REPROCESSING ACCREDITATION SURVEY AUDITS
|
|
- Francine Owens
- 8 years ago
- Views:
Transcription
1 SHC REPROCESSING ACCREDITATION SURVEY AUDITS Objectives 1. Review the importance of healthcare organization accreditation. 2. Discuss the essential requirements in reprocessing according to accreditation standards. 3. Provide examples of non-conformances and observations identified during facility audits. Rose Seavey MBA, BS, RN CNOR, CRCST, CSPDT SEAVEY HEALTHCARE CONSULTING STERILE PROCESSING SURGICAL SERVICES. Established in Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys 2 nd Ed : Up-to-date information: Current accreditation standards (e.g. CMS, TJC, AAAASF) CMS Pre-Decisional Survey Worksheet 2014 National Patient Safety Goals Hospitals Ambulatory Care Office-Based Surgery Practice Risk Reduction and Process Improvement are the Heart and Soul of Accreditation Surveys Current professional guidelines (e.g. AAMI, AORN, SGNA, CDC) Seavey, R. Association for the Advancement of Medical Instrumentation. Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys Accreditation Survey Improving the quality of healthcare Peer review Focus on safety, quality and process improvement Condition of payment Private insurance companies Federal funding Measures compliance Published recommended practices Accreditation standards and supporting documents 5 CMS - Compliance with Medicare Conditions Accrediting organization with deeming authority by CMS Accreditation Association for Ambulatory Healthcare (AAAHC) Accreditation Commission for Healthcare (ACHC) American Association for Accreditation of Ambulatory Surgery Facilities (AAASF) American Osteopathic Association/Healthcare Facilities Accreditation Program (AOA/HFPA) Center for Improvement of Healthcare Quality (CIHQ) - new 8/9/2013 Community Health Accreditation Program (CHAP) DNV Healthcare (DNV) The Joint Commission (TJC) 6 Seavey, R. Association for the Advancement of Medical Instrumentation. Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys Policy and Requirements for an Application for Deeming Authority. Accessed 7/12/2012 at: EnrollmentandCertification/SurveyCertificationGenInfo/downloads//applicationrequirements.pdf 1
2 7 8 TJC Survey Process Independent, nonprofit Accredits and certifies over 18,000 health care organizations and programs including: Hospitals, Doctor s offices, Nursing Homes, Office-based surgeries, Behavioral health treatment facilities, and Providers of home care services. Nationally recognized as symbol of quality Submit an application Pay a fee Resurveyed within three years 2006 unannounced survey process Between18-39 months after previous survey Morning of survey Biographies and pictures of surveyors assigned Eiland, John E, Surveyor, The Joint Commission. Joint Commission presentation at IAHCSMM annual meeting in May Presentation available on flash drive provided to attendees Joint Commission Resources Nonprofit affiliate of TJC, publishes the official handbooks used in the TJC survey process Comprehensive Accreditation Manual for Hospitals: The Official Handbook (CAMH) Comprehensive Accreditation Manual for Ambulatory Care (CAMAC) 2013 Comprehensive Accreditation Manual for Office-Based Surgery Practices (CAMOBS) Accreditation Standards Standards = performance objectives Rationales = describe importance Elements of performance (EPs) = meet goals Scores determine the compliance Minimum score of 90% on every EP Standards relating to reprocessing Environment of Care Human Resources Infection Prevention and Control Leadership Performance Improvement Seavey, R. Association for the Advancement of Medical Instrumentation. Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys TJC Focus on Reprocessing 11 TJC Second Generation Tracer Cleaning, Disinfection & Sterilization (CDS) beginning in 2010, surveyors have spent additional time during survey evaluating the cleaning, disinfection and sterilization (CDS) processes Surveyors received in-depth training on sterilization processes through AAMI Survey to ANSI/AAMI ST79 ST79 Available to staff Eiland, John E, Surveyor, The Joint Commission. Joint Commission presentation at IAHCSMM annual meeting in May Presentation available on flash drive provided to attendees. 2
3 TJC High-level Disinfection and Sterilization: Know Your Practice The organization reduces the risk of infections associated with medical equipment, devices and supplies Deficiencies: 47% Hospitals 43% Critical access hospitals 37% Ambulatory care organizations 26% Office based-surgery practices Leadership, IPC, OR, Sterile Processing, ES and Engineering all play a CRITICAL ROLE in reprocessing. Standardizing the use of HLD and sterilization practices The Joint Commission. High-level Disinfection and Sterilization: Know Your Practice. Feb. 2014; 34(2): Facilities Out of Compliance 1. Lack of having or using CURRENT evidence based guidelines (EBG) (IC EP 1) 2. Orientation, Training and Competency (IC ) Initial and ongoing Complete and current documentation Conducted by personnel COMPLETELY trained on RECENT EBG and instructions for use (IFU). 