Running head: COMPLIANCE PLANS 1 COMPLIANCE PLANS 8 Procedures for Compliance Plans on Hygiene and Use of Fire Extinguisher At Nazarene Healthcare Facility Author Note This paper is being submitted on January 05, 2017 Procedures for Compliance Plans on Hygiene and Use of Fire Extinguisher At Nazareth Healthcare Facility Introduction Nazareth Healthcare Centre prides itself on the values that have acted as cornerstones for it long-time success story. It is these values that have helped in shaping a setting and cultural backgrounds that work in nurturing the highest standards, ethics, and personal integrity in the institution. Therefore, the organization works at reaching an exemplary level in corporate citizenship, that which is a benchmark within the healthcare. As a result, it is imperative for the organization to adhere to the following noted guidelines. Therefore, to ensure that Nazareth Hospital continues with providing the best care to its consumers, then there is a necessity for Hospital’s clinical members of staff to wash their hands as they attain to their patients and also possesses good technical abilities of using the fire extinguisher. Compliance Plan on Hands Hygiene To commence with, practising proper hand hygiene is a vital step at any workplace, regardless of the industry. However, the major area where hygiene is mostly needed is the healthcare industry. This compliance plan is mainly purposed to show the significance of hygiene in medical personnel. Washing of hands before attending to the patients prevent the spread of bacteria from one patient to the other. This can be prevented by the health personnel's washing their hands anytime they are visiting the patients. This practice is not only imperative to the patients, but to the personnel's health too. All employees are encouraged to subject the compliance function to an independent evaluation. The terms is incorporated according to the health infection control practice advisory committee (HICPAC) guidelines on the patients and the facility hygiene At all times, all of the employees should uphold highly the principles that guide the hygienic standards of the health facility. With this said, a compliance plan would assist our office with following the recommendations of the Healthcare Infection Control Practices Advisory Committee, along with the HICPA/SHEA/APIC/IDSA Hand Hygiene Task Force and the CDC to ensure all employees are properly trained in hand hygiene and the importance (Boyce, J.M., Pittet, D., 2002). The organizational employees are also called upon to showcase faithfulness and with great discipline ensure that they respect the various rules and regulations regarding the organization hygiene and that of the various health facilities across the hospital. Both internal and external auditors do the auditing in Nazareth hospital. Further, it is expected that their work will be done with the greatest of transparency possible and to ensure that the fina ...

1. Running head: COMPLIANCE PLANS
1
COMPLIANCE PLANS
8
Procedures for Compliance Plans on Hygiene and Use of Fire
Extinguisher
At Nazarene Healthcare Facility
Author Note
This paper is being submitted on January 05, 2017
Procedures for Compliance Plans on Hygiene and Use of Fire
Extinguisher
At Nazareth Healthcare Facility
Introduction
Nazareth Healthcare Centre prides itself on the values that have
acted as cornerstones for it long-time success story. It is these
values that have helped in shaping a setting and cultural
backgrounds that work in nurturing the highest standards,
ethics, and personal integrity in the institution. Therefore, the
organization works at reaching an exemplary level in corporate
citizenship, that which is a benchmark within the healthcare. As
a result, it is imperative for the organization to adhere to the
following noted guidelines. Therefore, to ensure that Nazareth
Hospital continues with providing the best care to its
consumers, then there is a necessity for Hospital’s clinical

2. members of staff to wash their hands as they attain to their
patients and also possesses good technical abilities of using the
fire extinguisher.
Compliance Plan on Hands Hygiene
To commence with, practising proper hand hygiene is a vital
step at any workplace, regardless of the industry. However, the
major area where hygiene is mostly needed is the healthcare
industry. This compliance plan is mainly purposed to show the
significance of hygiene in medical personnel. Washing of hands
before attending to the patients prevent the spread of bacteria
from one patient to the other. This can be prevented by the
health personnel's washing their hands anytime they are visiting
the patients. This practice is not only imperative to the patients,
but to the personnel's health too.
All employees are encouraged to subject the compliance
function to an independent evaluation. The terms is
incorporated according to the health infection control practice
advisory committee (HICPAC) guidelines on the patients and
the facility hygiene At all times, all of the employees should
uphold highly the principles that guide the hygienic standards of
the health facility. With this said, a compliance plan would
assist our office with following the recommendations of the
Healthcare Infection Control Practices Advisory Committee,
along with the HICPA/SHEA/APIC/IDSA Hand Hygiene Task
Force and the CDC to ensure all employees are properly trained
in hand hygiene and the importance (Boyce, J.M., Pittet, D.,
2002).
The organizational employees are also called upon to showcase
faithfulness and with great discipline ensure that they respect
the various rules and regulations regarding the organization
hygiene and that of the various health facilities across the
hospital. Both internal and external auditors do the auditing in
Nazareth hospital. Further, it is expected that their work will be
done with the greatest of transparency possible and to ensure

