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6.7 Maintaining a Life-Safety-Management Plan
The Joint Commission requires that all its accredited facilities maintain a life-safety
management plan that describes how the facility will provide a fire-safe environment.
Even if the clinic does not choose to seek accreditation from The Joint Commission,
this is a reasonable step to take.
The clinic’s life-safety-management plan should address protecting
patients, staff, visitors, and property from fire, smoke, and other
types of combustion. Among other things, the plan needs to address testing
and maintaining fire-protection systems, including fire extinguishers
and sprinkler systems; fire drills; and reviewing clinic furniture,
fixtures, and other acquisitions for fire safety.
The publication, JCI Accreditation Standards for Ambulatory
Health Care, provides useful information about life-safety-management
plans. The publication can be purchased from the Joint
Commission Resources Web Store.
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