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Summary of outpatient clinics' readiness for The Joint Commission evaluation. Managers surveyed 74 clinics, assessing staff observations, interviews, and environmental safety. Includes staff practices, procedures articulation, patient involvement, and cleanliness standards. Patient interview to verify staff recognition.
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Outpatient TJC Readiness Rounding, April 2012
Status of Rounding • Managers have Surveyed 74 of 120+ Clinics
“No” Responses: Staff Observations: ◘ Staff practiced appropriate PPE; ◘ Clinical summary is provided to every patient at end of visit. Staff Interviews: ◘ Staff articulate procedures for receiving/communicating/documenting critical results; ◘ Staff articulate how patient care equipment cleaned between patients; ◘ Staff can articulate communication of handover procedures when admitting to unit/ED or sending to another facility; ◘ Staff can articulate UP/TO process; ◘ Staff can articulate patient involvement in care; ◘ How do you know if a room meets airflow requirements;
“No” Responses, cont: Environmental Safety and Cleanliness: ◘ Medications/syringes secure; ◘ O2 tanks secured during transport/usage/storage; ◘ Hallway clearance of 44” in clinic areas; ◘Clinic area clean/orderly; ◘ Walls/floors/ceiling tiles/vents/furniture clean/good repair; ◘ Temp and humidity in procedural areas monitored and logged Patient Interview: ◘ Verify that patient knows names of staff members assisting them.