3. Lack of quality control Using nonvalidated conditions (concentration, exposure times and temps) The Joint Commission. High-level Disinfection and Sterilization: Know Your Practice. Feb. 2014; 34(2): Facilities Out of Compliance (con t) 4. Lack of participation and collaboration (IC ) Supervisory or managerial oversight should have CURRENT education, training and experience Work closely with IPC staff 5. Lapses in record keeping and incomprehensible or nonstandardized logs (IC EP 2) TRACEABLE path to the PATIENT and product identification in the event of a recall (AAMI ST79 section 10.3) 15 CMS Draft Surveyor Worksheets ( ) Focus on Pt. safety and reducing healthcare-acquired conditions 1. Quality Assessment and Performance Improvement Worksheet 2. Infection Control Worksheet Module 1: Infection Control/Prevention Program Module 2: General Infection Control Elements Module 3: Equipment Reprocessing Module 4: Patient Tracers Module 5: Special Care Environments Discharge Planning Worksheet The Joint Commission. High-level Disinfection and Sterilization: Know Your Practice. Feb. 2014; 34(2): Certification/SurveyCertificationGenInfo/downloads/SCLetter12_01.pdf TJC Personnel Considerations HR : Staff are competent to perform their responsibilities EP 1. The hospital defines the competencies it requires of its staff who provide patient care, treatment, or services. EP 2. The hospital uses assessment methods to determine the individual s competence in the skills being assessed. Note: Methods may include test taking, return demonstration, or the use of simulation. EP 3. An individual with the educational background, experience, or knowledge related to the skills being reviewed assesses competence. The Joint Commission Hospital Accreditation Standards (HAS) 17 Leadership Standards and EPs LD : The hospital makes space and equipment available as needed for the provision of care, treatment, and services. EP 2. The arrangement and allocation of space supports safe, efficient, and effective care, treatment, and services. Need for sufficient space to adequately reprocess EP 5. The leaders provide for equipment, supplies, and other resources. The Joint Commission Hospital Accreditation Standards (HAS) 18 3
4 Preparing for a Processing Audit 19 Surveys Preparation 20 Accreditation Documents Relevant Professional Standards and Recommended Practices Accreditation Preparation Committee Committee representatives should include: Sterile Processing, Operating room, Infection prevention and control, Clinical/biomedical engineering, Endoscopy, Risk management, Quality, Safety, Education, Administration, and Materials management etc. Self assessment Subject Matter Experts Verify that each element of performance (EP) in each standard is addressed Front line staff involvement Cite the EP (not just the standard) Describe how that expectation is met TJC National Patient Safety Goals Goal 7: Reduce Risk of HAIs NPSG Implement evidence-based practices for preventing surgical site infections. Implements policies and practices aimed at reducing the risk of HAIs. These policies and practices meet regulatory requirements and are aligned with evidence-based guidelines (for example, the Centers for Disease Control and Prevention [CDC] and/or professional organization guidelines). 21 CMS Pre-decisional Surveyor Worksheet Module 1: Infection Control/Prevention Program 1. A.3 The Infection Control Officer(s) can provide evidence that the hospital has developed general infection control policies and procedures that are based on nationally recognized guidelines and applicable state and federal law. 22 The Joint Commission Hospital Accreditation Standards (HAS) Certification/SurveyCertificationGenInfo/downloads/SCLetter12_01.pdf Standards & Guidelines 23 Disinfection and Sterilization Standards, Recommendations and Evidence-Based Guidelines AORN Perioperative Standards and Recommended Practices, AAMI ST79 Comprehensive guide to steam sterilization and sterility assurance in health care facilities ANSI/AAMI ST79:2010 & A1:2010 &A2:2011 & A3:2012 &A4:2013 AAMI ST58:2013 Chemical sterilization and high-level disinfection in health care facilities CDC Guideline for Decontamination and Sterilization in Healthcare Facilities,
5 No acceptable Excuses for Not Following Standards or RPs Didn t know about them They were not available to staff Available but not up-to-date No one designed as subject matter expert in RPs Not enough personnel and time Personnel are not trained on RPs, etc. Necessary equipment and tools not available Processing P&P Polices and Procedures Facility design and housekeeping, Personnel qualifications, training and continuing education, Dress code - PPE, Sterilization monitoring, Receiving purchased or borrowed items, Loaner instrumentation (min. 24 hr lead time) Handling, collection, and transport of contaminated items, Assembly, package configurations and sterilization monitoring, Following manufacturer s written IFU, Maintenance and repair of medical devices, etc. Reference to current published standards and RPs Not because it is a TJC or CMS standard! The Joint Commission (TJC) Quality Process Improvement Standard IC The hospital identifies risks for acquiring and transmitting infections. Element of Performance # 4 The hospital reviews and identifies its risks at least annually and whenever significant changes occur with input from, at a minimum, infection control personnel, medical staff, nursing, and leadership. Addressing and reducing risks Objective is to proactively identify the risks to reduce the likelihood of a process failure. Risk Reduction Tools Root Cause Analysis Failure Modes and Effects Analysis (FMEA) Tracers Seavey, R. Association for the Advancement of Medical Instrumentation. Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys. AAMI IUSS Common High-Risk Areas P&Ps not standardized Loaner instrumentation Torn wrappers No IFUs Sets weighing more than 25 pounds Sterilization process failures Inefficient staff orientation No standardization Lack of competency documentation 29 Risk Analysis of the Sterilization Process Klacik, Sue. Risky business: Risk analysis in CSSD. HPN Aug 2010, available at: Klacik, Sue. Worth the Risk, HealthVI.com, May 2011, available at: Home/InServiceArticles/?WT.svl=5 30 5
6 Crosswalk 2014 TJC Standards Linked to Current AAMI ST79 Crosswalk 31 TJC Design Considerations EC : The hospital plans activities to minimize risks in the environment of care. EC : The hospital manages risks related to hazardous materials and waste. EC : The hospital manages medical equipment risks. IC : The organization reduces the risk of infections associated with medical equipment, devices, and supplies. LD : Leaders create and maintain a culture of safety and quality throughout the organization. LD : Leaders use hospital-wide planning to establish structures and processes that focus on safety and quality. LD : The organization has policies and procedures that guide and support patient care, treatment, or services. LD : The hospital makes space and equipment available as need for the provision of care, treatment, and services. LD : The hospital considers clinical practice guidelines when designing or improving processes Seavey, R. Association for the Advancement of Medical Instrumentation. Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys. AAMI ANNEX G 34 ST 79 Relative to TJC Survey s Design Considerations Functional workflow patterns (3.2.3) Traffic control (3.2.4) Electrical systems (3.3.3) Steam for sterile processing (3.3.4) Steam quality ( ) Steam purity ( ) Utility monitoring and alarm systems (3.3.5) General area requirements (3.3.6) Ventilation ( ) Temperature ( ) Humidity ( ) Special area requirements and restrictions (3.3.7) Decontamination area ( ) Preparation area ( ) Sterile storage ( ) Break-out area ( ) Emergency eyewash/shower equipment (3.3.8) Housekeeping (3.4) Seavey, R. Association for the Advancement of Medical Instrumentation. Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys ANNEX G Contains Multiple Preparation Tools Self audit tools, Sterile Processing, IUSS, and High-level-disinfection Risk reduction tools Root cause analysis, Failure modes and effects analysis, Tracer methodology Instruments Held Completely Open? 3 facilities issued IJ (Immediate Jeopardy) by CMS All instruments must be held completely open with no tips touching. Stringers are not adequate to hold completely open. Surveyor Opinions Cost Hospital One faculty (part of a large system) issued IJ 10 days to fix the problem Purchased approximately 230 clamps at $30 apiece ($6,900) Vendor questioned if the order was a mistake (8-10 is normal) Pulled every peel pack, instruments sets etc. and reprocessed them. Cost packaging, sterilization costs, labor etc.??? Impact on surgery schedule 6
7 Devices Used to Hold Open What does AAMI ST79 say? 8.4 Preparation and assembly of surgical instrumentation General considerations... Instruments sets should be sterilized in perforated or wire-meshbottom trays or in containment devices such as specially designed rigid organizing trays or rigid sterilization container systems, with all instruments held open and unlocked. What does AAMI ST79 say, con t.? Instrument placement Instruments to be sterilized should be arranged according to the following guidelines: c) All jointed instruments should be in the open or unlocked position with ratchets not engaged... Racks, pins, stringers, or other specifically designed devices can be used to hold the instruments in the open position. Recommended Practice Wording Should - certain course of action is preferred but not required May - indicates that a course of action is permissible Can - statement of possibility and capability Must - used only to describe unavoidable situations including those mandated by government regulations (e.g.osha). What does AORN Say? Recommended Practices for Cleaning and Care of Surgical Instruments and Powered Equipment XII.c. Instruments with hinges should be opened and those with removable parts should be disassembled when placed in trays designed for sterilization, unless the manufacturer has provided validated instructions to the contrary. State Department of Public Health CMS Health Facilities Evaluator Nurse from that State Department of Public Health (not the surveyor) Until there is something in writing from either AAMI or AORN the surveyor s interpretation stands and the facility will be held to it. Surgical Service Director asked AAMI to write a statement of clarification ST79 a consensus document 7
