Wire Shelving Shelf Liners
Question: We have heard that TJC is citing not having impermeable liners on all wire storage shelves holding sterile supplies. Have you heard this? …
Sterile Instrument Storage
Question: Does a sterile single use/ disposable instrument that will be used as a critical instrument still require sterile storage requirements (T, …
Nail Polish & USP 797
Question: Current 797 does not prohibit nail polish, but the new 797 draft does prohibit nail polish. What should a surveyor look for when …
Central Sterile Prep & Pack Area
Question: I was told by a surveyor that you cannot have brushes in the prep and pack area of central sterile. We use brushes to inspect lumened …
OPPE/FPPE Reporting
Question: Does OPPE/FPPE need to be reported to the board? Answer: There is no requirement to report any physician specific OPPE or FPPE data to the …
Self-Closing Doors Q&A
Question: Do all the offices and day rooms need to have self-closing doors on inpatient psych units? I was informed that a recently surveyed hospital …
Medical Staff vs. Governing Board Guidelines Q&A
Question: Are there any requirements to have Governing Board Bylaws in addition to having Medical Staff Bylaws? The question centers around the …
Patient Visitation Rights
Are you part of the nursing home industry? If so, you will want to particularly pay attention to this week’s nursing home patient visitation …
Smart Infusion Pumps
Back in April, The Joint Commission (TJC) issued Sentinel Event Alert #63. Did you get a chance to read it? If not, you should because It contains …
Adverse Decisions
Has your organization ever gone through an adverse decision, one that led to immediate jeopardy or preliminary denial of accreditation? If you have, …