Emergency Operations Plan vs. Continuity of Operations Plan
The Joint Commission’s Emergency Operations Plan vs. Continuity of Operations Plan: Do You Know the Difference? When a natural disaster, a power …
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Requirements for Anesthetic Gas Storage in the Pharmacy
What Are The Joint Commission’s Requirements for Anesthetic Gas Storage in the Pharmacy? Anesthetic gases are essential tools in modern …
Suicide Screening – Meeting NPSG 15 Requirements
Standardizing Suicide Screening Tools: Is It a Requirement or Just a Best Practice? Patient safety is at the core of every hospital’s mission. …
Beyond the Operating Room: Are Brief Op Notes Required for Procedures in IR and the Cath Lab?
What Are the Requirements for Brief Op Notes? When it comes to surgical procedures performed in a hospital’s operating room, the requirement for …
Preparing for the Joint Commission’s New Deemed Manuals and Survey Changes
The Joint Commission (TJC) recently announced significant updates to their manuals for hospitals and critical access hospitals, effective January 1, …
Spiking Fluids in Advance of Administration
Since Spiking Fluids In Advance of Administration is Not Allowed – How Do You Comply with USP 797 Standard The newest USP 797 guidance states …
When is a History & Physical (H&P) Exam Required?
When is an H&P Exam Required? When is an H&P exam required? For example, let’s say a provider is performing a thoracentesis in the endo …
Which Patients Does NPSG 15 Apply To?
Which patients does NPSG 15 apply to? Does it apply to a patient whose primary condition is NOT behavioral health related? The Joint …
Safety Data Sheets in the Pharmacy
Is it considered compliant to have the 24/7 Hazardous Drug Information Hotline on every phone in lieu of having the Safety Data Sheets in the …
Surgical Tape On Instruments
Is the Joint Commission phasing out surgical tape on instruments? Why is it acceptable to use it on surgical instruments that come into direct contact …