Assignment: Joint Commission Standard
Assignment: Joint Commission Standard
Assignment: Joint Commission Standard
On Week 4, I attended a Quality Council meeting with my preceptor in the morning, thereafter we attended a Practice Council meeting. In the afternoon we attended a policy protocol guidelines meeting as well as a meeting to discuss all the problems that were brought up by the mock Joint Commission survey arrival next year (2019).
On Week 5, my preceptor and I attended several meetings throughout the day. Some of the highlight of these meetings were to discuss the negative findings of the Joint Commission recent visit to Mercy Medical Center for the end of the year 2018. One major finding by the Joint Commission was the fact that nurses are not correlating the patients diagnosis or primary diagnosis to the patient individualized care plan. Below is the Joint Commission Standard for Documenting on patient care plans:
BACKGROUND
1. Joint Commission Standard
1. RC.02.01.01
1. The medical record contains the following clinical information:
The reason(s) for admission for care, treatment, and services
The patients initial diagnosis, diagnostic impression(s), or condition(s)
Any findings of assessments and reassessments
Any allergies to food
Any allergies to medications
Any conclusions or impressions drawn from the patients medical history
and physical examination
Any diagnoses or conditions established during the patients course of
care, treatment, and services (including complications and hospital acquired
infections).
Any consultation reports
Any observations relevant to care, treatment, and services
The patients response to care, treatment, and services
Any emergency care, treatment, and services provided to the patient
before his or her arrival
Any progress notes
All orders
Any medications ordered or prescribed
Any medications administered, including the strength, dose, route, date
and time of administration
Any access site for medication, administration devices used, and rate of
administration
Any adverse drug reactions
Treatment goals, plan of care, and revisions to the plan of care
Results of diagnostic and therapeutic tests and procedures
Any medications dispensed or prescribed on discharge
Discharge diagnosis
Discharge plan and discharge planning
The hospital plans the patients care based on needs identified by the patient assessment, reassessment, and results. The written plan of care is based on patient goals and time frames required to meet goals. Patient care plan is based on established goals where staff evaluate the patient progress Patients care
On Week 6, One major highlight of the meetings my preceptor and I attended was to discuss all important Epic electronic health record system complaint tickets that were sent out to the nursing informatics department. We discuss and troubleshoot the issues that the nurses are having on the mother-baby unit regarding the breast milk donor documentation taking too much (at least 20 minutes) before the nurses can feed the babies and it is impeding workflow for the nurses since they each have at least 3 babies to feed. The nurses end up having to create workarounds.
On Week 7, Some of the highlight of the day were about the Quality Council Meeting which is held every month. In this month meeting we B16 orthopedic floor which is rated number one in the area against Johns Hopkins Hospital (JHH) and University of Maryland Medical Center (UMMC). We also attended a nursing quality outcome meeting which discuss the hospital patient falls, pressure ulcers and CAUTI for the month of December. The professional practice model for the hospital was also updated and discussed.
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