3. that the financial department works in great integrity. Further,
there should be correspondence between the works done by the
two auditors.
Monitoring of the compliance has been assigned to various
organizational members. Those who have been newly recruited
into the organization will be taken through education about
compliance in laws and regulation. To ensure that this comes to
pass, the orientation phase of the new employees will entail
incorporating training on the same. The hospital highly values
intellectuality and access to important information. This is one
of the major reasons as to why it advocates for training of its
new employees on the necessity of compliance with the
necessity of adhering to the hygiene of the both the hospital and
its patients.
The completion of the orientation will be marked with hands on
training in the proper techniques of hand washing, along with
visuals aids. The organization also anticipates to hold frequent
campaigns involving posters and numerous other items posted
across the hospital to help with creating awareness among the
employees and patients alike on the advantages that are
associated with washing of hands. In terms of discipline, any
employee irrespective of the position held is a subject to
Nazareth discipline including termination. All employees have
the sole mandate to report perceived misconduct in hygiene
(Wayani, 2014).
Compliance Plan on Use of Fire Extinguishers
On the same note, the compliance department wishes to
sensitize the Nazareth hospital employees on the use of a fire
extinguisher. This compliance program aims at enhancing sound
practices to ensure the protection of our facility. It is imperative
for employees to have knowledge in use of an extinguisher. This
is because the risk of fire outbreak can be anywhere in the
facility.

4. The last few years have seen some of the worst fire accidents in
the history of the business world hence the necessity of having
the organizational employees possessing technical know-how of
dealing with this menace. Fire can strike at any time and can be
caused with the slightest of incidences like power surge in the
electrical systems in the hospital. Therefore, there is an urgency
of having all of the employees conversant with the way of
handling the most readily available tools in the fire
extinguisher.
Hence, this compliance program overview is vital for the
management to ensure the enactment of the program. This is
because, the program will not only help with ensuring the safety
of the organizational employees, and the premises, but it will
save the hospital of millions of dollars in terms of potential
damages in case of a fire breakout. All employees should
subject the compliance function to an independent evaluation.
It therefore be understood that, regardless of whether the
employee has just been newly brought into the organization or
has been with it for years, there is a needed urgency for all to
adhere to the requirements of the compliance plan. The terms in
this paper should be incorporated with respect to the following.
The OSHA statue, 29CFR1910.57 requires the employees within
an organization, to be exclusively trained on the use of fire
extinguishers (Quinn, Bureau of National Affairs (Arlington,
Va.), & Bloomberg BNA, 2014).
The employees to the hospital should be sober and known that
none of the compliance policies were made just for the sake but
in accordance with the state, local, and federal governmental
laws. The hospital has one of the greatest workable financial
institutions and departments. The internal auditors and the
external auditors do auditing in Nazareth hospital. This is to
ensure accountability of the functions in the facility. The work
of the auditors is expected to be carried out with the greatest
transparency possible and to ensure that integrity is upheld with

