Harbor: Joint Commission (JC) Readiness: Difference between revisions

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*Infection Control
*Infection Control
** Wash your hands!  Foam in, foam out; wear PPE
** Wash your hands!  Foam in, foam out; wear PPE (not in the halls)
** Isolation signage on room doors
** Think about HAP (when intubating/placing chest tube), CAUTI (minimize foleys)
** Think about HAP (when intubating/placing chest tube), CAUTI (minimize foleys)
** Expiration dates on US gel
** Wipes:  purple 2 min wet time, grey (US), alcohol (Dragon), orange (bleach) 4 min wet time
** Chloraprep TIMES
** US - clean after use and just prior to use; dirty US probes to the transport box
** Vacutainers to dirty utility room, EVS bags and dispos


* Doc Box
* Doc Box
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** Restraints q4 hours (still needed?)
** Restraints q4 hours (still needed?)
** No verbal orders
** No verbal orders
** Parameters for titratable medications
** Review home meds for interactions with new meds
** No meds (including saline flush) in your pocket


* Documentation
* Documentation

Revision as of 14:28, 24 September 2025

  • General tips:
    • Wear badge above the waist
    • Use 2 patient identifiers (name, MRN, DOB
    • Clear hallways (equipment/carts on one side, one side free) with access to fire extinguishers, medical gas shut-off valves, & exits
    • Only answer the question asked; if you are not sure, tell them where your would find the answer (or escalate to your supervisor)
  • Infection Control
    • Wash your hands! Foam in, foam out; wear PPE (not in the halls)
    • Isolation signage on room doors
    • Think about HAP (when intubating/placing chest tube), CAUTI (minimize foleys)
    • Expiration dates on US gel
    • Wipes: purple 2 min wet time, grey (US), alcohol (Dragon), orange (bleach) 4 min wet time
    • Chloraprep TIMES
    • US - clean after use and just prior to use; dirty US probes to the transport box
    • Vacutainers to dirty utility room, EVS bags and dispos
  • Doc Box
    • No open food (bottled water)
    • No meds (eye gtts)
    • Shred HIPAA material, F8 when not at computer
  • Orders
    • Restraints q4 hours (still needed?)
    • No verbal orders
    • Parameters for titratable medications
    • Review home meds for interactions with new meds
    • No meds (including saline flush) in your pocket


  • Documentation
    • PLIN for use of translators
    • EMTALA form
    • Patient/family education


  • Process Improvement Projects
    • Sepsis
    • Stroke
    • APOT
    • D2EKG
    • Triage D2Doc, LWBS