Volume 2024 | No. 2
SURVEYOR
AMBULATORY SURGERY CENTER
NOTES
n The ASC does not have direct control over the temperature and humidity and the building’s facilities department must be called for adjustments “frequently.” During the survey, a call was placed at 10:20 a.m. to facilities when the humidity was noted as 70%. A second call was placed at 11:55 a.m., and at 1:30 p.m., it was discovered that nine cases had been performed that day with the humidity outside the 30-60% range required by ASC policy. The Administrator and Medical Director declared an “HVAC emergency” and canceled further cases pending a sustainable repair. n Take action as soon as a reading indicates that the environment does not meet required conditions. n Reversed air pressure relationships can often be Immediately corrected but not if they are unknown. Monitor and log air pressure.
Tips for compliance:
We’re here to help. To learn more, visit our website at achc.org , call us at (855) 937-2242 , or email customerservice@achc.org .
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