5. all of the holders of various office posts across the financial
departments of the hospitals.
Selected personnel who will ensure the compliance of the
extinguishers training will do the monitoring of the compliance.
At the same time, the new employees will receive the
extinguishers training in an orientation in their first days
through hands on training, along with power points detailing the
proper techniques. The new employees will be taught on the
locations of the fire extinguishers and how they can easily
access them in the case of an emergency. In conclusion, all of
the employees at Nazareth hospital are urged on the necessity of
adhering to the compliance plans and policies and should put to
use all of the techniques they are taught during orientation.
In conclusion, another area that is important to have compliance
with is proper training of the employees of the use of fire
extinguishers. This too can occur within any working field and
the employees should be made aware of the proper use of the
equipment and which equipment is used for each type of fire to
ensure a safe work environment.
According to the statute OSHA 29 CFR 1910.157 (g) requires
all employees to be trained in the use of fire extinguishers
annually. For some of our employees to have a lack of
knowledge within this area, we need to develop a compliance
plan to ensure we are maintaining proper OSHA requirements,
and to ensure the safety of all involved (O’Donnell, R., 2013).
References
Boyce, J.M., Pittet, D. (2002). Guidelines for Hand Hygiene in
Healthcare Settings.
Retrieved from,
https://www.cdc.gov/mmwr/PreviewMmwrhtml/rr5116a1.htm
O’Donnell, R. (2013). Fire Extinguisher Training: Best

6. Practices.
Retrieved from. https://ohsonline.com/articles/2013/10/01/fire-
extinguisher-training-best-practices.aspx
Quinn, J. M., Bureau of National Affairs (Arlington, Va.), &
Bloomberg BNA. (2014). Corporate compliance: Building a
world-class borderless ethics compliance program. Arlington,
VA: Bureau of National Affairs. Retrieved from,
http://www.worldcat.org/title/corporate-compliance-building-a-
world-class-borderless-ethics-compliance-
program/oclc/887206956
Wayani, R. (2014). Microsoft System Center 2012 R2: IT GRC
Compliance Program Key Concepts. Retrieved from,
https://www.knowledgenet.com/online-
training/courses/microsoft-system-center-2012-r2-%C2%96-
monitor-and-operate-compliance/
Running head: COMPLIANCE PLANS
1
COMPLIANCE PLANS
6
Policies for Compliance Plans
Author Note
This paper is being submitted on January 17, 2017, for
Policies for Compliance Plans Introduction
Nazareth medical facility has a lot of pride for the values that
have driven our success. These values have shaped a setting and

7. culture that nurtures the highest standards, ethics, and personal
integrity in the institution. Also, they are depicted in the in
services that are provided at Nazareth hospital. Thereby
reaching an exemplary level in corporate citizenship that is a
benchmark within the healthcare. As a result, it is imperative
for the organization to adhere to the following noted guidelines.
One, the clinical officers, as well as some of the staff members
are not washing their hands when visiting patients and most
employees have no knowledge of how to use fire extinguishers.
To commence with, the hand hygiene is a significant aspect in
every healthcare setting. The main purpose of this compliance
plan is to show the significance of hygiene in medical
personnel. Washing hands before attending patients prevent the
spread of bacteria between patients. This can be prevented by
the health personnel's washing their hands anytime they are
visiting the patients. This practice is not only imperative to the
patients, but to the personnel's health too.
There is necessity for all employees to subject the compliance
function to an independent evaluation. The terms in this paper
should be incorporated with respect to the following. The health
infection control practice advisory committee (HICPAC)
guidelines on the patients and the facility hygiene At all times,
all of the employees should uphold highly the principles that
guide the hygienic standards of the health facility.
The priority of the organizational employees should be to
faithful and with great discipline ensure that they respect the
various rules and regulations regarding the organization hygiene
and that of the various health facilities across the hospital. Both
internal and external auditors do the auditing in Nazareth
hospital. Further, it is expected that their work will be done
with the greatest of transparency possible and to ensure that the
financial department works in great integrity. Further, there
should be correspondence between the works done by the two
auditors.
Those responsible for given processes do monitoring of the

8. compliance. New employees will receive education about
compliance in laws and regulation, which is done through new
employees’ first days of orientation. The hospital highly values
intellectuality and access to important information. This is one
of the major reasons as to why it advocates for training of its
new employees on the necessity of compliance with the
necessity of adhering to the hygiene of the both the hospital and
its patients.
This will also be completed by hands on training in the proper
techniques of hand washing, along with visuals aids. There will
also be frequents campaigns involving posters and numerous
other items posted across the hospital to help with educating the
employees and patients alike on the advantages associated with
washing of hands. In terms of discipline, any employee
irrespective of the position held is a subject to Nazareth
discipline including termination. All employees have the sole
mandate to report perceived misconduct in hygiene (Wayani,
2014).
At the same time, the compliance department wishes to sensitize
the Nazareth hospital employees on the use of a fire
extinguisher. This compliance program aims at enhancing sound
practices to ensure the protection of our facility. It is imperative
for employees to have knowledge in use of an extinguisher. This
is because the risk of fire outbreak can be anywhere in the
facility.
The last few years have seen some of the worst fire accidents in
the history of the business world hence the necessity of having
the organizational employees possessing technical know-how of
dealing with this menace. Fire can strike at any time and can be
caused with the slightest of incidences like power surge in the
electrical systems in the hospital. Therefore, there is an urgency
of having all of the employees conversant with the way of
handling the most readily available tools in the fire
extinguisher.
Therefore, this compliance program overview is vital for the

