Harbor: Joint Commission (JC) Readiness

• 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