Joint Commission Prep

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Across
  1. 3. Store these in racks labeled full or partial/empty. (2 words, pleural)
  2. 4. When removed from the overwrap these should be dated with the beyond use date. (pleural)
  3. 6. Vitals signs must be documented within ______ minutes before starting sedation.
  4. 7. This must not be in patient care areas, only in breakrooms or private offices.
  5. 10. Staff must know the _________ time for cleaning products.
  6. 11. Nothing can be stored on the ________.
  7. 13. Must be free of gaps in documentation including closed dates.
  8. 14. Domestic abuse, pain and falls are required annually. (pleural)
  9. 16. This should be worn over the nose and not under the chin.
  10. 19. If you do not understand a question the surveyor is asking do not ___________.
  11. 21. Staff performing direct patient care can not have ______________ nails or embellishments.
  12. 22. Worn appropriately protects from blood, body fluids and splash. (acronym)
  13. 23. The clinic area and patient care equipment must be clean and ________ free.
  14. 25. Most effective way to prevent hospital acquired infections. (2 words)
  15. 26. Hand hygiene should be performed before and after applying these, and they should not be worn in public areas. (pleural)
  16. 28. All supplies in clean storage and exam/procedure rooms should be monitored for these date.
  17. 31. If English is not the patients preferred language this may be needed to provide care.
  18. 33. It is staff's responsibility to clean patient care ___________.
  19. 34. This, including pillows, must be stored in a closed room or covered.
  20. 37. If stained or broken this must be replaced. (2 words)
  21. 38. No ______________ should be in with patient care supplies. (2 words, pleural)
  22. 40. Policies and procedures are located in __________.
  23. 41. Nurses can't administer medications without this.
  24. 43. The system staff use to determine if a provider is credentialed to perform a procedure.
  25. 44. This must be cleanable, free-hanging and within 4 - 6 inches from the floor.
Down
  1. 1. Furniture must be clean and free of these. (pleural)
  2. 2. When opening a multi-dose injectable medication vial it should be labeled with the _______________ date. (2 words)
  3. 4. Check stickers on patient care equipment to make sure it is within this date.
  4. 5. 2 patient identifiers include this. (3 words)
  5. 8. The best way for staff to prepare for survey is to be knowledgeable of these. (pleural)
  6. 9. Surveyors will review patient charts for complete______________.
  7. 12. These must be met prior to discharging a patient post-sedation. (2 words)
  8. 15. Injectable medications stored in exam or procedure rooms must be __________. (2 words)
  9. 17. A learning needs assessment must be completed within one year of nurses providing this.
  10. 18. Open EKG tabs must be stored in a sealed bag and __________.
  11. 20. Medications, syringes, needles must be ____________ which is under constant supervision or locked.
  12. 24. Drinks must be kept in _____________ beverage areas.
  13. 25. Signatures must have the date and time documented in their own ____________.
  14. 27. All members of the procedure team must actively ______________ in the time out.
  15. 29. The provider must mark the site with these unless there is an exception in policy.
  16. 30. Patient care items can't be stored on this.
  17. 32. This process must be completed immediately prior to a procedure start and include the entire procedure team.
  18. 35. Nothing can be stored under this.
  19. 36. Clinical staff __________ must be no longer than 1/4 inch with impeccable polish. (pleural)
  20. 38. Information staff need to know for chemical safety are located on these. (initials)
  21. 39. Second part of this, which is required within 30 days of a sedation procedure.
  22. 42. Do not use this to hang information in patient care areas or on equipment.