Facility Layout and Physical Environment

Facility Layout and Physical Environment

Each operating room must be designed and equipped so that the types of surgery conducted can be performed in a manner that protects the lives and assures the physical safety of all individuals in the area. You must verify the ASC meets applicable design standards, has the right equipment and has enough equipment for the volume of procedures it typically performs. Most importantly you must verify that the ASC has evidence, such as logs on the equipment, electrical or mechanical equipment indicating the proper testing requirements.

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Facility Layout and Physical Environment
  • RestRoom Pull Cord Nurse Call Button Bathroom

    Emergency pull cord must be easily accessible to patients and will be fully functional.

  • Importance Of Checking Equipment Preventative Maintenance

    Preventative maintenance inspections on equipment by a qualified individual is vital to the performance of the equipment. It is also mandatory. You must document the frequency of testing and ensure that all of your equipment has been appropriately tagged by the biomedical engineer.

  • Equipment Checks Oxygen and Vacuum System

    You want to ensure that you check patient care support equipment on a daily basis to ensure proper functioning.

  • Glucose Controls and Supplies

    This is a brief overview of the shelf life of the glucose control solutions and testing strips. Also read the manufacturer's instructions on how to clean the glucose meter.

  • Surgery Log Book

    You must document / record all patient surgery's in a log book or ledger.

  • Refrigerator Medications

    This is an overview to discuss the refrigerator temperature parameters, medications inside and the storage recommendations.

  • Janitors Closet

    You must have a Janitors Closet in the ASC setting. Make sure that it has the ability to have water (plumbing & fixtures), a floor drain or sink for draining water, labeled cleaning supplies, trash bags and paper towels.

  • Monthly Crash Cart Check

    The crashcart must be inspected on a monthly basis for outdates by an ASC staff member. Evidence of monthly checks must be documented.

  • Fire Extinguisher

    Fire extinguishers are located within the ASC and must be checked on a monthly basis. Annually an approved vendor will recharge the fire extinguisher.

  • Fire Pull Station

    You must ensure that you have a manual fire pull station within 5 feet of every exit out of the ASC.

  • Fire Sprinkler Testing Frequency of Fire Sprinkler Testing

    Fire sprinkler test are performed according to NFPA. Frequency of testing is quarterly, semi-annually, annually and every 5 years.

  • Daily Crash Cart Check

    Each Day the crash cart must be checked to ensure that there was no tampering of the medications and supplies. Make sure to check that the defibrillator and suction can run on battery and that they are working. Make sure you have a full E-cylinder of Oxygen. Always have available the latest AC...

  • Changing Into Scrubs

    In order to reduce the possibility of contamination from outside sources, Clinical Staff and Medical Staff Members will adhere to the center’s guidelines for surgical attire. You must change into surgical scrubs before entering into critical areas of the ASC. Scrubs and linens must be provided ...

  • Biohazardous Waste Room

    Biohazardous Waste Room is needed to store all your biohazardous waste. The door must remain locked at all times. The door must have a positive latch which is a mechanism that the door closes automatically.

  • Sharps Containers

    Sharps waste is a form of biomedical waste composed of used "sharps", which includes any device or object used to puncture or lacerate the skin. Sharps waste is classified as biohazardous waste and must be carefully handled. Make sure you know the frequency of biohazardous pickup at your ASC.

  • Refrigerator Temperature Monitoring

    You must demonstrate that you are continuously monitoring your refrigerator temperature. Even when your ASC is closed. Daily recording of refrigerator temperature is mandatory.

  • Make Sure All Equipment Is Functioning

    Each day it is important to check all of you patient care equipment. This is mandatory. During the inspection process a surveyor will turn on equipment to ensure that it is functioning.

  • Warming Cabinet

    You must ensure that you are storing supplies and products accordingly to written manufacturers storage instructions. Document daily the temperature of the warming cabinet. Forced air warmers are used to maintain the patients temperature.

  • Bair Hugger

    This patient warming system is used to keep patients warm before, during and after surgery.

  • Door Handle on Operating Room Door

    This is a brief overview of a door handle on the Operating Room Door.

  • Safety And Security Authorized Personnel Only

    Limiting access to Authorized Personnel Only areas in the ASC is vital to the safety and security of all staff and patients.

  • Scrub Sink

    A scrub sink is vital and necessary. This is also an integral component of the Infection Control Program. A surgeon must properly scrub before entering into the operating room.

  • Staff Changing Area

    You must ensure that you have a staff changing area. When staff workers come into the building or suite they will have to immediately change into professionally laundered scrubs.

  • Sterile Supply Storage Room

    Separate your sterile supplies from your non sterile supplies. Also track the temperature and humidity of your storage area if possible. If you have a room designated for sterile supplies you must track the temperature and humidity. If you store the items in your operating room you must track ...