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ACS Home
Donate to ACS Foundation
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For Surgeons
For Patients
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About Us
Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

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Trauma Programs

Prehospital Home Safety Checklist

This survey is provided as an educational service and is not intended to be exhaustive or certify a residence as safe or unsafe. We advise occupants to seek additional information if questions arise.

OK Needs Improvement
Bathroom
Non-skid mats or decals in tub

 โ˜ โ˜
Stairs (inside and outdoors)
Well-lit โ˜ โ˜
Sturdy handrail along length of stairs

 โ˜ โ˜
Bedroom
Phone next to bed (may be by report)

โ˜ โ˜
General
Secure carpeting on floors and staircases

 โ˜ โ˜
Fire Safety
Smoke detector functional โ˜ โ˜
Fire extinguisher (in kitchen or nearby)

 โ˜ โ˜
Child Safety (if applicable)
Plastic plugs in unused electrical outlets โ˜ โ˜
Cleaners out of reach or in locked cabinets โ˜ โ˜
Medicines out of reach or in locked cabinets โ˜ โ˜
Child safety gates installed around hazards โ˜ โ˜