Regulatory Preparedness

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Across
  1. 3. Explain in a ___________ why you were unable to turn and position
  2. 9. The Joint Commission surveyor asks: What is your hand hygiene protocol?
  3. 11. Length a peripheral IV can be kept in unless a provider order
  4. 12. To cite ______________ __________, surveyors determine that (1) noncompliance, (2) caused or created a likelihood that serious injury, harm, impairment, or death to one or more recipients would occur or recur, and (3) immediate action is necessary to prevent the occurrence or recurrence of serious injury, harm, impairment or death to one or more recipients.
  5. 13. Federal agency that administers the nation’s foremost healthcare programs, including Medicare and Medicaid, and sets standards for hospitals participating in these programs
  6. 14. The time frame when an outside hospital peripheral IV should be removed
  7. 15. Oversees compliance with state health regulations and licensing requirements.
  8. 16. Every ___ hours = frequency of documentation of cardiac rhythm
  9. 17. Accredits and certifies healthcare organizations and programs in the U.S., ensuring they meet specific performance standards.
  10. 18. How do you stay current with your CPR training?
  11. 19. The Joint Commission surveyor asks: How do you report safety hazards?
Down
  1. 1. Braden score less than _________ is high risk per our institution
  2. 2. What vital sign values would you report to the provider on your patient?
  3. 4. Braden scores less than _________ is high risk per our institution
  4. 5. How do you identify patients?
  5. 6. Document a reassessment within __________ minutes of titration or bolus of continuous IV pain/sedation medications
  6. 7. The Joint Commission surveyor asks: How long should a piece of equipment be wet with bleach wipes to ensure it is disinfected
  7. 8. Call this department to confirm precautions can be removed
  8. 9. Point in respiratory cycle when to pull the central line out to avoid complications like air embolus
  9. 10. CMS grants "deemed status" to hospitals accredited by TJC and other approved accrediting bodies. Accreditation by these organizations is considered equivalent to meeting CMS standards.
  10. 14. Every ____ hours = frequency of documentation of oxygen therapy