Category
Environment of Care Products
Category
Behavioral Health

Behavioral Health Environment of Care Manual

MCN’s Behavioral Health Environment of Care Manual includes over 425 policies, procedures and forms in an easy-to-customize Word format that meets Joint Commission standards. The Behavioral Health EOC Manual provides policies your organization needs to run your environment of care program effectively. This manual includes annual evaluations, hazard surveillance rounds, workplace violence policies, emergency management, fire safety, equipment and utilities management and much more!

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Table of Contents - TJC standardsCopyrightDisclaimerApproval/Signature SheetIntroduction
SECTION 01 - SAFETY MANAGEMENT
Safety Management Program
1001 - Safety Management Plan1002 - Authority1003 - Letter of Safety Officer Appointment1004 - Position Description/Performance Evaluation - Safety Officer1005 - Performance Evaluation - Population-Specific/Age-Related Competency - Safety Officer1006 - Annual Competency Skills Assessment - Safety Officer1007 - Safety/Environment of Care Committee Organizational Chart - Example1008 - Responsibilities of the Safety/Environment of Care Committee1009 - Policy Statement - Safety Management1010 - Safety/Environment of Care Committee Meetings1011 - Safety/Environment of Care Committee Agenda - Example1012 - Safety/Environment of Care Committee Minutes - Example1013 - Safety/Environment of Care Committee Minutes - Blank1014 - Safety/Environment of Care Committee Reporting1015 - Action Summaries Report1016 - Report to Safety/Environment of Care Committee Form1017 - Employee Health Report to Safety/Environment of Care Committee Form1018 - Bimonthly Summary of Patient Incidence Form1019 - Safety/Environment of Care Committee Report Form1020 - Quarterly Safety/Environment of Care Committee Report Form1021 - Safety/Environment of Care Committee Recommendations Form1022 - Safety/Environment of Care Committee Departmental Action Report Form1023 - Department Safety/Environment of Care Meeting Form1024 - Department Safety/Environment of Care Communication Form1025 - Employee Safety Information1026 - Incident Report Protocol1027 - Staff Safety Incident Reports - Illness or Injury1028 - Staff Safety Incident Report Form1029 - Supervisor's Report of Accident Form1030 - Incident Follow-Up Form1031 - Accident Investigation and Analysis1032 - Risk Assessment Program - Behavioral Health1033 - Medical Device Recall Notification1034 - Manufacturer Recalls and Hazardous Device Notices1035 - Safety/Environment of Care Committee PI Monitoring and Evaluation Plan1036 - Safety/Environment of Care Committee PI Trending Sheet1037 - Safety/Environment of Care Committee PI Outcome Evaluation1038 - Safety/Environment of Care Committee PI Volume Measures/ Statistics1039 - Monitoring Activities Summary Format1040 - Annual Evaluation of the Effectiveness of the Safety Management Program1041 - Safety Orientation1042 - Safety Orientation Special Training1043 - Safety Continuing Education1044 - Employee Safety Education Report Form1045 - Body Mechanics Training1046 - Body Mechanics - Staff Education Handout1047 - Library Policy
SECTION 02 - SECURITY MANAGEMENT
2001 - Security Management Plan2002 - Security Authority2003 - Security Risk Assessment and Vulnerability Analysis2004 - Security Risk Assessment and Vulnerability Analysis Form2005 - Security Risk Assessment and Vulnerability Analysis - Corrective Actions Form2006 - Facility Protection Form2007 - Crime Risk Prevention Patrol2008 - Closed-Circuit Television (CCTV) Monitoring2009 - Security Code2010 - Personal Alarm System (PAS)2011 - Key Control2012 - Security Door Lockout2013 - Security Incident Report Form2014 - Theft Incident Report Form2015 - Incident Log2016 - Quarterly Report of Security Incidents Form2017 - Annual Evaluation of the Effectiveness of the Security Management Plan/Program2018 - Patient Elopement2019 - Patient Leaving Facility Against Medical Advice2020 - Patient Initiated Discharge/AMA Intervention Protocol Form2021 - Leaving Facility Against Medical Advice Form2022 - Domestic Violence Victims2023 - Assaultive/Combative Patients - Management of2024 - Security Measures Involving VIP(s)2025 - Release of Patient Information to News