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Hot Tips
- New Statements of Conditions will be required once JCAHO places the new SOC on their website. Make sure Plant Ops knows that the Code has been updated from 1997 to 2000 NFPA code.
- Medication Control is still “Hot”
- Narcotic Reconciliation
- Stock meds must be limited and secure
- Pneumatic tubes cannot open into an unsecured area
- Competency – Still the #1 “Hot Topic”
- Should clearly show method of validation
- Standard should be defined for the task or activity
- Ages must be integrated into the competencies for those job roles that are patient related
JCAHO Introduces Priority Focus Process
- Tentative start date January 2004.
- Includes a self assessment 18 months after accreditation (starting January 2004).
- Concentrates on Critical Foci during survey:
-Assessment
-Communication
-Credentialing
-Equipment use
-Infection Control
-Information Management
-Medication Usage
-Organization Structure
-Orientation & Training
-Rights and Ethics
-Physical Environment
-Quality Improvement Expertise & Activity
-Safety Engineering
-Staffing
Call us for assistance with your self assessment and measurement of the critical foci.
Medication Control Expectation During Current Surveys
- No medications should be left unsecured.
- Respiratory should include missed treatments as medication errors.
- First dose medication orders should be reviewed by a pharmacist prior to administration expect in approved circumstances i.e. ordered in an area with 24 hour physician coverage, circumstances when a delay would cause harm or undue suffering.
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