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to care whether the "book" has anything to do with the reality of a
given situation. "We were told we didn't have enough exit signs," says
one facility leader. "The whole center is less than 10,000 square feet
and has an excellent floor plan. But [the surveyor] wanted to be able
to see an exit sign from any point in the building, so we had to add 6
more. We now have 25 exit signs!"
6. X-rays in use. "Our surveyor requested that we post a warn-
ing sign in our waiting room saying X-rays are in use," says Carol
Cappella, RN, MSN, CNOR, clinical director of the Delray Beach (Fla.)
Surgery Center. "The only X-ray the center performed was C-arms for
spine procedures and mini C-arms for podiatry and orthopedic hand pro-
cedures. And the waiting room is nowhere near the operating room."
7. When is a
procedure
room not a
procedure
room? When it's
never used for proce-
dures. But "we have a
procedure room that
wasn't being used
except as an office
space for our pre-sur-
gical phone calls,"
says a facility chief.
"We got hit because a
nurse was having cof-
fee in an unused pro-
A C C R E D I T A T I O N
