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All aspects of the
Institute's cohesive interdisciplinary program for Managing the
Environment of Care are involved in an ongoing process of evaluation and
improvement wherein:
- performance goals and
standards are set for the coming year.
- by the Environment of Care
Committee
- usually at
beginning-of-the-year meetings
- data is collected and actual
performance is evaluated at least annually. (Much of this evaluation
is actually done on a continuous
basis.)
- improvements are made.
- goals may change in response
to varying conditions
- reports
are provided to appropriate authorities.
Emergency
Preparedness
- Training
will be conducted for all employees regardless of funding source
- at
new employee orientation -
- at
annual mandatory refresher courses -
- attendance
improved over previous year with introduction of multi-media
presentations.
- Drills
will be conducted twice each year -
- Participation
will be general
- Evacuation
will be quick, safe and effective
All done successfully in 2001: There were several
events which tested the Institute's response to actual
emergencies. The most traumatic of which being the terrorist incidents
of September 11.
Response plans proved effective. Staff performed admirably. Although
the attack on the WTC did not directly impact NYSPI, staff moved rapidly
to implement security measures to protect this government institution
from possible attack. Internal communications were tested, and all staff
were kept up-to-date as to developments. More importantly, staff reacted
quickly and effectively to deal with the need to provide emergency and
ongoing psychiatric support to victims and others affected by the
trauma.
Additionally,
scheduled drills were performed and evaluated as required.
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Medical
Equipment Management
- Criteria
will be established/maintained for inclusion of new items in program
- Staff
will be trained in proper operation before first independent use of
new equipment

- Testing
and surveillance of equipment operation will be ongoing
- Reporting
of malfunctions and repair needs will be prompt
- Repairs
will be prompt and effective
- A system
for reporting product recalls will be in place and utilized
- The Clinical
Director and others will report regularly to the Safety Committee
All
aspects of the program were performed properly. There were no adverse
clinical outcomes or staff injuries due to medical equipment malfunction or misuse.
Maintenance of equipment was
carried-out on a scheduled basis by a contracted service
provider.
Staff were appropriately
trained in the safe and effective use of all equipment.
All done successfully in 2001
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Hazardous
Materials & Waste
- Training
will be conducted for all employees regardless of funding source
- at
new employee orientation -
- at
annual mandatory refresher courses -
- Access
to Material Data Sheets will be improved
- Web-based
computer system started
- Proper
equipment, supplies and materials will be available and properly used
- Accidents
and incidents will be reported and responded to promptly and effectively
- Number
of accidents will be kept low
- Impact
will be minimal
- Staff
with appropriate expertise will monitor and report on the program
effectively
There
were no serious incidents or injuries related to hazardous materials.
The Laboratory Safety
Sub-Committee remained very pro-active during the year.
Staff education programs were
well-attended.
Improvements in the program
included increased participation with the CPMC Environmental
Health and Safety Office.
All done successfully in 2001
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Safety
Management
Security
Management
- Training
will be conducted for all employees regardless of funding source
- at
new employee orientation -
- at
annual mandatory refresher courses -
- Equipment,
supplies and materials will be available and properly used

- Locks
and intrusion alert systems will be maintained in proper working order
- Safety
& Security officers will enforce photo ID badge policy consistently
- Plans
for security of new PI building put into action
- The Chief
safety & Security Officer will report regularly to the EOC
Committee.
All done successfully in 2001
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Therapeutic
Environment
All Institute
staff strive to provide all patients with appropriate meals, recreational
opportunities, access to telephones, reasonable privacy, and appropriate
clothing and personal materials. Visiting hours are maintained appropriate
to each patient's needs and condition.
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Utility
Systems
- Training
will be conducted for all employees regardless of funding source
- at
new employee orientation -
- at
annual mandatory refresher courses -
- All utility
systems will be tested and maintained in proper order
- Work
performed by outside contractors will be observed and reviewed
by facility Engineering staff
-
Problems will be reviewed and corrected promptly.
- Emergencies
/ system failures will be reported and dealt with promptly and effectively
There
were no adverse outcomes or serious injuries due to utility failures.
Utility malfunctions (internal and external) were responded to
promptly and effectively.
All done successfully in 2001
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