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      Fire Extinguishers

      Q: Does the placard identified in NFPA 96-2011, section 10.2.2, which states that the exhaust hood fire suppression system needs to be activated prior to…

      Brad Keyes, CHSP | Mar 31, 2021
      Vacuum Pump

      Take a look at the accompanying photo provided to me by a reader. Something happened to a vacuum pump in a hospital. Can you figure out what happened, and…

      Brad Keyes, CHSP | Mar 30, 2021
      Patient Rooms

      Q: I have a hospital client that wants to use cushions placed on the floor to reduce the risk of injury from patients falling out of bed. There is no…

      Katrina Reed | Mar 29, 2021
      Patient Rooms

      Q: In regards to negative pressure for patient isolation rooms, I understand that the negative pressure has to be verified before you can place a patient…

      Katrina Reed | Mar 26, 2021
      Electrical Receptacle Testing (Electrical)

      Q: What are the requirements for testing electrical outlets in nursing home patient rooms?

      Katrina Reed | Mar 24, 2021
      Fire Alarm ILSM

      Q: Recently, I have been instructed to fill out an Interim Life Safety Measure (ILSM) assessment each month when conducting fire alarm system testing with…

      Brad Keyes, CHSP | Mar 22, 2021
      Fire Alarm

      Q: I cannot find any code stating what, if any, clearance you need around a fire alarm pull station on the actual wall. We need to mount a nurse call…

      Brad Keyes, CHSP | Mar 19, 2021
      Risk Assessment

      Q: Since CMS has adopted NFPA 99-2012 edition, is it necessary to do the risk assessment in order to maintain RH levels in ORs > to 20%.

      Brad Keyes, CHSP | Mar 17, 2021
      Fire Drills

      Q: One of our AHJs is looking for verification that all hospital personnel participates in fire drills, not just in the vicinity of the system activation.…

      Brad Keyes, CHSP | Mar 16, 2021
      Fire Drills

      Q: Has a clarification been issued for what “varying conditions” means in 2012 edition of the NFPA 101 Life Safety Code Our accreditation…

      Brad Keyes, CHSP | Mar 15, 2021

      Q: If a lower level of a hospital is declared business occupancy, can their doors be propped open with books and wastebaskets? I think that the doors were…

      Brad Keyes, CHSP | Mar 12, 2021
      Joint Commission

      Over the past year, most traditional on-site surveys have been delayed or interrupted due to COVID-19 restrictions, but now that the caseloads across the…

      Katrina Reed | Mar 11, 2021

      Q: We have a dressing room that is part of our Ultrasound room that uses accordion doors and they want us to install the sliding barn door type door on…

      Brad Keyes, CHSP | Mar 10, 2021
      Fire Drills

      Q: Currently, I conduct one fire drill per shift per quarter in our hospital for a total of 12 drills a year. I am also required to conduct fire drills in…

      Brad Keyes, CHSP | Mar 8, 2021
      Clean Supply Room HVAC

      Q: Are there any HVAC requirements for clean supply/storage rooms in business occupancies? I am working with contractors constructing a health care clinic…

      Katrina Reed | Mar 5, 2021

      Q: We had built a temporary surge space due to the COVID pandemic. This surge space was attached to the hospital to provide flow for our ED patients. We…

      Brad Keyes, CHSP | Mar 4, 2021
      Electrical Receptacle

      Q: We have a pharmacy in our critical access hospital. It was recently moved to another location within the hospital building. When some base cabinets and…

      Katrina Reed | Mar 3, 2021
      Fire Extinguishers

      Q: How often do employees require training on fire extinguishers? We teach RACE/PASS during employee orientation at our Hospital/Nursing home. Is it…

      Brad Keyes, CHSP | Mar 1, 2021