Hospital Safety Center
 
   
Site Regulations  
   
Home
 
Login  
About Hospital Safety Center  
Contact Us
 
Sitemap
 
Subscribe  
       Free Resources
Hospital Safety Connection
E-Newsletter

 
Important Safety Websites  
Mac's Safety Space  
       Safety Center Members
Briefings on Hospital Safety  
Special Reports  
Healthcare Security Alert  
Safety Talk  
       Platinum Members
Regulatory Compliance Database  
Risk Assessment Workstations  
 
Hazard Vulnerability Analysis
Interim Life Safety Measures
Infection Control Risk Assessment
 
Forms and Checklists Library  

 

Things that go BMP in the night

I’m seeing an interesting phenomenon relating to the life safety surveys, the building maintenance program (BMP) as outlined in the SOC, and how the two (sort of) co-exist during surveys.

 

I know a lot of folks are really working towards a point where they can take advantage, so to speak, of the BMP. That said, I’m not so sure that the BMP is something to be taken advantage of, at least in the classic sense—though an advantage can clearly be gained by adopting this most practical of strategies for managing certain specific elements of your life safety equipment and building features.

 

The issue with the BMP is that, in and of itself, there is not a great deal of guidance in how one is to set it up. Ideally, the goal of the program is to ensure that it is 95% compliant at any given point in time with the listed items that you've chosen to include.

 

Ultimately, the frequencies with which you'd be checking will be dictated by the performance data you collect during your inspection activities. That can mean there are certain elements that will need to be inspected at greater frequencies than others.

 

As an example, a client of mine utilizes rolling fire doors to isolate the elevator lobbies. However, given their proximity to the elevators and the very nature of a lot of the traffic using the area (food carts, linen carts, storeroom carts, etc.), these doors receive a more than equitable share of abuse.

 

Consequently, these doors experience a much greater rate of failure to close and latch than other rated doors in the organization. To manage such a condition using a BMP, it is likely that a greater inspection frequency would need to be employed than, say, fire doors leading into stairways.

 

As another example, there might be fire doors adjacent to areas like the kitchen, the storeroom, or environmental services that get banged around more and would probably need to be inspected more frequently.

 

In conversation with George Mills, The Joint Commission's senior engineer, he described it thusly: You may have X number of fire doors in your facility and 90% of those doors may work correctly every time, but that other 10% of your door inventory is where you need to be more attentive.

 

You might need to inspect the 10% on a quarterly, monthly, weekly, or even daily frequency depending on what the data tells you. And you might be able to do the remaining 90% on a semiannual or even annual basis (I don't think you could ever get to a point where a frequency of less than a year would be diligent).

Comments
About Us | Terms of Use | Privacy Statement | Contact Us
Copyright © 2009. Hospital Safety Center.