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Healthcare Synergists: Life Safety Code Specialist

Join our initial group of 50 specialists for collaborative education and one-day surveys focused on Life Safety Code compliance in healthcare organizations. Target areas include fire protection, emergency power systems, and medical gas and vacuum systems.

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Healthcare Synergists: Life Safety Code Specialist

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  1. A & C Courtemanche & Associates HEALTHCARE SYNERGISTS

  2. Environment of Care – Life Safety Code Specialist

  3. Life Safety Code Specialist • Initial group of 50 specialists • Joined existing surveyors for January 2005 training • Collaborative education with ASHE • Reserved for Hospitals with 200 or more beds (as identified on application) • One Day Survey • For organizations with multiple buildings, target will be one with most beds

  4. Life Safety Code Specialist Target Areas • Life Safety Code / Statement of Conditions • Features of Fire Protection • Interim Life Safety Measures • Emergency Power Systems • Piped Medical Gases and Vacuum Systems

  5. Life Safety Code / SOC • Current Statement of Conditions • Organization needs to make “sufficient progress” towards previously approved corrective actions • If “sufficient progress” has not been made, organization could face CONDITIONAL ACCREDITATION • TIP – Let surveyor know of any LSC equivalency immediately

  6. Features of Fire Protection • Portable Fire Extinguishers • Water-based fire protection systems • Fire alarms • Fire doors / windows • Air conditioning and ventilation systems • Fire hoses • Life Safety Code • TIP – Make sure there is no debris or equipment leaning on fire extinguishing systems

  7. Interim Life Safety Measures (ILSM) • ILSM Policy in place • Criteria to identify deficiencies and hazards • When and to what extent all 10 components apply • TIP – Be proactive and be ready to share this information with your surveyor

  8. Emergency Power Systems • Generator Testing • Transfer switches • Battery powered lights • Stored Emergency Power Supply System • REMEMBER – Generator testing – No more than 40 days after last test, and not less than 20 days

  9. Medical Gas and Vacuum Systems • Maintenance Program • Testing Documentation • Cross-connection • Pipe security • Pressure • TIP = Policy and Procedure or Plan for installation of new and replacement piping

  10. Life Safety Code Specialist Agenda • Facilities Maintenance Review • Focused Document Review • Facility Orientation • Statement of Conditions / PFI • Building Plans • Surveyor Planning Session • LSC Building Tour • Meeting with Survey Team

  11. Other Links to Survey Process • Sharing of information with survey team • Focus review of items at other buildings by other surveyors • Environment of Care Tracers • Focus is on Life Safety Code, but also will review closely related EC standards

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