2014 EC Rounds Master Template

Building

Floor

EOP - Staff must be able to locate the Emergency Operations Plan. Every clinic must have a copy in a red binder.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Flashlights - Staff must be able to locate a working flashlight. Your clinic should also have a supply of extra batteries in case of power outage. All employees should know where these are kept. Unless in use, batteries should not be kept in the flashlight as they may leak and damage the flashlight so that it will not be of use in an emergency.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

R.A.C.E - Staff must understand what to do in a fire. When asked what the "R" in RACE stands for, staff must identify the need to rescue and remove anyone from immediate danger

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

R.A.C.E - Staff must understand what to do in a fire. When asked what the "A" in RACE stands for, staff should identify the closest fire alarm pull station and know who to call (9-911 and/or 4-4444) in the event they discover a fire or smoke.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

R.A.C.E - Staff must understand what to do in a fire. When asked what the "C" in RACE stands for, staff should identify the need to close all doors and windows in the area and clear the corridors of ALL items (including items otherwise allowed as well as "rogue" items).

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Staff must understand what to do in a fire. When asked what the "E" in RACE stands for, staff should be able to identify which doors are fire doors, if applicable. They must know whether they should defend in place or evacuate where their muster site is.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Electrical Appliances - Workforce Members must know that only approved commercial appliances (e.g. coffee makers, microwave ovens, toasters) are allowed in hospital buildings. Personal Use or Household appliances are not allowed, even for temporary functions (e.g. staff potlucks).

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

SDS – Staff were asked to locate the SDS (Safety Data Sheet, formerly known as the MSDS) of a chemical on your unit. Each unit must have an indexed binder for all chemicals found on the unit.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

PEDs - IF your clinic has infusion pumps or other sensitive medical equipment, staff need to know that personal electronic devices (PEDs) have the potential to produce electromagnetic interference. They should not be used within three feet (roughly arm's length) of medical one laboratory devices. Staff need to know that PEDs include cell phones, electronic readers, laptops, etc.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Active shooter - staff must know what to do if they are involved in an active shooter situation, understanding that there is no one correct answer. They must know where the exits are if they decide to run. They must know what to do to hide (lock doors, turn off lights, etc). They must know that it is a personal decision to fight back.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Disclosing medical information - staff must know that they cannot give out patient information, including discharge or appointment dates and times, even to those who appear official, such as law enforcement officers or surveyors. Staff we're asked what they would do if a law enforcement officer asked for information about a patient.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Dr. Strong - Staff must understand that the code phrase "Dr. Strong" is to be used to communicate to Public Safety or a co-worker that they feel threatened or are at risk of violence AND that they are not free to discuss the situation without risking further escalation of the potential violence. Please note Dispatch will treat the use of this phrase as an emergency and send officers immediately. This is an important tool for the OHSU community, but when used inappropriately, the use of this code may divert critical resources from other situations.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Special Air Flow Rooms - Staff in areas where there are special air flow rooms (for infection control purposes) must know how to verify that the air flow is in the proper direction.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Bathroom Rescue - Staff must know how to quickly access a locked restroom door in order to rescue someone in distress. In order to pass, they must be able to unlock and open the bathroom door within three minutes.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Pull Cords - In bathrooms where there is an alarm to pull, the fort must be accessible to someone lying on the floor. This means the cord cannot be wrapped around anything and must hang free to about six inches from the floor.

Plan of Action - please respond with your plan within two weeks unless otherwise indicated.

Door Props - Doors may not be propped, wedged or otherwise blocked open. This means there can be NO doorstops, wedges, kick down door stops, equipment, chairs, or other items preventing doors from closing. Doors must also be able to latch - latches cannot be taped over or otherwise disabled.

Action Plan - please respond with your plan within two weeks unless otherwise indicated.

Combustibles must be compliant. If at all possible, keep bins behind closed doors and certainly out of the path of egress.

Action Plan

Corridor Clutter - There must be unobstructed access to the egress route. Keep corridors as clear as possible, limit any items to one side.

Action Plan - please respond with your plan within two weeks unless otherwise indicated.

Eyewash stations - if your area uses high-level disinfectant (Cidex, Cidex OPA, Sporlox, etc), you must have eyelash capabilities. Plumbed eyewash stations must be activated weekly and the log must be kept up to date.

Action Plan - please respond with your plan within two weeks unless otherwise indicated.

All chemicals must be in labeled containers. This includes any chemicals moved to secondary containers such as spray bottles, smaller containers and open containers such as soaking bins.

Action Plan - please respond with your plan within two weeks unless otherwise indicated.

Medical equipment - All patient care electrical equipment shall be safety tested by Clinical Technology Services before first use, no meter who purchased or rented it. Users can tell this has been done by the presence of a Medical Equipment Sticker. Stickers are either green (no preventative maintenance required), yellow (approved for use but owner is responsible for maintenance) or orange (dated with next required maintenance).

Action Plan - please respond with your plan within two weeks unless otherwise indicated.

ID Badges - All OHSU employees must always display their official photo ID badge. Effective May 1, 2014, the badge must be on a clip or pull (NOT a lanyard), above the heart with all text and photo visible. Having it in their pocket, desk or purse does not count. Everyone should be given permission to " poke" others who are not properly displaying their ID.

Action Plan - please respond with your plan within two weeks unless otherwise indicated.

Electrical Panels - the area around and in front of electrical panels must be kept clear of obstructions

Action Plan - please respond with your plan within two weeks unless otherwise indicated.

Fire Sprinklers must have an escutcheon or "skirt" to seal the gap in the ceiling where they come through.