9. management to ensure the enactment of the program. This is
because, the program will not only help with ensuring the safety
of the organizational employees, and the premises, but it will
save the hospital of millions of dollars in terms of potential
damages in case of a fire breakout. All employees should
subject the compliance function to an independent evaluation.
This implies that, regardless of whether the employee has just
been newly brought into the organization or has been with it for
years, there is a needed urgency for all to adhere to the
requirements of the compliance plan. The terms in this paper
should be incorporated with respect to the following. The OSHA
statue, 29CFR1910.57 requires the employees within an
organization, to be exclusively trained on the use of fire
extinguishers (Quinn, Bureau of National Affairs (Arlington,
Va.), & Bloomberg BNA, 2014). The employees to the hospital
should be sober and known that none of the compliance policies
were made just for the sake but in accordance with the state,
local, and federal governmental laws.
The hospital has one of the greatest workable financial
institutions and departments. The internal auditors and the
external auditors do auditing in Nazareth hospital. This is to
ensure accountability of the functions in the facility. The work
of the auditors is expected to be carried out with the greatest
transparency possible and to ensure that integrity is upheld with
all of the holders of various office posts across the financial
departments of the hospitals.
Designated individuals who will ensure the compliance of the
extinguishers training will do the monitoring of the compliance.
At the same time, the new employees will receive the
extinguishers training in an orientation in their first days
through hands on training, along with power points detailing the
proper techniques. The new employees will be taught on the
locations of the fire extinguishers and how they can easily
access them in the case of an emergency. In conclusion, all of
the employees at Nazareth hospital are urged on the necessity of
adhering to the compliance plans and policies and should put to

10. use all of the techniques they are taught during orientation.
References
Quinn, J. M., Bureau of National Affairs (Arlington, Va.), &
Bloomberg BNA. (2014). Corporate compliance: Building a
world-class borderless ethics compliance program. Arlington,
VA: Bureau of National Affairs. Retrieved from,
http://www.worldcat.org/title/corporate-compliance-building-a-
world-class-borderless-ethics-compliance-
program/oclc/887206956
Wayani, R. (2014). Microsoft System Center 2012 R2: IT GRC
Compliance Program Key Concepts. Retrieved from,
https://www.knowledgenet.com/online-
training/courses/microsoft-system-center-2012-r2-%C2%96-
monitor-and-operate-compliance/
4
Running Head: COMPLIANCE PLAN
Compliance plan
Author Note
This paper is being submitted on January 12, 2017, for
Overview
Nazareth medical facility is proud of the values that have driven
our success. These values have shaped a setting and culture that
nurtures the highest standards, ethics and personal integrity in
the institution. Also, they are depicted in the in services that are
provided at Nazareth hospital. Thereby reaching an exemplary
level in corporate citizenship that is a benchmark within the
healthcare. As a result, it is imperative for the organization to

