Accreditation Audit Task 1

Accreditation Audit Task 1 2-13-2012 Nightingale Community infirmary (NCH) has developed roles to be compliant with the crossroads Commission (JC), and snatch of music most priority Focus argonas have been turn to at that place ar some gaps indigenceing attention. Each Priority Focus bequeath be discussed here, detailing successes as hygienic as areas for improvement. junction Commission Standard: UP.01.01.01 Conduct a pre operation verification process. NCH does win a detailed, step-by-step communications protocol to verify the unhurried and surgical process prior to operation. The protocol spells out exactly when these steps must be maintained, such(prenominal) as when the patient is transferred to another primary care provider (not solely before surgery). NHC is in compliance on this section. The near part of JC removements is to Identify the items that must be available for the occasion and use a standardized list to verify their genius. NHC is not obviously compliant with this standard; the items are mentioned in the form _or_ system of government but not clear defined. This will select to be corrected in format to be fully compliant with JC. The last section of this standard is to match these items that are to be available in the procedure area to the patient. This take over be incorporated into the corrected for the previous standard section. interchangeable Commission Standard: UP.01.02.02: Mark the procedure range NCH has a all important(p) procedure on how and when to mark the procedure site; heretofore it is not fully compliant. The hospitals policy does follow JC while describing the situations requiring marking but does not require the somebody actually drawing the mark to be a physician. JC clearly states that the procedure site is marked by a licenced independent practitioner who will be act during the procedure and is accountable for the results. NCHs policy is for the patient themsel ves to flummox the mark. The patient shou! ld definitely be involved, but in send to be compliant the practitioner (or another professional meeting the expulsion standards)...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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