8 Changes to AAMI and AORN AAMI Director of Standards (Susan Gillespie) Only guidance standards No regulatory authority Described the Immediate Jeopardy citing to AAMI CMS contact No new directive from CMS HQ It s only one surveyor's interpretation Want all faculties held to the same standard regardless of the surveyor Decontam Stringers Various types of stingers available used to hold instruments open for efficient cleaning. AORN Manager of RPs (Ramona Conner) Cleaning and Care of Surgical Instruments and Powered Equipment revision in process Another interpretation? CMS surveyor CA Peel packs for single item only! Figure 8 Example of single- and double-packaging with paper plastic pouches Air flow documentation Documentation a Hot Button Daily temp and humidity logs Logs for LMA reprocessing Logs for phaco coaxial I/A tips limited usage Instrument set weight logs IUSS how facility is decreasing (PI standards) Premature release forms for implants etc. Loaners Documentation standardized Documentation of failed loads Documenting the disinfection of brushes between uses (CMS) Equipment Maintenance Logs TJC surveyor cited for not documenting when vaporizer plate on their hydrogen peroxide sterilizer was changed. User s guide (IFU ) routine maintenance Every 30 days or 145 cycles, whichever come first. ST 79 section 9.7 Record-keeping A maintenance record, in either paper or electronic format, should be kept for each sterilizer. Goggles worn while using automated scope washers? Surveyor Questions Dating laryngoscope blades after HLD Packaged and stored to prevent recontamination (not touched with bare hands) Expiration dating Each item in a load should be labeled with a control date for stock rotation and the following statement (or its equivalent): Contents sterile unless package is opened or damaged. Please check before using. OK for stock rotation, but necessary after HLD which are bagged to keep clean? 8
9 Looking for Shelf Life Dates Shelf life vs. event related Wrap 1 year, 6 months, 30 days??? FDA representative at AAMI ST79 meeting Testing data is not the same as IFU IFU stated to continue to use facility policy of event related Peel packs expiration date from MFR Expiration date - when the box of peel pack is opened? AAMI ST79: 2010 Shelf Life Section 8.9.3: The shelf life of a packaged sterile item is eventrelated and depends on the quality of the packaging material, the storage conditions during transport, and the amount of handling AORN Recommended Practices for Selection and Use of Packaging Systems for Sterilization: Recommendation VIII.1: Sterilized packages should be considered sterile until an event occurs to compromise the package barrier integrity With a Surveyor NEVER EVER Defend a violation of your policy or an unsafe practice To build credibility do not defend the indefensible ADMIT to the issue and commit to FIXING it and NOT HAVING IT RECUR. Lie (hiding is alright) Volunteer an answer you don t know Tell them you will find out soon Never EVER Tell a surveyor they are wrong Instead: Tell them you haven t remembered seeing that in the standard and you ll need to take that REGULATION TO YOUR COMMITTEE to make that policy change so may you PLEASE HAVE IT. You didn t know that and had just been following the COMMUNITY STANDARD and will NEED THE REGULATION to share with your peers at the other facilities. You hadn t interpreted the standard to mean that but thought it meant this. (especially effective if you think the surveyor is testing your knowledge) Be rude or disrespectful NEVER EVER Ask them why they are asking something Contradict something in your minutes Suggest you have known of an issue for a prolonged time and done nothing or stopped trying Interrupt Disparage a standard or regulation Sometimes they know its stupid and are only following orders When the idea is particularly idiotic and they have NO EVIDENCE or standard.. Don t volunteer to change practice (if they HAVE NO STANDARD or evidence, obviously if they do, you will) Tell them you see their point but politely and gently suggest you won t don t think you will be able to get it through the committee without more evidence Tell them that is an amazing insight and you ll take it to committee to discuss 9
