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Think beyond D icons for your EC documentation
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May 1, 2010
You might be surprised to hear how many EC elements of performance (EP) seem to require documentation even though they aren’t designated with a “D” icon. Briefings on Hospital Safety has identified more than 30 EPs in the EC chapter for which paperwork would seem to be the only way to demonstrate compliance, even without a direct requirement for documentation.
EC.02.05.07, which sets provisions for inspecting, testing, and maintaining emergency power systems, offers a good example of this dilemma.
EP 4 requires hospitals to test their generators 12 times a year, and the EP has a D icon next to it. Under EP 9, hospitals must institute interim measures if any emergency power test fails. There is no D icon next to this EP, yet it’s almost impossible to believe a surveyor wouldn’t want to see paperwork showing what interims steps you’ve assessed.
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