Equipment Maintenance

Citation

TJC NPG.01.05.01

The hospital improves the safety of clinical alarm systems.

The hospital identifies important alarm signals and establishes policies for alarm settings, authority, monitoring, response, and signal checks.

Citation

TJC NPG.01.05.03

Resuscitative services are available throughout the hospital.

The hospital provides resuscitative services under standards and policies, makes equipment available for the population served, and trains involved staff.

Citation

TJC NPG.09.01.01

The hospital uses standardized procedures for managing tissues.

Requires the hospital to use standardized written procedures for tissue acquisition, storage, supplier verification, temperature monitoring, and organ procurement notification.

Citation

TJC NPG.11.03.01

The hospital manages utility systems.

The hospital manages utility systems, including written procedures for utility disruptions and emergency backup policies for essential medication dispensing equipment and medication refrigeration.

Citation

TJC NPG.13.03.01

The hospital manages imaging safety risks.

The hospital manages MRI, CT, PET, nuclear medicine, and fluoroscopy safety risks through access controls, signage, dosimetry monitoring, and annual medical physicist performance evaluations.

Citation

TJC PC.12.01.05

Resuscitative services are available throughout the hospital.

Requires resuscitative services and equipment to be available throughout the hospital, including specified operating room equipment and obstetrical emergency equipment when applicable.

Citation

TJC PE.04.01.01

The hospital addresses building safety and facility management.

Requires the hospital to comply with the Health Care Facilities Code and maintain essential equipment, ventilation, lighting, temperature control, and supplies in pharmaceutical, patient care, food preparation, and nuclear medicine areas.

Citation

TJC PE.04.01.03

The hospital manages utility systems.

Requires the hospital to manage utility systems, including emergency power and lighting in critical care areas, emergency gas and water supply, compliance with NFPA emergency power standards, and risk management during repairs or maintenance.

Citation

TJC PE.05.01.01

The hospital manages imaging safety risks.

Requires the hospital to manage imaging safety risks by ensuring annual performance evaluations of nuclear medicine, PET, CT, MRI, and fluoroscopic imaging equipment by qualified medical physicists, with documented results and corrective recommendations.