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Healthcare EOC, Life Safety, Emergency Management Compliance
Document Review Session​​

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Building Assessment
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Life Safety drawings
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Interim Life Safety Measures
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Fire Response Plan
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Fire drills
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Fire protection/suppression testing and inspection
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Medical equipment inspection, testing, and maintenance
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Utilities systems risk management
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Emergency power systems maintenance and testing
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Medical gas and vacuum systems maintenance and testing
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Data on monitoring of environmental conditions
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Emergency Operations Plan
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Environment of Care Plans
Life Safety Building Tour Session
SPS will perform an exhaustive building tour with your Facilities Director or designee to evaluate
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Fire and smoke barriers (doors/ above ceiling)
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Hazardous areas (soiled linen rooms, trash collection rooms, oxygen storage rooms)
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Conduct an “above the ceiling” survey based on the facility’s life safety plans:
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Presence or absence of required smoke detectors or fire dampers
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Assess the condition of all emergency power systems and equipment

Environment of Care Session

SPS will work with your facilities management team during the EOC session, including reviewing and discussing your EOC Plans, Safety Committee minutes, and processes for identifying and managing environmental risks.
Emergency Management Session
SPS will review your process for disaster planning, mitigation, and response.
SPS will provide discussion and training on your (EOP) Emergency Operations Plan and the hospital’s Continuity of Operations Plan as well as evaluate the facility's disaster drills.

Environmental Risk Assessment (Ligature Risk)

SPS will review your environmental risk assessment tools and work with you to ensure the mitigation strategy meets TJC standards.