Jcaho

  1. Well, it's time again for JCAHO to come around and tell us what a bad job we do at saving lives and assisting the dying. I work two jobs and have to go through all their baloney more often than most and I'm gettin sick of it. After more than 20 years in critical care I'm considering a career change just because of their ridiculous requirements. The paperwork is mountainous. I belong to a union and actually feel sorry for my administrators who have to heave this crap on us! I can see the need for regulation as not all hospitals do a good job, but come on! No hospital I know of is actually out to KILL patients!! We need to let our Boards of Nursing, legislators, and nursing organizations know how we feel. Get these regs changed before there are NO nurses because we're lost in all their paperwork!!
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  2. 24 Comments

  3. by   nell
    Since you work two jobs, you might have noticed something I've noticed when JCAHO comes by: what is NOT OK at one facility is totally ignored at another .

    Also, it is amazing what they think is important: what is in a care plan that no one ever looks at, NOT the fact that we only have ONE sink in our 6-8 bed (read 2-3 nurses and up to 8 sets of parents all needing to wash, wash, wash.....) NICU rooms .

    I could go on and on about why my BP skyrockets when those idiots are coming. :angryfire
  4. by   live4today
    AMEN CHERI AND NELL!!! RIGHT ON!!! JCAHO NEEDS TO FIND SOMETHING MORE CONSTRUCTIVE TO DO THAN WEAR DOWN NURSES WITH ALL THE PAPERWORK THEY THROW AT US! :angryfire is right!
    Last edit by live4today on Sep 5, '02
  5. by   sjoe
    My favorite JCAHO story--after a much-feared and much planned-for JCAHO visit had ended a few days before, I noticed a nurse manager sitting alone at the nurses' station in an unused and otherwise empty ward, surrounded by hundreds upon hundreds of charts which she was going through.

    I asked her what she was doing, and said, jokingly, "JCAHO has left the building now."

    She looked up at me wearily and said, "Now I have to go through all these charts that we locked in the basement during their visit and get them all in shape, in case they have a follow up visit and notice that they were not on the wards when they first came through."

    The facility passed JCAHO, of course, as we knew it would. And JCAHO found a few "problems," as we knew they would, for how else could they justify their coming.

    Not much different from the IG visits in the military, before which we spent a few weeks getting everything shined and painted instead of doing our jobs.

    By the way, it might be fun to be part of a JCAHO team for a year or so. Just to see the fear in aministrators' eyes, if nothing else. And you'd get to travel a lot.
  6. by   teeituptom
    Howdy yall
    from deep in the heat of texas

    Well we just survived another JCAHO visit. We always do, but the terror they spread nationwide, the mock preparatory surveys, communicating with other hospitals to find out what is current on their inspection lists, the endless meetings, the educational meetings of the staff, so they know what the right answer is to give at any time. And the list goes on.
    Do they actually accomplish anything, outside of spreading terror nationwide. Life was simpler whem all we feared was the IRS. the KGB, the FBI/CIA..............



    doo wah ditty
  7. by   nell
    Boy, here're some nuggets of truth:

    Originally posted by sjoe
    ...how else could they justify their coming...

    ...we spent a few weeks getting everything shined and painted instead of doing our jobs...

    And T-I-U-T:

    ...the mock preparatory surveys, communicating with other hospitals to find out what is current on their inspection lists, the endless meetings, the educational meetings of the staff, so they know what the right answer is to give at any time...
    JCAHO is a threat to the health and safety of our patients!

    I'm all for inspections of health care facilities, but JACHO has the most whacked out priorities.
  8. by   BadBird
    JACHO is such a joke, they tell administrators when they are coming and what they are looking for. Administrators in turn make sure staffing is good, supplies are plentiful, hospital is clean,etc... Once they are gone it is back to the same old ways, poor staffing, not enough supplies, dirty hospitals. Also I worked in a Fl hospital that hid patient charts because so many needed Dr's signatures for verbal orders, such a joke I say.
  9. by   JailRN
    When JACHO comes, I take vacation.
  10. by   Nurse Ratched
    You're going to love this - in our recent JCAHO survey I was short numerous supplies because TPTB didn't want the unit secretary to order stuff that we had no place to put where it looked "neat." So I'm running all over the hospital to other units to rip off basic supplies (because we have time to do that.)
  11. by   jode
    well......at least the floors get waxed and polished.......and the administration sweats........
  12. by   cactus wren
    What I`ve always thought of as weird, is that the hospital Pays...and a lot...to be put through the torture......One jacho feller was following me one day to see the steps we go through to hang blood, even went to the bedside, so I told the patient" This is a government offical, observing how we follow our policies on hanging blood"....hung pc,left room, and was cornered by "offical" who haughtily informed me that 'JACHO is NOT government" Well, my feelings on that statement is .....If it walks like a duck, and quacks like a duck.........
  13. by   sharann
    Until they start doing it the right way....unannonced visits, it's just pure money exchanging hands B.S.
    It is inexcusable that the hospital gets advanced warning. Just makes these JCAHO looks like JERKOS.
  14. by   traumarns
    so what are they looking for this year.

    2 years ago it was documentation of restraints.
    those restraint flowsheets work soooo well for icu pts who are vented/sedated/foley/rectal tube/ tf's/ miv....


    a few years before that it was documentation of iv's.

    what is it this year, something really stupid like
    date and time ett is retaped ON THE TAPE.

    i just hate it after jcaho comes. we always wind up with a new flowsheet to chart on.

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