Hospital Laundry Services
Question: Do hospital laundry services require a current hospital-accredited certificate or can they just provide the evidence that they …
Radiology Medical Director
Question: Our hospital is having difficulty in maintaining a Radiology Medical Director. They are under the impression that perhaps it is …
Saline Flush Elements
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 …
Intravenous Medication Orders
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 …
Home Medication Lists
Question: Most of our hospitals have a modified process for medication reconciliation for outpatient areas. In most cases, patients …
What Is A Procedure Vs. An Operation
Question: What is a procedure vs. an operation? For example, is deep brain stimulation a procedure or an operation? Our diagnostics side wants to …
TJC Autopsy Requirements
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 …
Eyewash Station Temperature Checks
Question: How often do we need to conduct eyewash station temperature checks? And, does that check require the temperature to be documented or just …
When Will Joint Commission Start Surveying For COVID-19 Vaccine Compliance?
Answer: Joint Commission recently posted several FAQs you will want to carefully and quickly review. In short, Joint Commission surveyors will …
Culture of Safety Survey
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 …