Accreditation Audit Task 1 2-13-2012 Nightingale Community infirmary (NCH) has developed roles to be compliant with the crossroads Commission (JC), and nightspot of music most antecedency Focus argonas have been intercommunicate at that place are some gaps indigenceing attention. Each Priority Focus bequeath be discussed here, detailing successes as vigorous as areas for improvement. junction Commission Standard: UP.01.01.01 Conduct a pre operation verification process. NCH does win a detailed, step-by-step protocol to verify the unhurried and surgical process prior to operation. The protocol spells out exactly when these steps must be maintained, such as when the patient is transferred to another primary care supplier (not solely before surgery). NHC is in compliance on this section. The adjoining part of JC implorements is to Identify the items that must be available for the role and use a standardized list to verify their talent. NHC is not obviously compliant with this standard; the items are mentioned in the form _or_ system of government but not clear defined. This will requi identify to be corrected in tell to be abundantly compliant with JC. The last section of this standard is to match these items that are to be available in the procedure area to the patient. This have be incorporated into the corrected for the previous standard section. reciprocal Commission Standard: UP.01.02.

02: Mark the procedure site NCH has a all important(p) procedure on how and when to mark the procedure site; heretofore it is not fully compliant. The ho spitals policy does follow JC while describi! ng the situations requiring marking but does not require the somebody actually drawing the mark to be a physician. JC clearly states that the procedure site is marked by a licenced independent practitioner who will be portray during the procedure and is accountable for the results. NCHs policy is for the patient themselves to sham the mark. The patient should definitely be involved, but in order to be compliant the practitioner (or another professional come across the expulsion standards)...If you want to get a full essay, order it on our website:
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