Life Safety

Citation

TJC EM.12.02.07

The hospital has a plan for safety and security measures to take during an emergency or disas...

The hospital must implement a system to track the location of staff, volunteers, and patients during emergency events, including relocations or evacuations.

Citation

TJC PE.03.01.01

The hospital designs and manages the physical environment to comply with the Life Safety Code.

Requires the hospital to design and manage its physical environment to comply with the Life Safety Code, including fire safety documentation, fire control plans, and construction-related safeguards.

Citation

TJC PE.03.02.01

The hospital protects occupants during periods when the Life Safety Code is not met or during...

Requires the hospital to implement interim life safety measures, including fire watches, alternative exits, surveillance, drills, and training, when Life Safety Code deficiencies cannot be immediately corrected or during construction.

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.