JCAHO EC 2.10

Guide to JCAHO Environment of Care Standard 2.10

© 2005 Joint Commission on Accreditation of Healthcare Organizations. Any use of any or all of the Joint Commission standards and elements of performance beyond this particular tool is strictly forbidden without the written permission of the Joint Commission.

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Introduction Table of Contents Checklist for 2.10.1 and 2.10.6

Environment of Care Standard 2.10: The organization identifies and manages its security risks.

Element of Performance 1: Security Plan

The hospital develops and maintains a written management plan describing the processes it implements to effectively manage the security of individuals served, staff and other people coming to the organization's facilities.

This page provides a set of criteria for evaluating the facility's written security plan.

(See also Element of Performance 6 below.)

	= Compliance
	= Environmental Improvement
	*= Tools and Resources*

	The Security Plan describes processes for considering the risks associated with: the presence and use of hazardous materials chemotherapeutic agents and pharmaceuticals infectious materials and waste radioactive materials petroleum products pesticides solid waste hazardous waste
	These include the risks of : hazardous materials and waste spills chemicals being used or released in an inappropriate manner cultures and stocks being used or released inappropriately radioactive material: spills being used or released inappropriately pesticides: spills being used or released inappropriately petroleum: spills theft being used or released inappropriately confidential material being released
	The plan describes processes and procedures for emergency preparedness to address potential hazardous material situations.
	The Plan describes processes for:
	-- reducing use of hazardous materials, radioactive materials, petroleum products, pesticides and infectious materials to reduce security, spill and release risks to facility.
	-- conserving energy and resources to preserve domestic resources for future Americans (sustainability) & reduce reliance on foreign supplies.
	-- reducing waste generation to minimize inappropriate use of confidential material.
	-- reducing waste generation to minimize potential for unauthorized access to the facility through loading docks and dumpsters.
	OSHA: first responder training requirements Practice Greenhealth: Waste Reduction Guide Mercury Elimination Chemical Minimization Integrated Pest Management

Environment of Care Standard 2.10: The organization identifies and manages it security risks.

Element of Performance 6: Control Access to Secure Areas

The hospital controls access to and egress from security-sensitive areas.

	The Security Plan identifies individuals and provides training for personnel with access to: hazardous materials chemotherapeutic agents and pharmaceuticals infectious materials and waste radioactive materials petroleum products pesticides solid waste hazardous waste Security 40 CFR 265.14 tanks
	The Security Plan considers which of the following storage areas must be kept locked at all times: hazardous materials chemotherapeutic agents and pharmaceuticals infectious materials and waste radioactive materials petroleum products pesticides solid waste hazardous waste Security 40 CFR 265.14
	Hazardous material and waste storage areas are secure. Security 40 CFR 265.14
	Tanks are monitored and secure.
	Quantities of hazardous materials and waste that reach threshold values are reported to the Local Emergency Planning Committee.
	Quantities of hazardous materials and waste kept on site are limited to improve security and minimize spill risk.

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