Q&A

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 …

Question: We are working on improving the dialysis process and wanted to know if there are any references that guide the dialysis staffing ratios. …

Question: Typically, our very small children that have nasogastric tubes often have splints on their arms in the elbow area to prevent them from …

Question: Which healthcare workers are mandated to receive the COVID vaccination? Answer: Based on the recent CMS memo, the following healthcare …