Example: barber

Joint Commission Survey Ready! - mc.vanderbilt.edu

Vol. 1 Issue 2 April 2012. Continuous Service Readiness Be excellent at the basics Joint Commission Survey Ready! Focus Area: Care Planning Great News! Nursing Care Plan: Nurses articulate the patient's Plan of Care, individualized through evidence-based Stroke Program orders, discipline-specific plans of care and resources, multidisciplinary team huddles, recertified with only and Priority Problems. one finding Congratulations to Our Plan of Care is: all involved! Interdisciplinary, and includes goal-directed, patient-specific Priority Problems with measurable outcomes.

Survey Interview Tips Here at Vanderbilt we take great care of our patients and we excel at our work. Remember this when talking with a surveyor!

Tags:

  Vanderbilt

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Transcription of Joint Commission Survey Ready! - mc.vanderbilt.edu

1 Vol. 1 Issue 2 April 2012. Continuous Service Readiness Be excellent at the basics Joint Commission Survey Ready! Focus Area: Care Planning Great News! Nursing Care Plan: Nurses articulate the patient's Plan of Care, individualized through evidence-based Stroke Program orders, discipline-specific plans of care and resources, multidisciplinary team huddles, recertified with only and Priority Problems. one finding Congratulations to Our Plan of Care is: all involved! Interdisciplinary, and includes goal-directed, patient-specific Priority Problems with measurable outcomes.

2 Nursing interventions are documented in HED and WIZ/HEO. Coming surveys: (restraints, pressure ulcers). Our guides for care are: VHVI Certification for Ventricular Assist Discussions with patients and family, short and long-term goals, nursing standards Device April 19th and (Mosby's), unit standards, pathways (E-docs), and Wiz/HEO orders. 20th. Go VHVI! Reminders: The Joint Commission Restraint safety is always documented as a Priority Problem. Triennial Survey Priority Problems are relevant to the patient's clinical assessments and primary diagnosis. Make timely entries in the medical record and include the date and time.

3 Routinely document patient education and the patient's responses. INSIDE THIS ISSUE Don't record Unable to assess in the chart for immediate post-op Survey Tips 2 patients. Instead, chart non-verbal behavior cues, or patient is being VHVI Readiness 3. treated for assumed pain.. Nationwide Non- Address home health needs in 3. compliant Standards discharge planning. When charting with just your VUMC areas of 3. focus initials, be sure your full name is in A Note About Re- 4 the signature box. straints For more information and Quick Practice Tracer 4 Reference Guides, join us on questions Yammer!

4 Volume 1 Issue 2. Certification for Ventricular Assist Device A reviewer will trace a VAD. patient from admission to discharge, (VAD) as Destination Therapy: April 19-20 including all disciplines involved in the case. Heads Up! ED, CVICU, Cardiac VADs may be used as a primary treatment for advanced heart failure units, VHVI Clinics, Radiology, OR. patients not eligible for heart transplantation ( destination therapy ). All staff caring for VAD patients should be familiar with: Clinical Practice Guideline (CPGs) for VAD patients for destination therapy; see unit-based binders.

5 4 Performance Measures: 1. Decrease length of stay;. Refer to unit 2. Reduce reoperation for post-op bleeding; based VAD. 3. Reduce right heart failure post-implant; Posters for three-month survival rate. more tips! For more info, see the VAD Program homepage at Tips for Managers: Assign a Patient Safety Champion for daily Environment of Care rounding Hallway clutter: Time limit for wheeled items in corridor is 30. minutes. (Exception: Crash carts/isolation carts.). Unsecured meds;. HIPPA violations;. No food and drink in work areas;. Hand hygiene;. Medical equipment inspection tags.

6 Expired meds/supplies;. Don't block fire equipment or electrical panels. TJC 2011 Most Frequent Findings Date and timing of all entries into the medical record, including scanned documents;. Fire Safety;. Authentication of verbal orders;. Documentation of patient assessments and reassessments;. Medical devices, equipment, and supplies are free of materials that can't be disinfected, like non-laminated paper instructions;. Safe medication storage;. Expired medications;. Page 2. Continuous Service Readiness Survey Interview Tips Here at vanderbilt we take great care Give brief answers.

7 Don't elaborate, or Words to avoid during of our patients and we excel at our give opinions. Just answer what is an interview: work. Remember this when talking asked; your practice speaks for itself! with a surveyor! Also keep in mind All hands on deck! Don't disappear or Usually that it is the responsibility of lead- go to the break room when the Survey - Attempt ers/escorts to provide documents to or arrives on your unit. This is your Try The Joint Commission when possible. chance to shine. Sometimes When talking with surveyors, groups of Points to remember: two are better than one.

8 Keep up the diligent EOC rounding. Say, I don't know instead of guessing. Speak to your own expertise. For Refer to resources such as policy manu- example, nurses don't speak for PT al, the escort, or a manager. and vice versa. Refer the surveyor It's okay to look at your badge for to the person best qualified to an- answers. swer each question. If asked for a policy or document, refer Be excellent to the escorts to assist you. at the basics VUMC Areas of Focus Take all medical equipment to Clinical Engineering for inspection. Cover Dirty OR equipment during transport.

9 Behind every Lock emergency carts and keep them Gold Seal of under supervision. approval is an Reduce restraint use. Make sure all restrained patients have an active organization order. committed to Label medication syringes with the Ensure that all relevant team members participate during the quality TJC date and time. Time Out. Make sure verbal orders are dated, Confirm the current preoperative timed, and authenticated. H&P is in the chart prior to deep Report critical test results to the sedation. provider in a timely way. Assess, reassess, and document Wear hair nets during food prep and pain levels.

10 When transporting food. Individualize the Plan of Care to the ID badges go above the waist. patient's needs, and update it. Attach the date and time on all Label blood specimens in the Label blood scanned entries in the medical record. presence of the patient. specimens in the Perform hand hygiene when entering Be familiar with the National presence of the and exiting patient rooms and holding Patient Safety goals. patient areas. Don't wear OR attire out of the OR. Page 3. A note about restraints: At VUMC all patients have the right to be free from restraints.


Related search queries