Strange Observations – Part 5

Blocked Exit Door Web 2Continuing in a series of strange things that I have seen while consulting at hospitals….

I don’t remember where in the hospital I took this picture but it is apparent that it is in a seldom used area. Someone felt it was okay to store tables and chairs in this area, and didn’t realize it was creating an obstruction to the exit doors. Or, even worse, they may have realized it and not cared that they are blocking access to the exit doors.

Whenever a surveyor finds access to an exit is obstructed, it can (and often does) lead to an adverse decision. Some accreditation organizations can consider this a condition level finding, which means the survey team returns within 45 days for a follow-up survey, and they notify CMS. And other accreditation organizations may even consider this an Immediate Jeopardy (IJ) issue that will get you another focus resurvey within 22 days and most likely a visit from CMS.

Don’t put yourself in a position whereby you are standing in the CEO’s office explaining why your lack of action lead to an adverse decision. Be pro-active and do frequent rounding looking for obvious problems.