Pam W
6 posts
Jun 04, 2009
7:46 AM
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We have a facility that was surveyed two weeks ago by TJC. The facility was cited ( EC.02.06.01 EP 1)for not having their patient beds bolted to the floor. Has anyone else experienced this? Do other facilities have their beds bolted to the floor? Any feedback is appreciated.
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Stacey
17 posts
Jun 11, 2009
10:46 AM
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Did they determine that not bolting them down was a safety issue? We have what we call "high risk" rooms, about 4 per unit, where we have patients on statuses or who are highly acute reside. Other than those specific rooms, none of the others are bolted down.
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Pam W
8 posts
Jun 11, 2009
12:03 PM
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Stacey, Thanks for your feedback. The physician surveyor considered this a safety issue. This facility has a seclusion/restraint room on each unit. Those beds are bolted to the floor.
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SueO
Guest
Jun 12, 2009
8:12 AM
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I would echo Stavy's comments although we do have some 'Quiet rooms' - use includes seclusion and restraint - rooms with mattress on floor only. We are in the process of developing some sensory rooms on the units as well with both the remodeling and addition of new IP beds.
Sue.Offenbecker@pinerest.org
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Dean
1 post
Jun 12, 2009
1:04 PM
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The Joint Commission standards do not go into that level of specificity. This would be a risk assessment issue to be conducted by the hospital.
My experience is that bolting beds to the floor is a common and accepted practice for seclusion rooms more than general patient rooms.
I’ve provided some attachments* that I hope might be of value on risk assessments and suicide prevention.
Dean Samet
Director of Regulatory Compliance Services
Smith Seckman Reid, Inc.
www.fieldsinc.com/PrefProvider.html#Prvdr_SSR
2995 Sidco Drive
Nashville, TN 37204
(615) 388-0332 Cell
(615) 386-8468 Fax
dsamet@ssr-inc.com
The attachments referenced above can be accessed using
The following links:
• Dean's 7 Step Risk Assessment per JCAHO by Dean Samet
• Behavioral Health Risk Assessment 2009 from SSR
• Checklist for Creating a Suicide-Prevention Program by Charlene Glock
• Using Risk Assessment: Where Standards Are Silent, Proactive Process Can Provide Clarity: Enviornment of Care News Volume 9, Number 6, June 2006, Pg1
Last Edited on 12-Jun-2009 7:19 PM
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Pam W
11 posts
Jun 15, 2009
11:54 AM
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Thanks Dean
Last Edited on 15-Jun-2009 11:54 AM
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