failed to ensure that the doors protecting corridor openings were maintained in accordance with NAPA 101 18.3.6.3.

Findings include:


Observation on 05-02-13 revealed that:

1. At 11:00 AM the 20 minute rated fire door to the environmental services across from ICU would not latch when tested.
2. At 11:51 AM there were 2 doors in the x-ray rooms that were held open with wooden wedges.

The above items were verified by the Director of Engineering at the time of discovery. He remove the wedges and stated he would in-services the staff on keeping the doors closed.

During the validation survey, based on observations and staff interviews, the facility failed to ensure that the electrical wiring and equipment was maintained in accordance with NAPA 70.

Findings include:

Observation on 05-02-13 revealed that:

1. At 11:38 there were exposed wires coming from junction box DH 153 above the ceiling next to the smoke barrier doors located outside of surgery.
2. At 11:57 in the E&T exam room there was a portable heater plugged into a powerstrip and the cord was running through a door way into the sleep lab control room.


The above items were verified by the Director of Engineering at the time of discovery. He remove the powerstrip and had someone from he staff remove the exposed wires. He stated he would in-services the staff on the proper use of powerstrips.

During the validation survey, based on observations and staff interviews, the facility failed to ensure that the doors protecting corridor openings were maintained in accordance with NAPA 101 18.3.6.3.

Findings include:


Observation on 05-02-13 revealed that:

1. At 11:00 AM the 20 minute rated fire door to the environmental services across from ICU would not latch when tested.
2. At 11:51 AM there were 2 doors in the x-ray rooms that were held open with wooden wedges.

The above items were verified by the Director of Engineering at the time of discovery. He remove the wedges and stated he would in-services the staff on keeping the doors closed.

During the validation survey, based on observations and staff interviews, the facility failed to ensure that the electrical wiring and equipment was maintained in accordance with NAPA 70.

Findings include:

Observation on 05-02-13 revealed that:

1. At 11:38 there were exposed wires coming from junction box DH 153 above the ceiling next to the smoke barrier doors located outside of surgery.
2. At 11:57 in the E&T exam room there was a portable heater plugged into a powerstrip and the cord was running through a door way into the sleep lab control room.


The above items were verified by the Director of Engineering at the time of discovery. He remove the powerstrip and had someone from he staff remove the exposed wires. He stated he would in-services the staff on the proper use of powerstrips.