10 Houston, we are the problem (Administration just wouldn t listen) Document, document, document. s not conversations. Minutes not discussions. Offer several solutions, not just one solution to administration Your authority statement for especially dangerous situations (unsafe sterilization or disinfection practices) Make sure administration is there at the meeting with the surveyors Administration and Budgets and Patient Safety Tell administration it is a PATIENT SAFETY and SURVEY ISSUE in writing and ask for a response back. If the response back to you is verbal A SYNOPSIS of your understanding of the conversation back to them Keep good documentation of everyone you shared the issue with and all your interventions Survey Survival Give them a yes answer (if you can), but maybe not to the question they asked. e.g. Have you eliminated vendor trays from getting dropped off within two hours of surgery forcing you to flash sterilize FACTS: You made a lot of strides on this a few years back but for the last two years have been stuck at 87% of trays getting to the facility 24 hours or greater in advance. Statement: We have made it so the VENDORS KNOW BETTER than to do that. We have WRITTEN IN OUR CONTRACTS that they don t get paid for the tray if we don t have it 24 hours in advance (true). So you know the VENDORS ARE AS MOTIVATED as us to have those trays to us 24 hours ahead of time. If a surveyor is insane Document the event discuss with administration BEFORE THE SURVEYOR LEAVES (Once a surveyor leaves regulatory bodies will not usually reverse an issue) Accrediting bodies frequently reverse decisions of surveyors when more evidence is supplied Apologize for escalating if you did Keep difficult people away from surveyors if possible and appropriate or ask them if they ll be Ok with the surveyor Never claim perfection!!!!! TJC will cite you if you claim 100% sterilization documentation compliance and they see violations More willing to ignore if you say you are working on it Other survey hints Know every document you give them Know everyone they spoke with and what they said Share this with other staff Know what questions are being asked Share this with staff Know where your deficiencies are and fix if possible before they leave (more effective with accrediting bodies) 10
11 References Seavey, R. Association for the Advancement of Medical Instrumentation. Sterile Processing in Healthcare Facilities: Preparing for Accreditation Surveys The Joint Commission. Updated: The Joint Commission s position on steam sterilization. Joint Commission Perspectives. July 2009:29(7):8. Accessed 7/8/2012 at: org/joint_commission_online_july_20_2011/ CMS Director of Survey and Certification Group memo to State Survey Directors on Flash Sterilization Clarification-FY 2010 Ambulatory Surgical Center (ASC) surveys, September 4, Accessed 7/8/2012 at: Eiland, John E, Surveyor, The Joint Commission. Joint Commission presentation at IAHCSMM annual meeting in May Presentation available on flash drive provided to attendees. Kuhny, Louise. The Joint Commission Standards and Survey Process. AORN webinar 9/22/2011. To order access at: 61 References Office of Clinical Standards & Quality/Survey & Certification to State Survey Agency Directors on CMS Survey & Certification Focus on Patient Safety and Quality-Draft surveyor Worksheets, Oct 14, Accessed 7/8/2012 at: Certification/SurveyCertificationGenInfo/downloads/SCLetter12_01.pdf Office of Clinical Standards & Quality/Survey & Certification to State Survey Agency Directors on Patient Safety Initiative Pilot Phase-Revised Draft Surveyor Worksheets on May 18, Accessed 7/8/2012 at: Policy and Requirements for an Application for Deeming Authority. Accessed 7/12/2012 at: Certification/SurveyCertificationGenInfo/downloads//applicationrequirements.pdf Immediate-Use Steam Sterilization. Accessed 7/8/2012 at: 62 The Final Word Risk reduction and process improvement are the heart and soul of surveys. Thank you 11
Objectives 5/11/2015. Taking the Chaos out of Accreditation Surveys in Sterile Processing
Taking the Chaos out of Accreditation Surveys in Sterile Processing Rose Seavey MBA, BS, RN CNOR, CRCST, CSPDT Financial Disclosures: 3M Healthcare, Bioseal, Medacta, onesource, ReadySet, Steris, Ultra
More informationSterile Processing: Preparing for Accreditation Surveys
Sterile Processing: Preparing for Accreditation Surveys Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT SEAVEY HEALTHCARE CONSULTING STERILE PROCESSING SURGICAL SERVICES. Established in 2003 3/6/2014 2014
More informationGetting a Handle on Loaner Instrumentation
Getting a Handle on Loaner Instrumentation Essentials for a successful loaner program by Rose Seavey, RN, MBA, CNOR, CRCST, CSPDT Objectives After completion of this self-study activity, the learner will
More informationINFECTION CONTROL SURVEYOR WORKSHEET
Exhibit 351 Ambulatory Surgical Center (ASC) INFECTION CONTROL SURVEYOR WORKSHEET (Rev: 142, Issued: 07-17-15, Effective: 07-17-15, Implementation: 07-17-15) Name of State Agency or AO (please specify)
More informationRegulations & Standards
Regulations & Standards Impact Safe Instrument Processing by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT Learning Objectives 1. Discuss the role of federal agencies in the regulation of processing procedures
More informationAre You Always Ready for The Joint Commission or CMS Survey?
Are You Always Ready for The Joint Commission or CMS Survey? Sandy Garcia, RN, BSN, MBA Lead Consultant Certified Lean/Six Sigma Black Belt 1 Are You? Were You? Do You? Have You? 2 1 Infection Prevention
More informationWelcome! Thank you for attending today s meeting, it will begin shortly.
