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Emergency Management – Inventory

What are the requirements regarding an emergency inventory?

Any examples are for illustrative purposes only.

The hospital must have a written plan for how resources and assets are documented, tracked, and monitored and how they will locate (on-site and off-site inventories) during a disaster/emergency incident (EM.12.02.09, EP 1).  The plan includes processes or procedures for how the hospital will manage and maintain critically needed resources such as personal protective equipment, water, fuel, and medical, surgical supplies and medications. It is up to the organization to determine what additional resources and assets may be needed during an emergency.

The written plan should include how the hospital will obtain, allocate, mobilize, replenish and conserve its resources and assets (see EM.12.02.09, EP 2).  Memorandums of Understanding (MOUs) or other agreements may be formed with other entities to help the organization maintain its inventory during an emergency. However, MOUs are most useful during isolated emergencies, and are often not effective during large emergency events impacting a large region.  Therefore, it is very important to test and/or document this along with the other five critical areas during an exercise or actual event to look for areas of risk. Additionally, hospitals are required to have a plan to sustain operations for up to 96 hours based on calculations of current resource consumptions (see EM.12.02.09, EP 3).  

Manual: Hospital and Hospital Clinics
Chapter: Emergency Management EM
New or updated requirements last added: June 13, 2022. New or updated requirements may be based on revisions to current accreditation requirements, regulatory changes, and/or an updated interpretation in response to industry changes. Substantive changes to accreditation requirements are also published in the Perspective Newsletter that is available to all Joint Commission accredited organizations.
Last reviewed by Standards Interpretation: June 13, 2022 Represents the most recent date that the FAQ was reviewed (e.g. annual review).
This page was last updated on June 13, 2022 with update notes of: Reflects new or updated requirements Types of changes and an explanation of change type: Editorial changes only: Format changes only. No changes to content. | Review only, FAQ is current: Periodic review completed, no changes to content. | Reflects new or updated requirements: Changes represent new or revised requirements.

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