Environmental Health and Safety

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Now that Environmental Health and Safety (B-02) no longer appears in the Standards [2008 jail and prison editions], are we still required to conduct inspections?

The 2008 Infection Control standard (B-01) now requires a monthly environmental inspection to be conducted of areas where health services are provided. This is to verify that equipment is maintained, that the unit is clean and sanitary and that measures are taken to ensure the unit is occupationally and environmentally safe. Please note that the 2003 Ectoparasite Control (B-04) standard is also addressed in the 2008 Infection Control standard.
— From CorrectCare Volume 23, Issue 1, Winter 2009

 
 

What are NCCHC’s expectations for documentation of environmental/infection control to be reviewed during accreditation surveys? Are external inspections required? Do OSHA and CDC guidelines need to be followed for accreditation?

Whew! Let’s take your issues one at a time.

  1. Documentation of environmental and infection control practices can include inspection reports, meeting minutes, quality improvement studies, policies and procedures specifying such practices, logs or other evidence of appropriate sterilization of instruments and equipment, sharps disposal containers, evidence that biohazardous materials are handled and disposed of appropriately, etc.
  2. Inspections by outside agencies are useful, but they are not required for accreditation.
  3. Similarly, while NCCHC recommends that agencies follow OSHA and CDC guidelines, the commission’s surveyors are not inspectors for those government agencies.

— From CorrectCare Volume 15, Issue 3, Summer 2001