Media2026 - Forensic (Prisoners) Patients2027 - Forensic Staff Orientation2028 - Fact Sheet for Law Enforcement Officials2029 - Weapons2030 - Contraband and Restricted Articles2031 - Valuables2032 - Patient Property Inventory Form2033 - Missing Property Form2034 - Lost and Found Items2035 - Lost and Found Form2036 - Room Searches2037 - Personal Searches2038 - Metal Detector Use in Searches2039 - Firearms Prohibition2040 - Notice to Patients Regarding Firearms Prohibition2041 - Workplace Violence Prevention Plan2042 - Workplace Violence Training Outline2043 - Employee Workplace Violence Assessment Checklist2044 - Violence Communication Policy2045 - Recognizing Inappropriate Behavior2046 - Conduct to Minimize Violence2047 - Violence Intervention and De-Escalation2048 - Behavioral Grid - Patient Responses During Escalation Stage2049 - Violence Incident Report Policy2050 - Violence Incident Report Form2051 - Departmental Security Risk Assessment Form2052 - Cashier Violence Prevention Checklist2053 - Pharmacy Security2054 - Visitor Rules and Regulations2055 - Visitor Application Form2056 - Removing Hospital Property from Premises2057 - Duty to Warn and Protect Third Parties in Response to a Threat (Tarasoff Decision)
SECTION 03 - HAZARDOUS MATERIALS AND WASTE MANAGEMENT
3001 - Hazardous Materials and Waste Management Plan3002 - Hazardous Materials and Waste Management Responsibilities3003 - Hazardous Materials and Waste - Departmental Management3004 - Hazardous Materials and Waste - Ordering and Receiving3005 - Hazardous Materials and Waste - Receiving MSDS3006 - Hazardous Materials and Waste - Notebook3007 - How to Read Safety Data Sheets (SDS)3008 - Hazardous Materials and Waste - Storage3009 - Hazardous Materials and Waste - Waste Disposal3010 - Hazardous Materials and Waste - Spills3011 - Facility Floor Plan3012 - OSHA Hazard Communication Checklist3013 - Hazardous Chemical Communication Program3014 - OSHA Hazard Communication Compliance Checklist3015 - Outside Contractors - Hazardous Chemical Communication Program3016 - Hazardous Materials and Waste - Training3017 - Hazard Communication Employee Information and Training Schedule/Log3018 - New Employee Chemical Inservice Sample Memo3019 - Chemical Training Record Form3020 - Hazard Communication Employee Training Record3021 - Hazardous Materials and Waste - Employee Injury3022 - Hazardous Materials and Waste - Engineering Department3023 - Hazardous Materials and Waste - Materials Management3024 - Hazardous Materials and Waste - Nursing Services3025 - Hazardous Materials and Waste - Pharmacy Department3026 - Hazardous Material and Waste - Departmental Reporting Form3027 - Compressed Gas and Oxygen Use3028 - Disposal of Sharps3029 - Asbestos Handling3030 - Annual Evaluation of the Effectiveness of the Hazardous Materials and Waste Management Plan/Program
SECTION 04 - FIRE/LIFE SAFETY MANAGEMENT
4001 - Life Safety Management Plan4002 - Life Safety Summaries4003 - Fire Safety Chain of Command - Key Personnel4004 - Fire Safety - Responsibilities of Department Managers and Supervisors4005 - Fire Safety - Staff Responsibilities for General Fire Prevention4006 - Fire Safety - Hazards4007 - Materials or Equipment Purchases4008 - Fire Safety - Smoking Policy4009 - Types of Fire Extinguishers4010 - Fire Extinguisher Check4011 - Fire Extinguisher Log4012 - Fire Extinguishers - Securing4013 - Fire Alarm Pull Stations - Securing4014 - Fire Safety - Building Exits4015 - Prevention of Fire in an Oxygen Enriched Atmosphere4016 - Fire Safety - General Instructions4017 - Fire Safety - Business Office4018 - Fire Safety - Engineering Department4019 - Fire Safety - Environmental Services4020 - Fire Safety - Materials Management4021 - Fire Safety - Medical Records Department4022 - Fire Safety - Nursing Services4023 - Fire Safety - Nutritional Services4024 - Fire Safety - PBX4025 - Fire Safety - Pharmacy Department4026 - Fire Safety - Volunteers, Students, Non-Staff Personnel4027 - Fire Drill Policy4028 - Fire Drill Evaluation Form4029 - Fire Protection Systems - Inspecting, Testing and Maintaining Guidelines4030 - Fire Alarm System Testing and Inspection4031 - Fire Alarm System Check Form4032 - Smoke Detector - Inspection Procedures4033 - Smoke Detector Test Form4034 - Location of Fire Safety Smoke Detectors4035 - Fire Alarm