Open-door policies can support transparency and build trust with employees when applied to management. However, open doors held in place by wedges (or other devices) are not an effective management policy, especially in supporting good fire prevention practices. Section 5.2.13.3 of NFPA 80-2010 specifically states that a fire-rated door cannot be wedged or blocked in the open position. Additionally, section 19.3.6.3.10 of the 2012 Life Safety Code states that a corridor door cannot be wedged or blocked in the open position. With a fire, these doors play a vital role in containing the spread of fire, smoke, and heat. If left in the open position, they cannot be closed, and pose a significant threat to the facility and to the lives of staff and patients. Unfortunately, our consultants continue to find organizations with doors wedged open, putting them at significant risk of major survey findings. Leadership must ensure that these regulations are communicated effectively to staff and that any gaps identified are addressed. We also recommend that discussions with staff regarding the use of wedges be conducted to determine their reason for propping doors open. We have found instances in which concerns about observation of care and the ability to communicate with staff and patients were the reasons for propping a door open. Often, environmental temperatures were a concern. As leaders, it is important to investigate the reason for the infraction to determine whether additional mitigating actions are warranted and whether there are broader concerns that should be addressed.
Please contact us for questions or more information at 704-573-4535 or info@courtemanche-assocs.com.
Courtemanche & Associates specializes in Healthcare Accreditation and Regulatory Compliance Consulting Services. With over 30 years of being in business and 100+ years of healthcare experience amongst our consulting team, we are ready to assist with your accreditation and regulatory compliance needs.
