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ASHLAND HEALTH CENTER
No Description Available
Tag No.: K0050
Based on record review and staff interview, the facility is not conducting fire drills as required and properly training staff in the policy and procedures relating to the drills. This deficient practice affects the ability of the staff to properly respond in the event of an actual emergency and affects all 25 patients in all five smoke zones.
Findings include:
During the survey of the facility fire incident on October 12, 2016 at 12:45 PM it is observed that
1. The new staff member that discovered the fire was not properly trained. She has been working for the facility for less than a month and has stated that she has not had the opportunity to participate in a fire drill.
Maintenance Director was present and acknowledged the findings.
Review of the following NFPA Standard revealed: Fire drills in health care occupancies shall include the transmission of a fire alarm signal and simulation of emergency fire conditions. Drills shall be conducted quarterly on each shift to familiarize facility personnel (nurses, interns, maintenance engineers, and administrative staff) with the signals and emergency action required under varied conditions. When drills are conducted between 9:00 p.m. (2100 hours) and 6:00 a.m. (0600 hours), a coded announcement shall be permitted to be used instead of audible alarms.
Exception: Infirm or bedridden patients shall not be required to be moved during drills to safe areas or to the exterior of the building. 2000 NFPA 101, 19.7.1.2
LIFE SAFETY CODE STANDARD
Tag No.: K0050
Based on record review and staff interview, the facility is not conducting fire drills as required and properly training staff in the policy and procedures relating to the drills. This deficient practice affects the ability of the staff to properly respond in the event of an actual emergency and affects all 25 patients in all five smoke zones.
Findings include:
During the survey of the facility fire incident on October 12, 2016 at 12:45 PM it is observed that
1. The new staff member that discovered the fire was not properly trained. She has been working for the facility for less than a month and has stated that she has not had the opportunity to participate in a fire drill.
Maintenance Director was present and acknowledged the findings.
Review of the following NFPA Standard revealed: Fire drills in health care occupancies shall include the transmission of a fire alarm signal and simulation of emergency fire conditions. Drills shall be conducted quarterly on each shift to familiarize facility personnel (nurses, interns, maintenance engineers, and administrative staff) with the signals and emergency action required under varied conditions. When drills are conducted between 9:00 p.m. (2100 hours) and 6:00 a.m. (0600 hours), a coded announcement shall be permitted to be used instead of audible alarms.
Exception: Infirm or bedridden patients shall not be required to be moved during drills to safe areas or to the exterior of the building. 2000 NFPA 101, 19.7.1.2