Standards FAQ Details | Joint Commission
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Wednesday 10:50 CST, July 12, 2017

Standards FAQ Details

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Environment of Care (EC) (Critical Access Hospitals / Critical Access Hospitals)


Medical Equipment - Storage of Needles and Syringes
Publish | January 01, 0001
What are the Joint Commission requirements regarding storage of needles and syringes?

While there are no standards that specifically address needle and syringe storage, such items should be kept secure to protect from tampering or theft. A secure area may be described as “an area where the staff is providing patient care, or staff is present and effectively ensures that access to the area or storage device is restricted to authorized individuals, and patients and visitors are not allowed access without the supervision or presence of a health care professional.” 

Organizations are expected to implement a process to identify safety and security risks associated with the environment of care that could affect patients, staff, and other individuals. Conducting a risk assessment is a helpful way of identifying risks associated with various options being considered to ensure safe storage of syringes and needles. 

A proactive risk assessment examines a process in detail including sequencing of events, actual and potential risks, and failure or points of vulnerability and that prioritizes, through a logical process, areas for improvement based on the actual or potential impact (that is, criticality) of care, treatment, or services provided. The services provided, patient population served and applicable law and regulation should be included in the assessment process. Based on risks identified, organizations may determine that use of a locking device or storage unit may be needed to prevent unauthorized access to these supplies.

The introductory section of the Leadership (LD) chapter provides an example of a pro-active risk assessment model that an organization may use.  However, this specific approach is not mandated as there are other risk assessment tools available that may better meet the needs of the organization.   Other examples may include a root cause analysis, failure mode and effect analysis, plan/do/check/act process, etc., or combinations and variations
 

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