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 …
Q&A
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 …
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 …
Joint Commission Age-Specific Competencies
Does The Joint Commission require age-specific competencies for employees? What is the standard for employees who provide direct patient care? …