Category Archives: Joint Commission

The Joint Commission Weekly Reminders

Check-List-Logo-360pxREMINDER #5: PROTECTED HEALTH INFORMATION (PHI)

Per Shore Regional Health Administrative Policy IM-08:

  • Only authorized personnel shall be permitted direct access to the electronic medical record or to storage and retrieval areas
  • When in use, records containing protected health information shall be kept in secure areas at all times. Hard copy medical records shall not be left unattended in areas accessible to unauthorized individuals. PC monitor screens are positioned to guarantee secure service. Computer access security and timeout functions help assure PMI is secure.

Be sure to lock computers or log out of Meditech when walking away from your computer! Patient care information left on/near workstations should be turned upside down so that PHI is not viewable by others.

The Joint Commission Weekly Reminders

patients-first

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REMINDER #3: CLEAN AND DISINFECT PATIENT EQUIPMENT PROPERLY

 

Reminder #3


REMINDER #4: THERAPEUTIC DUPLICATION

  • Two or more medications that are prescribe “as needed” for the same indication MUST have clear direction for use
    • i.e., if Promethazine and Ondansetron are both ordered for nausea and/or vomiting, the prescriber must provide instruction on when to use each
    • IMPROPER ORDERs:
      • Ondansetron 4 mg IV Q4H PRN nausea/vomiting
      • Promethazine 12.5 mg IV Q4H PRN nausea/vomiting
    • MORE APPROPRIATE ORDERs:
      • Ondansetron 4 mg IV Q4H PRN nausea/vomiting
      • Promethazine 12.5 mg IV Q4H PRN nausea/vomiting unrelieved by Ondansetron
  • If clear instructions for use are NOT provided, the prescriber must be contacted for clarification
    • As a nurse, you cannot decide which medication to give when

THIS IS WORKING OUTSIDE YOUR SCOPE OF PRACTICE