Welcome! Thank you for attending today s meeting, it will begin shortly. How do I get a CE Certificate? Next week, all of today s meeting participants will be sent an email containing instructions for
More informationBe on the Look-Out for These Top-10 risks in Sterile Processing
Be on the Look-Out for These Top-10 risks in Sterile Processing Martha Young, BS, MS, CSPDT Martha L. Young, LLC, Woodbury, MN Providing Savvy Sterilization Solutions for Healthcare marthalyoung1@aol.com
More informationSterilization of Surgical Implants: Did You Know
Sterilization of Surgical Implants: Did You Know by Rose Seavey, RN, MBA, CNOR, ACSP Many thanks to the team at 3M Health Care for working with Managing Infection Control to provide the following accre
More informationAORN Position Statement on Allied Health Care Providers and Support Personnel in the Perioperative Practice Setting
AORN Position Statement on Allied Health Care Providers and Support Personnel in the Perioperative Practice Setting POSITION STATEMENT The perioperative RN is accountable for patient outcomes resulting
More informationBest Practices for Loaner Surgical Instruments
Best Practices for Loaner Surgical Instruments Copyright 2015, Sterile Processing University, LLC, All Rights Reserved. This material may not be copied or used without permission of the author. Nancy Chobin,
More information1/22/2012. When is it a good time to learn about sterile processing in your facility? Continuing Education Contact Hours. Learning Objectives
Continuing Education Contact Hours Participants must complete the entire presentation/seminar to achieve successful completion and receive contact hour credit. Partial credit will not be given. All of
More informationStrategies for Effective Management of the Sterile Processing Department
Strategies for Effective Management of the Sterile Processing Department Objectives Upon completion, participants will be able to... 1) explain the importance of instrument reprocessing for infection prevention,
More informationTHE BASICS OF PACKAGING
THE BASICS OF PACKAGING Objectives: Review the regulatory requirements for packaging Present the purpose, function and essential characteristics of packaging Describe packaging options, their use, and
More informationAST Guideline Statement on Humidity in the Operating Room
AST Guideline Statement on Humidity in the Operating Room Approved April 10, 2015 Introduction The maintenance of the required level of relative humidity (RH) in the operating room (OR) has been essential
More informationUTILIZAÇÃO DA LEAN METODOLOGIA. Desmistificando Aplicações Reais Para CME. Apresentado por John Kimsey
UTILIZAÇÃO DA METODOLOGIA LEAN Desmistificando Aplicações Reais Para CME Apresentado por John Kimsey STERIS LEAN CME SIMULATION SAO PAULO, RIO, PORTO ALEGRE 2 STERIS LEAN CME SIMULATION SAO PAULO, RIO,
More informationA Comparison. Safety and Health Management Systems and Joint Commission Standards. Sources for Comparison
and Standards A Comparison The organizational culture, principles, methods, and tools for creating safety are the same, regardless of the population whose safety is the focus. The. 2012. Improving Patient
More informationAccreditation History
Key Issues in HFAP Beverly Robins, RN, BSN, MBA Director of October 26, 2012 1 History Began in 1945 American Osteopathic Association Accrediting Hospitals and Other Health Care Facilities for Over 65
More informationMANAGING A STERILE PROCESSING DEPARTMENT IN CRISIS: HOW TO STAY COOL WHEN YOUR SPD GETS TOO HOT
MANAGING A STERILE PROCESSING DEPARTMENT IN CRISIS: HOW TO STAY COOL WHEN YOUR SPD GETS TOO HOT FRANK MYERS, MA, CIC INFECTION PREVENTIONIST III UC SAN DIEGO HEALTH SYSTEM POTENTIAL CONFLICT: MR. MYERS
More informationRegulations and Other Requirements Affecting Infection Prevention and Control Programs in Ambulatory Surgery Centers
Regulations and Other Requirements Affecting Infection Prevention and Control Programs in Ambulatory Surgery Centers Marcia Patrick, MSN, RN, CIC Infection Prevention and Control Consultant and Educator
More informationAmbulatory Surgery Center (ASC) Track Session
Ambulatory Surgery Center (ASC) Track Session 2012 HAI Data Summit Kansas City, MO May 30 31, 2012 Joe Perz, DrPH MA Team Leader, Ambulatory and Long Term Care Centers for Disease Control and Prevention
More informationDeborah L. Spratt MPA BSN RN CNOR NEA-BC CRCST CHL Director Surgical Services United Memorial Medical Center Batavia NY AORN Past President
Deborah L. Spratt MPA BSN RN CNOR NEA-BC CRCST CHL Director Surgical Services United Memorial Medical Center Batavia NY AORN Past President Objectives 1. Discuss teambuilding techniques 2. Identify barriers
More informationTop Ten Sterilization Issues in an Ambulatory Surgery Center
10 Top Ten Sterilization Issues in an Ambulatory Surgery Center by Peggy Prinz Luebbert, MS, MT(ASCP), CIC, CHSP Objectives After completion of this self-study activity, the learner will be able to: 1.