Pull Station Test4036 - Pull Station Test Form4037 - Fire Alarm System - Monitoring and Testing4038 - Fire Alarm Monitor Test Form4039 - Fire Door Inspection4040 - Fire Door Inspection Form4041 - Fire Extinguishing System Check Form4042 - Sprinkler Drop Test4043 - Sprinkler Drop Test Form4044 - Fire Control Valves4045 - Fire Sprinkler System Repair4046 - Fire and Smoke Dampers Inspection4047 - Life Safety Code Compliance4048 - Interim Life Safety Measures (ILSMs)4049 - Life Safety - New Construction4050 - Life Safety - Construction Suitability4051 - Building and Fire Protection Features4052 - Maintaining the Means of Egress4053 - Required Fire Protection of Hazardous Areas Form4054 - Transmission of Fire Alarms4055 - Automatic Sprinkler Systems - General Inspection Form4056 - Sprinkler Heads4057 - Limited Area Sprinkler Systems4058 - Location of Fire Extinguishers4059 - Kitchen Hood Automatic Fire Extinguishing System4060 - Special Building Features4061 - Holiday Decorations4062 - Linen and Waste Chutes - General Inspection Form4063 - Linen and Trash Receptacles4064 - Portable Space Heaters4065 - Maintaining Means of Escape4066 - Maintenance of Vertical Openings, Fire Alarm Systems and Separation of Sleeping Rooms4067 - Fuel-Fired Heaters4068 - Maintaining the Integrity of the Means of Egress4069 - Annual Evaluation of the Effectiveness of the Life Safety/Fire Safety Program
SECTION 05 - UTILITY SYSTEMS MANAGEMENT
5001 - Utility Systems Management Plan5002 - Plant Operations and Maintenance5003 - Building Maintenance Program (BMP)5004 - Utility Systems Management - Program Inventory5005 - Inventory of Utility Systems5006 - Utility Systems Management Inventory List5007 - Additions to Utility Systems Management Inventory List5008 - Deletions from Utility Systems Management Inventory List5009 - Emergency Numbers List5010 - Safety Testing and Maintenance of Utility Systems5011 - Engineering Rounds Log Form5012 - Preventive Maintenance - Sample5013 - Maintenance - Boiler and Steam System5014 - Maintenance - Electrical Distribution System and Generator5015 - Electrical Distribution Annual Check5016 - Condition of Electrical Receptacles5017 - Filter System Log Policy5018 - Filter Log Form5019 - Maintenance - HVAC System5020 - Indoor Air Quality Program5021 - Air-Handling and Ventilation Systems5022 - Torn Media Inspection5023 - Torn Media Inspection Form5024 - Maintenance - Medical Gas System5025 - Maintenance - Medical/Surgical Air and Vacuum System5026 - Piped Medical Gas System Testing5027 - Maintenance - Vertical and Horizontal Transport System5028 - Maintenance - Water Distribution and Plumbing System5029 - Maintenance and Monitoring of Water Systems5030 - Cooling-Tower Inspection Form5031 - Water Conditioning5032 - Water Treatment Test Log5033 - Utility Systems Shutdown5034 - Utility Systems Record Drawings5035 - Electrical Distribution System Shutdown5036 - Electrical System Shutdown Switches Log5037 - HVAC System Shutdown5038 - Emergency Shut-Off of HVAC System Log5039 - Utility Systems Management - Emergency Shut-Off Labels5040 - Sample Shut-Off Labels5041 - Valve Shut-Off Locations - Oxygen Supply5042 - Guidelines and Procedure for Failure of Essential Equipment5043 - Utility Systems Failure Chart5044 - Air Conditioning System - Failure5045 - Communication System(s) - Failure5046 - Elevators - Failure5047 - Elevator Failure - Passenger Evacuation5048 - Emergency Generator - Failure5049 - Fire Alarm System - Failure5050 - High Pressure Boilers - Failure5051 - HVAC System - Failure5052 - Medical Air System/Vacuum - Failure5053 - Medical Gas Oxygen System - Failure5054 - Natural Gas Supply - Failure5055 - Nurse Call System - Failure5056 - Piped Vacuum System and Compressed Air - Failure5057 - Plumbing System and Flood Procedure - Failure5058 - Pneumatic Tube System - Failure5059 - Steam Delivery Boilers - Failure5060 - Telephone System - Failure5061 - Vertical Lifts - Failure (Including Dumbwaiters, Cart Lifts)5062 - Water Distribution System - Failure5063 - Management of Utility System Failure - Electrical Power5064 - Utility System Failures Log5065 - Utility Systems Management - Problems, Failures, User Errors5066 - Utility System Failure/User Error Report Form5067 - Utility System Failure/User Error Log5068 - Utility Systems Management - Identified