What do you think of JCAHO? - page 3

I keep hearing more absurd edicts from the joint commission. They've banned certain commonly worn shoes called crocs. They've banned pens that go around your neck. They also seem to have many other... Read More

  1. by   justavolunteer
    JCAHO recently came up with the nonsense that bags of saline or bottles of sterile water are 'medication' & have to be locked up. The last time I was around for an inspection, the nurses had to memorize the NPSG's and be prepared to recite them like second graders. (The NPSG's are a good idea, making nurses recite them from memory is ridiculous.) Apparently, they also consider it a major violation if nurses have water bottles on their med carts. (Sometimes nurses barely have time to take a drink, even if the water bottle is right there.)
    JCAHO doesn't say diddley about staffing levels, which might be literally a life-and-death matter for hospital pts, besides maybe keeping nurses from deciding to leave bedside care.
    I'm not a nurse, I'm 'justavolunteer', but even I can recognize a largely useless, self-perpetuating bureaucracy when I see one.
  2. by   Gromit
    I feel about them kind of like I felt about OSHA when I worked in other fields. Not particularly useful, potentially harmful, and made up of many 'armchair quarterbacks' who feel the need to justify their own existence.
  3. by   nickola
    My opinion of JCAHO: they have to justify their existence. This is the same mentality that puts warnings on blowdryers "do not use in shower"!! :trout:
  4. by   GardenDove
    Looks like that Joint Commission has a serious public relations problem with the nursing community, judging by the disdain for them expressed on this thread. I think it's well-earned disdain, personally.
  5. by   nickola
    Quote from MLOS
    Thanks, NRSKarenRN.

    Information on JCAHO, from their own (extensive) website.

    http://www.jointcommission.org/About...sion_facts.htm

    Bottom line: JCAHO accreditation, at all costs, has become a Holy Grail for health care facilities. Without it, facilities risk refusal of payment for services from major insurers, including Medicare, and no large facility can survive financially that way.
    Well I guess nobody should be surprised that the insurance companies are controlling the purse strings..... it all boils down to $$$ doesn't it??
  6. by   Wise Woman RN
    They are now issuing edicts to justify their own existence. The more things they find to ensure patient safety, the more paper work the nurse has, thus taking more time away from the bedside, and hindering the safety they seek to ensure.
  7. by   RN BSN 2009
    sounds like an abusive relationship
  8. by   Gromit
    Quote from nickola
    My opinion of JCAHO: they have to justify their existence. This is the same mentality that puts warnings on blowdryers "do not use in shower"!! :trout:
    And yet many a blond STILL DOES IT! (sorry, had to!)

    I totally agree, GardenDove. The problem is, I don't think they really CARE about their image problem with the nursing community.
  9. by   icuwant2rn
    Can't stand them or all of their stupid paperwork. Being a nurse would be fabulous if not for all the paperwork.
  10. by   moh_sir
    :spin:
    Quote from canoehead
    I also think that hospital administrations hide behind the JCAHO banner when they post certain rules. For example, requiring us to sign a form saying WHY we didn't get a flu shot, or stating it to be a JCAHO requirement that we tell them the nature of an illness when we call in sick.

    We are JCAHO certified and don't have to do either of these. Admin has just found an easy excuse.
  11. by   moh_sir
    Quote from Wise Woman RN
    They are now issuing edicts to justify their own existence. The more things they find to ensure patient safety, the more paper work the nurse has, thus taking more time away from the bedside, and hindering the safety they seek to ensure.
    :spin:
  12. by   moh_sir
    have you heard of jumping through hoops?
  13. by   Anagray
    Honestly, I am glad there is an organization that ensures standards, but some of the things they come up with are rediculous and impossible to comply with. If I had time to assess restraints every 5 minutes and label all 10 suringes I am carrying to the patient's room, I would be glad to do that. As long as I have to answer my lights, do bedpans, pass tays, feed patients, listen to patient's complaints and then keep them safe and medicated too, have no time for unreasonable rules.

close