11. adhere to the following noted guidelines. One, the clinical
officers as well as some of the staff members are not washing
their hands when visiting patients and most employees have no
knowledge of how to use fire extinguishers.
To start with, the hand hygiene is a significant aspect in every
healthcare setting. The main purpose of this compliance plan is
to show the significance of hygiene in medical personnel.
Washing hands before attending patients prevent the spread of
bacteria between patients. This can be prevented by the health
personnel's washing their hands anytime they are visiting the
patients. This practice is not only imperative to the patients,
but to the personnel's health too.
The compliance function should be subjected to an independent
evaluation by all employees. The terms in this paper should be
incorporated with respect to the following. The health infection
control practice advisory committee (HICPAC) guidelines on
the patients and the facility hygiene. The auditing in Nazareth
hospital is done by both internal and external auditors.
Monitoring of the compliance is done by those responsible for
given processes. New employees will receive education about
compliance in laws and regulation which is done through new
employees’ first days of orientation. This will also be
completed by hands on training in the proper techniques of hand
washing, along with visual aids. In terms of discipline, any
employee irrespective of the position held is a subject to
Nazareth discipline including termination. All employees have
the sole mandate to report perceived misconduct in hygiene
(Wayani, 2014).
At the same time, the compliance department wishes to sensitize
the Nazareth hospital employees on the use of a fire
extinguisher. This compliance program aims at enhancing sound
practices to ensure our facility is well protected. It is imperative
for employees to have knowledge in use of an extinguisher. This
is because the risk of fire outbreak can be anywhere in the
facility.

12. As a result, this compliance program overview is vital for the
management to ensure the enactment of the program. The
compliance function should be subjected to an independent
evaluation by all employees. The terms in this paper should be
incorporated with respect to the following. The OSHA statue,
29CFR1910.57 requires the employees within an organization,
to be exclusively trained on the use of fire extinguishers
(Quinn, Bureau of National Affairs (Arlington, Va.), &
Bloomberg BNA, 2014).
Auditing in Nazareth hospital is done by the internal auditors
and the external auditors. This is to ensure accountability of the
functions in the facility. The monitoring of the compliance will
be done by designated individuals who will ensure the
compliance of the extinguishers training. At the same time, the
new employees will receive the extinguishers training in an
orientation in their first days through hands on training, along
with power points detailing the proper techniques.
References
Quinn, J. M., Bureau of National Affairs (Arlington, Va.), &
Bloomberg BNA. (2014). Corporate compliance: Building a
world-class borderless ethics compliance program. Arlington,
VA: Bureau of National Affairs. Retrieved from,
http://www.worldcat.org/title/corporate-compliance-building-a-
world-class-borderless-ethics-compliance-
program/oclc/887206956
Wayani, R. (2014). Microsoft System Center 2012 R2: IT GRC
Compliance Program Key Concepts. Retrieved from,
https://www.knowledgenet.com/online-
training/courses/microsoft-system-center-2012-r2-%C2%96-
monitor-and-operate-compliance/
Running head: COMPLIANCE VIOLATIONS 1
COMPLIANCE VIOLATIONS 3

13. Compliance Violations
Author Note
This paper is being submitted on
Compliance Violations
My two topics I have chosen to write about are: Clinical
staff members are not washing their hands between patients and
Employees are not knowledgeable in the use of fire
extinguishers. Working within the healthcare field, these are
two very important areas of compliance.
Hand hygiene is vital to every work area, no matter what it
may be. However it is essential to the healthcare field.
Employees of healthcare facilities should wash their hands
several times per day, to protect not only the patients, but
themselves from a bacteria or contamination that they may come
in contact with. With this being said, a compliance plan would
assist our office with following the recommendations of the
Healthcare Infection Control Practices Advisory Committee,
along with the HICPA/SHEA/APIC/IDSA Hand Hygiene Task
Force and the CDC to ensure all employees are properly trained
in hand hygiene and the importance (Boyce, J.M., Pittet, D.,
2002).
Another area that is important to have compliance with is
proper training of the employees of the use of fire
extinguishers. This too can occur within any working field and
the employees should be made aware of the proper use of the
equipment and which equipment is used for each type of fire to
ensure a safe work environment. According to the statute
OSHA 29 CFR 1910.157 (g) requires all employees to be
trained in the use of fire extinguishers annually. For some of
our employees to have a lack of knowledge within this area, we
need to develop a compliance plan to ensure we are maintaining

14. proper OSHA requirements, and to ensure the safety of all
involved (O’Donnell, R., 2013).
References
Boyce, J.M., Pittet, D. (2002). Guidelines for Hand Hygiene in
Healthcare Settings.
Retrieved from,
https://www.cdc.gov/mmwr/PreviewMmwrhtml/rr5116a1.htm
O’Donnell, R. (2013). Fire Extinguisher Training: Best
Practices.
Retrieved from. https://ohsonline.com/articles/2013/10/01/fire-
extinguisher-training-best-practices.aspx