Maintenance of Structures
The facility is clean and well maintained; the design
provides opportunity for efficiency in carrying out the
mission of the organization as well as in maintenance of the
physical structure. The facilities and their premises shall
be kept clean, neat and free of uncontained litter or rubbish.
All buildings, fixtures, equipment, spaces, and sanitation
systems shall be maintained in operable condition.
Maintenance issues and problems shall be included on the
monthly safety inspection for review and correction by the
Any chemical or agents with the capability of compromising
patient safety will be properly labeled and will not be
stored with patient care items.
Policies and procedures relating to maintenance and
sanitation issues will be reviewed and updated as needed, at
least annually. Structural and major equipment changes will
be updated onto the architectural plans and specifications
for use by appropriate personnel.
Maintenance work will be done on a proactive basis, to
preclude the development of problems which may compromise
patient safety. All work outsourced to an outside vendor
will be certified by the vendor, consistent with acceptable
Pest control will be conducted to assure freedom from rodents
and other vermin. Pest control measures will be conducted by
those trained in the use of chemicals and traps with concern
demonstrated at all times for proper use of such modalities.
Doors, vents, and windows will be equipped with appropriate
barriers (screening, foyers, etc.) and/or constantly
monitored to prevent the entry of undesirable insects or
The biomedical equipment review, discussed elsewhere in these
policy and procedures, will include provision of
instructional information and specifications for reference by
appropriate individuals; power specifications, including any
alternate power source backup, will be specified as a part of
such biomedical review. Staff will not use any equipment on
which training has not been received.
Appropriate preventive maintenance, including painting and
repair of weather related structural or finish damage, will
be reviewed on a regular basis.
1. Cracks in plaster, peeling wall paper or paint, tears or
splits in floor coverings, and missing tiles shall be
2. Electrical systems including appliances, cords,
equipment, call systems, switches, and grounding
systems shall be maintained to assure safe functioning.
3. Heating and cooling systems shall be inspected and
documented annually to assure safe operation. Written
records of maintenance on high intensity filters and
humidifier shall be kept. Generally, it is anticipated
that the heating equipment will have the capacity to
maintain 80 degrees F; cooling equipment, 64 degrees F.
4. Electrical circuits are tested annually as a part of the
5. At any time that inhalational anesthetic agents are used,
grounding systems in the operating rooms will be
6. All new equipment shall receive biomedical inspection
before use in the facility.
Records shall be maintained of all inspections and testing;
maintenance work performed will be similarly documented.
Information regarding the mechanisms for safe disconnect of
all utilities will be readily available to all staff.
Approved By Governing Board