Western Kentucky University

WKUHS AAAHC Accreditation : Facilities & Environment

I.D. Chapter Evidence Notes

8.A 

Facilities and Environment

 Environmental Health & Safety

EHS helps ensure campus compliance with applicable laws and regulations. 

 8.A.1

Facilities and Environment

Environmental Health & Safety 

 See 8.A

8.A.2 

 Facilities and Environment

Environmental Health & Safety 

See 8.A 

8.A.3 

Facilities and Environment

Environmental Health & Safety 

  See 8.A

 8.A.4

 Facilities and Environment

Environmental Health & Safety 

See 8.A 

8.B

 Facilities and Environment

 Environmental Health & Safety

  See 8.A

8.B.1

 Facilities and Environment

Environmental Health & Safety 

  See 8.A

8.B.2

Facilities and Environment 

Environmental Health & Safety 

  See 8.A

8.B.3 

Facilities and Environment 

Environmental Health & Safety 

See 8.A  

8.B.4 

Facilities and Environment

 

 WKUHS is a single story facility.

8.B.5

Facilities and Environment

 

 

 8.B.6

Facilities and Environment 

 

 

8.B.7 

Facilities and Environment 

 

WKUHS maintains a parking lot for patients and visitors.

8.B.8

Facilities and Environment 

 Environmental Health & Safety

Risk Management Plan

Staff perform monthly safety surveillance rounds. 

 8.C

Facilities and Environment 

Provider:Credential/Privilege 

Ancillary:Credential/Privilege

Drills are conducted quarterly and procedures are in place in the event of a true medical emergency.

8.D 

Facilities and Environment

Environmental Health & Safety 

See 8.A 

 8.E

Facilities and Environment 

Risk Management Plan 

 

 8.F

Facilities and Environment

 

 All WKUHS staff undergo CPR training.

8.G 

Facilities and Environment

Smoking Policy 

Smoking is not allowed in any university building.

8.H 

Facilities and Environment

 Infection Prevention

 

8.I 

Facilities and Environment

 EEO Office

EEO/AA/ADA office provides support for ADA compliance. 

 8.J

Facilities and Environment

Environmental Health & Safety 

See 8.A 

 8.K

Facilities and Environment

Environmental Health & Safety 

Cleaning and Disinfecting

 See 8.A

 8.L

Facilities and Environment

Patient Nourishment Refrigerator 

 

 8.M

Facilities and Environment

Environmental Health & Safety 

Expired Products

See 8.A

 

8.M.1 

Facilities and Environment

Expired Products 

 

8.M.2 

Facilities and Environment

Expired Products 

 

8.N 

Facilities and Environment

Environmental Health & Safety 

See 8.A 

 8.O

 Facilities and Environment

Environmental Health & Safety 

See 8.A 

 8.P

Facilities and Environment

 Medical Equipment Testing

All medical equipment is tested on an annual basis.

 8.Q

 Facilities and Environment

 Environmental Health & Safety

See 8.A 

 8.R

 Facilities and Environment

Environmental Health & Safety 

See 8.A 

8.S 

 Facilities and Environment

Environmental Health & Safety 

See 8.A 

8.S.1 

Facilities and Environment

 Environmental Health & Safety

 See 8.A

 8.T

Facilities and Environment

 Medication Refrigerator Monitoring

 
 Last Modified 7/22/13