More informationBC Children s Hospital Mistake-Proofing Equipment Reprocessing. Laurence Bayzand Janice Penner Sue Fuller Blamey
BC Children s Hospital Mistake-Proofing Equipment Reprocessing Laurence Bayzand Janice Penner Sue Fuller Blamey Case for Collaboration Patient Safety Learning System (PSLS) trending identified an increased
More informationHeat Transfer. Condensation. Revaporization
Objectives Wrapping a Towel Around the Problem of Wet Packs Identify causes of wet packs in steam sterilization Review suggested documentation that can assist in solving wet pack problems Why are Wet Packs
More informationAmbulatory Surgery Center: CMS Regulations and Survey Findings
Ambulatory Surgery Center: CMS Regulations and Survey Findings Sue Reuss, RN Minnesota Department of Health Ambulatory Surgery Center (ASC) Key Characteristics - distinct entity - exclusively operates
More informationInfection Prevention Program in Ambulatory Surgical Facilities
Infection Prevention Program in Ambulatory Surgical Facilities 2 Patient Safety in the Ambulatory Surgical Setting History and Background of Centers for Medicare and Medicaid Services (CMS) Regulations
More informationCertification A License to Save Lives
Certification A License to Save Lives Linda Jakeman, CRCST, ICP, MDR Consultant, Nova Scotia Welcome South Health Campus Team These are your new Neighbours 2 Medical Device Reprocessing Technicians SHC
More informationStandard laryngoscope blade assemblies Directions for use
1 2014 Welch Allyn, Inc. MM 721358 Ver. C Standard laryngoscope blade assemblies Directions for use Intended use About this document The rigid laryngoscope is a device used to examine and visualize a patient
More information(Samuel LAW Tat Hong) (COM CSSD NTWC)
Tracking System of Surgical Instrument Sets (SIS) through Development of Enterprise Resources Management System (ERMS) in Central Sterile Supplies Department (CSSD) in NTWC (Samuel LAW Tat Hong) (COM CSSD
More informationINVENTORY MANAGEMENT 101: how to make the process cost effective, accurate and efficient
INVENTORY MANAGEMENT 101: how to make the process cost effective, accurate and efficient By ANN GEIER, MS, RN, CNOR, CASC Vice President Clinical Informatics, SourceMedical ABOUT THE AUTHOR Ann Geier has
More informationImproving the Quality of Surgical Trays. By: Stephen M. Kovach
Improving the Quality of Surgical Trays By: Stephen M. Kovach Performance measurement in healthcare represents what is done and how well it is done. The goal is to accurately understand the basis for current
More informationFundamental accreditation review series. Human resources April 12, 2016
Fundamental accreditation review series Human resources April 12, 2016 Vizient: your accreditation partner A key element of an organization focused on patient safety and performance excellence is their
More informationDermatology Associates of KY, PSC Job Description
Dermatology Associates of KY, PSC Job Description Job Title: Perioperative R.N. Department: Ambulatory Surgery Center Reports To: ASC Manager FLSA Status: Non-Exempt;Hourly; Full-Time Summary Responsible
More informationPark Hill Surgery Center (PHSC) Job Description
(1 of 5) Park Hill Surgery Center (PHSC) Job Description TITLE: Operating Room Registered Nurse JOB SUMMARY Provides nursing care to the patient during the intra-operative phase. Performs nursing activities
More informationSterile Processing University, LLC MODULE 25: INVENTORY CONTROL & MANAGEMENT [Ambulatory Surgery]
Sterile Processing University, LLC MODULE 25: INVENTORY CONTROL & MANAGEMENT [Ambulatory Surgery] Copyright Sterile Processing University, LLC 2012 All Rights Reserved. This material may not be copied
More informationINFECTION CONTROL POLICY MANUAL
Page 1 of 7 POLICY MANUAL Key Words: personal protective equipment, PPE, safety equipment, infection control, standard precautions Policy Applies to: All staff employed by Mercy Hospital. Credentialed
More informationCurrent Issues in Instrument Processing
Program Current Issues in Instrument Processing Saturday, November 14, 2015 * Renaissance Dallas Hotel 2222 North Stemmons Freeway Dallas, TX 75207 * Course date & location subject to change Program Overview
More informationAmbulatory Surgical Centers Frequently Asked Questions
Ambulatory Surgical Centers Frequently Asked Questions Index Top General Definitions Compliance with State Licensure Laws Governing Body and Management Surgical Services Quality Assessment and Performance
More informationCENTRAL SERVICE REGULATIONS FOR AMBULATORY SURGERY CENTERS
CENTRAL SERVICE REGULATIONS FOR AMBULATORY SURGERY CENTERS Last updated July 2014 Legal disclaimer: The International Association of Healthcare Central Service Materiel Management (IAHCSMM) provides the
More informationHow is the central service/sterile
