A Planning Playbook for Opening a New Orthopedic ASC
The ASC market continues its rapid growth. In 2023, roughly 116 new ASCs opened in the U.S., many of which were orthopedic-specific in nature....
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By: Judene Bartley
Published: 10/10/2007
Are waterless, alcohol-based hand-rub dispensers too great a fire hazard to mount in corridors? No, not at all. After much study and debate, fire safety and infection control experts agreed to amend the Life Safety Code and let facilities mount alcohol-rub dispensers in hallways outside patient rooms. Many applaud this, pleased that unfounded fire safety concerns will no longer impede hand hygiene.
Why the debate?
As you probably know, the CDC has endorsed waterless, alcohol-based hand rubs as integral to a good hand-hygiene regimen. Because they're quick and easy to use, rushed healthcare workers are more likely to squirt some gel into their hands, sanitize them and move on to the next task - and frequency is key to proper hand hygiene.
The problem: Alcohol is flammable. The National Fire Protection Association's (NFPA) 101 Life Safety Code (the 2000 edition of which healthcare facilities must comply with to maintain CMS certification) prohibited healthcare facilities from mounting containers with flammable substances in corridors. The result: Fewer alcohol-based hand rub dispensers in key locations and fewer opportunities to improve hand-hygiene compliance.
But a study commissioned by the American Society of Healthcare Engineers found that the risk of fire with the dispensers is quite low. Since then, the NFPA's Technical Committee on Healthcare Occupancies has worked to change the Life Safety Code, saying the increase in hand-hygiene compliance (more than 20 percent) would outweigh the fire risk. The changes passed the committee in early April and were passed by the full NFPA Standards Council April 15. They'll apply retroactively to the 2000 edition so healthcare facilities can take advantage of the dispensers. No implementation date has been set.
Six conditions you must meet
The NFPA 101 Life Safety Code will now allow alcohol-based hand-rub dispensers as long as you meet these six conditions:
Up next
It is hoped that the CMS will adapt its policy to enforce the current language, either in full or with a few tweaks. In addition to giving the changes weight, such a move by CMS would prompt many state- and local-level fire marshals to allow the dispensers.
With everyone on the same page, we'll remove one more barrier to good hand hygiene. Increased access, speed and convenience will have a real impact on many healthcare institutions in the form of better hand-washing compliance and, in that vein, lower infection rates.
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