Problems5069 - Utility Systems Management - Problem Resolution Log5070 - Quarterly Report To Safety/Environment Of Care Committee - Utility Systems Incidence5071 - Utility Systems Management - Emergency Power5072 - Exhibit A - Power Systems Service Agreement5073 - Utility Systems Management - Emergency Power Maintenance5074 - Emergency Power Supply System and Stored Emergency Power Supply Systems5075 - Testing of Emergency Generators5076 - KVA Rating Specifications5077 - Generator Test Log5078 - Battery-Powered Lights for Egress5079 - Emergency Lighting and Power - Annual Inspections5080 - Evaluation Form - Emergency Lighting and Power Systems5081 - Utility Systems Management - User/Maintainer Training5082 - Engineering Department Training Log5083 - Utility Systems User/Maintainer Training Log5084 - Utility Systems Management - Continuing Education5085 - User Training For Utility Systems Log5086 - Sample Training Outline - General Facility Knowledge5087 - Sample Training Outline - Communication Systems5088 - Sample Training Outline - Hospital Electrical Distribution System5089 - Sample Training Outline - Emergency Generator5090 - Sample Training Outline - HVAC System User5091 - Sample Training Outline - Handling, Storage and Transport of Compressed Gas Cylinders5092 - Sample Training Outline - Medical Gas5093 - Sample Training Outline - Medical Gas Alarms Test5094 - Sample Training Outline - Use of Medical Gas Delivery System5095 - Sample Training Outline - Breached Medical Gas Lines5096 - Sample Training Outline - Use of Pumps and Motors5097 - Sample Training Outline - Steam Boiler5098 - Sample Training Outline - Underground Storage Tanks5099 - Sample Training Outline - Use of Water Delivery System5100 - Contract Service5101 - Contracted Staff Compliance Checklist5102 - Supervising and Monitoring Contract Services Checklist5103 - Outside Contractors Working in the Facility5104 - Annual Evaluation of the Effectiveness of the Utility Systems Management Plan/Program
SECTION 07 - EMERGENCY MANAGEMENT
7001 - Emergency Management Plan (EMP)7002 - Hospital Command Center (HCC)7003 - Emergency Management Locations Form7004 - Hospital Floor Plans7005 - Hazard Vulnerability Analysis (HVA)7006 - Emergency Management - Hazard Vulnerability Analysis Worksheet7007 - Emergency Management - Delegation of Responsibilities7008 - General Staff Training7009 - Emergency Management - Training Record Form7010 - Community Emergency Telephone Numbers Form7011 - Communications Processes7012 - Communication - Internal7013 - Staff Call-Back Tree7014 - Emergency Management Call-Back Tree Sample7015 - Communications - Patients and Families7016 - Inventory of Resources and Assets7017 - Utilities - Emergency Management7018 - Essential Equipment and Supplies - Availability Data Form7019 - Emergency Water Supply7020 - Security7021 - Department Level Command7022 - Labor Pool7023 - Staff Support Programs7024 - Admitting/Operator - Emergency Management7025 - Engineering Department - Emergency Management7026 - Environmental Services - Emergency Management 7027 - Human Resources Department - Emergency Management7028 - Medical Records - Emergency Management7029 - Nursing Services - Emergency Management7030 - Nutritional Services - Emergency Management 7031 - Recreational Therapy/Therapeutic Therapy - Emergency Management7032 - Social Service/Discharge Planning - Emergency Management7033 - Evacuation7034 - Patient Transfers - Medical Records7035 - Red Cross Disaster Information and Resource Center7036 - Emergency Management Plan - Exercises and Improvement Plans7037 - Emergency Management Plan Activation - Evaluation Form7038 - Disruption of Services Procedure7039 - Disruption of Hospital Services Notification7040 - Disruption of Services - Electrical7041 - Disruption of Services - Medical Gas7042 - Disruption of Services - Natural Gas7043 - Disruption of Services - Sewage7044 - Disruption of Services - Water7045 - Emergency Operations Plan Instructions7046 - Bomb Threat7047 - Bomb Threat Room Search7048 - Bomb Threat Report Form7049 - Earthquake Response Procedure7050 - Hostage Situations7051 - Hurricanes7052 - Riot or Civil Disturbance Response Plan7053 - Severe Winter Storms7054 - Thunderstorms/Tornados7055 - Annual Evaluation of the Effectiveness of the Emergency Management Plan