Accreditation
Is an assessment used by healthcare organizations to determine their level of performance based on established standards
Accreditation
Fulfills licensure state requirements
Accreditation
Improves patient care
Accreditation
Enhances image to the community & customers (insurance companies)
Accreditation
Improves patient outcomes
Accreditation
Supports safety practices
Accreditation
Compliance : Refers to acting in accordance with stated requirements, & standards.
State Department of health
State- level department which promotes accessible and high-quality health and helps all people to maintain health, dignity, and independence
State Department of health
Can impose fines for physical abuse to patients & Inappropriate infection control / isolation practices, Medications found in unlocked rooms
State Department of health
State or federal accreditation agencies can investigate patient & family complaints
State Department of health
AZ renew license every 4 years
State Department of health
leaving and abandoning patients during the shift without an adequate replacement
The Joint Commission
Accreditation agency
The Joint Commission
Perform organizational accreditation
The Joint Commission
Interview staff
The Joint Commission
Interview patients
The Joint Commission
Review clinical records and education material provided to families
The Joint Commission
Review policies
The Joint Commission
Ask staff where to locate resource manuals
The Joint Commission
Areas of focus : pain documentation & reassessments, fall prevention, infection prevention-Handwashing, hospital acquired pressure sores - documentation is not enough you must act
Des Norske Veritas (DNV)
Alternate accrediting agency from Joint Commission
Des Norske Veritas (DNV)
integrates the International Organization for Standardization's with Medicare conditions of participation
U.S. Department of Health and Human Services (HHS)
Ensures food & drug safety
Food & Drug administration (FDA)
Regulate the efficacy and safety of medications & Vaccines
Center for Disease Control (CDC)
Investigates & Notifies the public of any disease outbreaks
American Nurses Credentialing Center (ANCC)
Awards magnet status to facilities - highest level of nursing acknowledgement
Magnet Status
Indicates quality nursing leadership, nurses as teachers & mentors, excellent quality care and strong community relationships. ?
Occupational Safety and Health Administration (OSHA)
U.S. Department of Labor agency ensures that the safety and health of America's workers is upheld by setting and enforcing safety standards
Scope of Practice
Evaluate patient response to therapies
Scope of Practice
Professional duty to report any evidence of impairment while caring for patients
Scope of Practice
Cannot diagnose medical conditions
Scope of Practice
LPN's cannot complete admission assessments
Communication
SBAR is used for hand-off communication between staff members
Communication
Walking rounds - in room report recommended by joint commission to decrease communication errors.