HospitalInspections.org

The facility failed to maintain the Digital Alarm Communicator Transmitter (DACT) per code. Findings include:
During the survey, the following is an example of what was observed:
The Digital Alarm Communicator Transmitter (DACT) did not have a remote annunciator at a manned location. The fire alarm system sounds in the building and sends a signal offsite.
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2000 NFPA 101, 9.6.7.5 A system trouble signal shall be annunciated at the control center by means of audible and visible indicators.
1999 NFPA 72, 1-5.4.6 Trouble signals and their restoration to normal shall be indicated within 200 seconds at the locations identified in 1-5.4.6.1 or 1-5.4.6.2. Trouble signals required to indicate at the protected premises shall be indicated by distinctive audible signals. These audible trouble signals shall be distinctive from alarm signals. If an intermittent signal is used, it shall sound at least once every 10 seconds, with a minimum duration of 1/2 second. An audible trouble signal shall be permitted to be common to several supervised circuits. The trouble signal(s) shall be located in an area where it is likely to be heard.
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*The facility failed to provide an automatic sprinkler system per code. Findings include:

During the visit, the following is an example of what was observed:
The new MRI addition did not have an automatic sprinkler system.

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2000 NFPA 101, 18.3.5.1 Buildings containing health care facilities shall be protected throughout by an approved, supervised automatic sprinkler system in accordance with Section 9.7.

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The facility failed to maintain the electrical system per code. Findings include:
During the survey, the following are examples of what was observed:
1. The following rooms had microwave(s) and/or refrigerator(s) plugged into surge protector(s):
Basement
a. Home Health had a microwave and a refrigerator
b. Dietary Break Room had a refrigerator
First Floor
c. Nurses ' Lounge in the O.R. had two refrigerators
d. ICU Break Room had a microwave and a refrigerator
e. Doctors ' Dictation Room in ICU had a refrigerator
f. Pharmacy Break Room had a microwave
2. Infection Control Office had an extension cord feeding a surge protector, feeding another surge protector
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1999 NFPA 70, 400-7 and 400-8, and HCFA Transmittal Notice 22-99 The 1984 edition of the National Electric Code restricts the use of extension cords to temporary short term uses. It is the policy of HCFA to prohibit non-circuit breaker protected extension cords in health care. The limited use of circuit breaker protected power strips is acceptable, provided the current is limited to 15 amps or less, and no major appliances such as air conditioners, refrigerators, or heating units are connected to the power strip.

1999 NFPA 70, 400-7 (b) Attachment Plugs. Where used as permitted in subsections (a)(3), (a)(6), and (a)(8), each flexible cord shall be equipped with an attachment plug and shall be energized from a receptacle outlet.