Q&A

Question: I have a medication management question that seems a little silly to ask, but I don’t want to provide incorrect information.  In a …

Question: In the past, we met PC.02.01.03 by adding automatic firing orders for venous access to all intravenous medication orders. Is IV …

Question: Most of our hospitals have a modified process for medication reconciliation for outpatient areas.   In most cases, patients …

Question: What is a procedure vs. an operation? For example, is deep brain stimulation a procedure or an operation? Our diagnostics side wants to …

Question: Once upon a time, TJC used to review that we offered an autopsy to basically all families when the patient expired. Can we stop offering it …

Question: How often do we need to conduct eyewash station temperature checks? And, does that check require the temperature to be documented or just …

Answer: Joint Commission recently posted several FAQs you will want to carefully and quickly review.  In short, Joint Commission surveyors will …

Question: We were supposed to conduct our Culture of Safety Survey in late 2020 / early 2021. We have not done the survey and feel that due to the …

Question: We are working on anesthesia documentation with anesthesiology department as they are working on correcting a finding around missing …

Question: Is there any risk with having staff do mandatory new hire onboarding in the first month of hire instead of before assuming duties? They are …