Fire drills are to be conducted at varying times and should not be done in a predictable pattern. The Joint Commission requires that fire drills vary by at least one hour from each quarter to quarter for each shift, through four consecutive quarters. It's recommended facilities use a Fire Drill...

This is considered a top compliance issue by The Joint Commission

Customize the answers to the practice at your institution. This tracer is intended to guide you in understanding the types of questions that may be asked by the surveyor. It cannot guarantee these will be the questions asked.

NPSG.06.01.01 requires hospitals and critical access hospitals...

Note: The checklist is in the 3rd page of the download file below

This chapter continues to draw more requirements for improvement from surveyors than almost any other chapter, aside from Life Safety and Infection Control. The EC chapter addresses facilities...

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