Harbor: Joint Commission (JC) Readiness: Difference between revisions

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* General tips:
* General tips:
** Wear badge above the waist
** Wear badge above the waist
** Use 2 patient identifiers (name, MRN, DOB
** Clear hallways (equipment/carts on one side, one side free) with access to fire extinguishers, medical gas shut-off valves, & exits
** Only answer the question asked;  if you are not sure, tell them where your would find the answer (or escalate to your supervisor)
*Infection Control
** Wash your hands!  Foam in, foam out; wear PPE
** Wash your hands!  Foam in, foam out; wear PPE
** Use 2 patient identifiers
** Think about HAP (when intubating/placing chest tube), CAUTI (minimize foleys)
** Clear hallways


* Doc Box
* Doc Box
** No open food (bottled water)
** No open food (bottled water)
** No meds (eye gtts)
** No meds (eye gtts)
** Shred HIPAA material, F8 when not at computer
* Orders
** Restraints q4 hours (still needed?)
** No verbal orders
* Documentation
** PLIN for use of translators
** EMTALA form
** Patient/family education


• Clear corridors
* Process Improvement Projects
• Place stretchers and equipment on only one side if they are in use. Items in corridors left for > 30 minutes are considered “storage” rather than “in use” and therefore are considered clutter
** Sepsis
• Clear access to fire extinguishers and pull stations, medical gas shut-off valves, electrical panels, and exits
** Stroke
• Security of HIPAA-protected information
** APOT
• Compliance with the Universal Protocol
** D2EKG
** Triage D2Doc, LWBS

Revision as of 14:07, 24 September 2025

  • General tips:
    • Wear badge above the waist
    • Use 2 patient identifiers (name, MRN, DOB
    • Clear hallways (equipment/carts on one side, one side free) with access to fire extinguishers, medical gas shut-off valves, & exits
    • Only answer the question asked; if you are not sure, tell them where your would find the answer (or escalate to your supervisor)
  • Infection Control
    • Wash your hands! Foam in, foam out; wear PPE
    • Think about HAP (when intubating/placing chest tube), CAUTI (minimize foleys)
  • Doc Box
    • No open food (bottled water)
    • No meds (eye gtts)
    • Shred HIPAA material, F8 when not at computer
  • Orders
    • Restraints q4 hours (still needed?)
    • No verbal orders
  • Documentation
    • PLIN for use of translators
    • EMTALA form
    • Patient/family education


  • Process Improvement Projects
    • Sepsis
    • Stroke
    • APOT
    • D2EKG
    • Triage D2Doc, LWBS
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