K307 NFPA 101:ELECTRICAL EQUIPMENT - POWER CORDS AND EXTENS

REGULATION: Electrical Equipment - Power Cords and Extension Cords Power strips in a patient care vicinity are only used for components of movable patient-care-related electrical equipment (PCREE) assembles that have been assembled by qualified personnel and meet the conditions of 10.2.3.6. Power strips in the patient care vicinity may not be used for non-PCREE (e.g., personal electronics), except in long-term care resident rooms that do not use PCREE. Power strips for PCREE meet UL 1363A or UL 60601-1. Power strips for non-PCREE in the patient care rooms (outside of vicinity) meet UL 1363. In non-patient care rooms, power strips meet other UL standards. All power strips are used with general precautions. Extension cords are not used as a substitute for fixed wiring of a structure. Extension cords used temporarily are removed immediately upon completion of the purpose for which it was installed and meets the conditions of 10.2.4. 10.2.3.6 (NFPA 99), 10.2.4 (NFPA 99), 400-8 (NFPA 70), 590.3(D) (NFPA 70), TIA 12-5

Scope: Pattern
Severity: Potential to cause more than minimal harm
Citation date: September 13, 2019
Corrected date: November 11, 2019

Citation Details

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview during a Life Safety Code survey completed on 9/13/19, it was determined power strips and extension cords were not properly maintained. Issues included in-use power strips were plugged together, and unapproved power strips and extension cords were being used to supply power to various medical and non-medical equipment. This affected three (A, B and D Wings) of four resident wings. The findings include: 1. Observations on D Wing on 9/6/19 at 10:47 AM revealed two power strips were plugged together and supplying power to a computer, a copy/fax machine, a microwave oven, a refrigerator, and a laptop computer in the D Wing nurse's office. During the observation the Maintenance Director stated he was not aware the power strips were plugged together. 2a. Observation on B Wing on 9/9/19 at 12:10 PM revealed an extension cord was being used to supply power to a cell phone charger in Resident room [ROOM NUMBER]. b. Observation on A Wing on 9/10/19 at 11:55 AM revealed an extension cord was being used to supply power to a cell phone charger in Resident room [ROOM NUMBER]. During the observation the Maintenance Director stated the maintenance department conducted room audits to check for extension cords and he was not aware the extension cord was being used in this room. 3a. Observation on D Wing on 9/10/19 at 12:37 PM revealed a power strip, that was not approved to be used with medical equipment, was supplying power to an oxygen concentrator and an electric bed in Resident room [ROOM NUMBER]. During the observation the Maintenance Director stated the power strip was not approved to be used with medical equipment and the staff knew they were to plug medical equipment into a hard-wired electrical outlets or to ask maintenance for a medical grade power strip. Continued observation on 9/10/19 at 12:40 PM revealed a power strip that was not approved to be used in a resident room was being used to supply power to a television and a television channel converter box in Resident room [ROOM NUMBER]. During the observation the Maintenance Director stated the maintenance department conducted room audits to check for power strips and he was not aware the unapproved power strips were being used in this room. b. Observation on B Wing on 9/10/19 at 12:52 PM revealed a power strip, that was not approved to be used with medical equipment, was supplying power to an air mattress pump and an oxygen concentrator in Resident room [ROOM NUMBER]. c. Observation on the B Wing on 9/10/19 at 12:56 PM revealed a power strip, that was not approved to be used in a resident room, was being used to supply power to a television and a television channel converter box in Resident room [ROOM NUMBER]. 10 NYCRR 415.29(a)(2), 711.2(a)(1) 2012 NFPA 99: 10.2.4, 10.2.4.2, 10.2.4.2.3, 10.2.3, 10.2.3.3.3, 10.2.3.6 2011 NFPA 70: 110.3(A)(1)(8), 400.8(1), 590.3(B)

Plan of Correction: ApprovedOctober 16, 2019

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Corrective Action For Residents Cited Herein:
1. Maintenance Director removed power strips improperly used.
2a.room [ROOM NUMBER] Extension cord was removed by Maintenance Director.
2b.room [ROOM NUMBER] Extension cord removed removed by Maintenance Director.
3a.room [ROOM NUMBER] Both power strips improperly used removed by Maintenance Director.
3b.room [ROOM NUMBER] Power strip improperly used removed by Maintenance Director.
3c.#room [ROOM NUMBER] Power strip improperly used removed by maintenance Director.
Identify Other Residents With Potential To Be Affected and Corrective Action AND Measures Put In Place And/Or Systemic Changes to Prevent Recurrence:
The Maintenance Director and his staff completed an audit of the entire building in (MONTH) 2019 to ensure no other power strips or extension cords existed and there were none.
The Maintenance Director will inservice all staff on the requirements of K920 on or before 11/11/2019. The maintenance staff will complete rounds of the facility including resident and ancillary rooms weekly. Corrective action will be taken immediately with any deficient practice, including remedial education of the individual involved. The Maintenance Director will inservice the Resident Council at its next scheduled monthly meeting as well on the requirements of K920.
Monitor To Prevent Recurrence/QAPI:
The Maintenance Director will report findings from the above data sources for 90-days. The QAPI Committee team will determine the need for additional process improvements each month once findings are shared.
Person Responsible: Maintenance Director