I was wondering if anyone has recently had their JACHO inspection. We are having ours on June 5 and 6th.
Just trying to get a feel what they are looking at (this year) in the ER. A neighboring hospital had theirs about two weeks ago. One of the reviewers went to the ED and presented himself as a patient and was carried thoughout the process. He was critical of how long the delay was before he was triaged.
Any information will be greatly appreciated.
Jun 5, '01
We did JCAHO in March. They were very up front. Their main push was patient confidentiality. They checked to see if curtains were pulled, if names were in places that other people could read them, how bad the accoustics were, etc. It was really a pretty easy once compared to the last one we did.
Jun 5, '01
Our visit is coming up this month. It's going to be a nurse, a doctor, and an administrator visiting. The new thing for us this year is that they're going to be asking random questions to any staff members. Our education dept. has given everyone little booklets with the types of questions they will be focusing on. There are all kinds of topics; evacuation and disaster plans, code cart checks, pain scales, most relate to general hospital protocols and procedures. Hopefully the visits will fall on my off days!
Jun 7, '01
Well, we did well on the survey. We had a nurse and physician as well. The only thing we got sited for was we didnt have an uniform documention on pain management
Now I have to be ISO pain management documentation in the ED.
Jun 20, '01
WE ARE ALSO WORKING ON OUR JACHO SURVEY AND ONE OF THE QUESTIONS WAS RELATED TO HOW DO WE ASSESS FOR CULTURAL AND RELIGOUS PERSPECTIVES? NOW BASICLY WE ARE A SMALL COMMUNITY HOSPITAL THAT HAS VERY SMALL PERCENTAGE OF OUR ER POPULATION THAT IS NOT WHITE OR BLACK. NOT SURE HOW TO DOCUMENT THIS. THE OTHER QUESTION THAT CAME FROM ANOTHER SURVEY WAS ABOUT A "T FORM SYSTEM". WE HAVE NO IDEA WHAT THIS IS BY THIS NAME. CAN ANYONE GIVE US A HINT OR HELP WITH EITHER OF THESE ? WOULD REALLY APPRECIATE IT! THANKS!!!
Jun 20, '01
. THE OTHER QUESTION THAT CAME FROM ANOTHER SURVEY WAS ABOUT A "T FORM SYSTEM". WE HAVE NO IDEA WHAT THIS IS BY THIS NAME. CAN ANYONE GIVE US A HINT OR HELP WITH EITHER OF THESE ? WOULD REALLY APPRECIATE IT! THANKS!!!
I believe they maybe talking about documentation forms. I am currently looking into this. This T Form system is being used my our ED physician and it is Complaint oriented. I have received a sample from one company for the nursing documentation and waiting another sample from a different company.
Jul 29, '01
the T sheet system is complaint oriented. It maily helps the doctors with their documentation. They just check off their findings(normal and not normal) and only add explainations if it is abnormal. You can have a T sheet board with the picture of a person and the appropriate fors next to the body part affected(next to the head will be headache or head injury sheets). The nurses have separate documentation sheets of course. We always write more.
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