Medical Record Documentation
What is the appropriate time frame for completing medical record documentation? Is it acceptable to back time certain charting information? For …
Nitrous Oxide Self Delivery Systems
Is it acceptable to use a Nitrous Oxide self-delivery system like Pro-Nox in a business occupancy for pain relief? Nitrous Oxide Self Delivery Systems …
Hemoccult Testing
A hemmocult test is a blood test that can screen for colorectal cancer to help find the disease early when treatment may be most effective. Can the …
Does TJC Consider Breast Milk Medication?
During a recent survey conducted in Labor & Delivery, the surveyor wanted them to treat breast milk as a medication. As a result, the nurse …
Titration Orders
Titration orders typically involve adjusting the dosage of medication either upward or downward based on the patient’s condition. It is …
What are the Guidelines for Endoscope Processing?
What are the compliance guidelines for endoscope processing? The AAMI ST 91 endoscope processing provisions require reusable buttons and valves …
What is Immediate Jeopardy?
Immediate Jeopardy (IJ) refers to a situation in which the health and safety of care recipients at a particular facility have been put in, are …
Healthcare Construction Risk Assessment
For licensing purposes, health care facilities are required to have pre construction risk assessment (PCRA) and infection control risk assessment …
New CMS Memo Impacts Joint Commission Procedures
In a recent email, The Centers for Medicare and Medicaid (CMS) released an important memo that outlines updates and guidelines for all Accrediting …
Why Do You Need A Mock Survey?
In 2022, nearly half of the nation’s hospitals ended the year in the red. With budgets under pressure, healthcare organizations have been forced to …