CS/SPD compensation holds steady as certification calls advance by Kara Nadeau Della Vecchia How is the central service/sterile processing department (CS/SPD) profession changing as a growing number of
More informationBody Art Facility Infection Prevention And Control Plan Guideline
Body Art Facility Infection Prevention And Control Plan Guideline In accordance with the California Health and Safety Code, Section 119313, a body art facility shall maintain and follow a written Infection
More informationErrors in the Operating Room. Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN)
Errors in the Operating Room Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN) What What We All We Strive All Strive For: For: Patient Patient Safety Safety
More informationMitigating Surgical Medical Malpractice Exposure in Ambulatory Surgery Centers
Mitigating Surgical Medical Malpractice Exposure in Ambulatory Surgery Centers Making Your Ambulatory Surgery Center a Healthcare SafetyZone Even though Ambulatory Surgery Centers (ASCs) have been around
More informationMaking Sense of Regulatory Entities
Making Sense of Regulatory Entities Diane Bradley, PhD, RN, NEA-BC, CPHQ,FACHE, FACHCA Regional Chief Clinical Officer HealthTech Management Services Objectives The participants will be able to: Compare
More informationLearning when things go wrong. Marg Way Director, Clinical Governance Alfred Health, Melbourne
Learning when things go wrong Marg Way Director, Clinical Governance Alfred Health, Melbourne Safety and Quality Management in hospitals Things have changed a lot over the last 10 years.. HOSPITAL catastrophes
More informationStandards Sampler for Urgent Care Centers
Standards Sampler for Urgent Care Centers Standards Sampler for Urgent Care Centers Introduction The Comprehensive Accreditation Manual for Ambulatory Care (CAMAC) contains the set of standards that have
More informationLOW-TEMPERATURE STERILIZATION IS AN EFFECTIVE MEANS TO
CRCST Self-Study Lesson Plan Lesson No. CRCST 138 (Technical Continuing Education - TCE) Sponsored by: by Susan Klacik, ACE, CHL, CRCST, CIS, FCS, CSS Manager, St. Elizabeth Health Center, Youngstown,
More information7/17/2012. Welcome! Topic: Lean Six Sigma How Can it Help Your CSSD? Facilitators: Diane Koch 3M Susan Flynn 3M
3M Sterile U Network 3M Sterile U Web Meeting July 19, 2012 Lean Six Sigma How Can it Help Your CSSD? Today s meeting times: 9:00 a.m., 11:00 a.m. and 1:00 p.m. CST 1 To hear audio, call 800-937-0042 and
More information1 HOUR SAN CE CBDM Approved. Food Protection Connection. Active. by Melissa Vaccaro, MS, CHO. Managerial Control. Nutrition & Foodservice Edge
Food Protection Connection 1 HOUR SAN CE CBDM Approved Active by Melissa Vaccaro, MS, CHO Managerial Control A HACCP Approach 12 Answers to FPC Review Questions CDMs who answer the FPC Review Questions
More informationSTRATEGIC PLANNING IS A SYSTEMATIC METHOD OF DEVELOPING
by Rose Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT President/CEO of Seavey Healthcare Consulting STRATEGIC PLANNING PROCESS FOR CENTRAL SERVICE LEARNING OBJECTIVES 1. Discuss the rational for developing a
More informationStandards Sampler. for Ambulatory Surgery Centers
Standards Sampler for Ambulatory Surgery Centers Standards Sampler for Ambulatory Surgery Centers (ASCs) Introduction The Comprehensive Accreditation Manual for Ambulatory Care (CAMAC) contains the set
More informationHow To Understand The Safety Management Program
ENVIRONMENT OF CARE INTERVIEW QUESTIONS The Survey Team Process The following questions relate to each of the "Environment of Care" sections listed below. The "EC" interview session will be scheduled as
More informationFive steps to risk assessment
This leaflet aims to help you assess health and safety risks in the workplace A risk assessment is an important step in protecting your workers and your business, as well as complying with the law. It
More informationChanging Clinical Behaviors to Lower Costs and Reduce Catheter-Associated Urinary Tract Infections (CAUTI)
Changing Clinical Behaviors to Lower Costs and Reduce Catheter-Associated Urinary Tract Infections (CAUTI) ARKANSAS METHODIST MEDICAL CENTER: How a foley catheter management system combined with education
More informationState Operations Manual Appendix L - Guidance for Surveyors: Ambulatory Surgical Centers
State Operations Manual Appendix L - Guidance for Surveyors: Ambulatory Surgical Centers Transmittals for Appendix L Table of Contents (Rev. 137, 04-01-15) Part I - Ambulatory Surgical Center Survey Protocol
More informationMedical Equipment Management. Medical Equipment Management Activities (EC.02.04.01 and EC.02.04.03)
Medical Equipment Management Plan 2015 I. Introduction, Mission Statement, and Scope The Medical Equipment Management Plan defines the mechanisms for interaction and oversight of the medical equipment
More informationWHITE PAPER. Can Your Hospital Afford Not to Implement a Comprehensive Credentialing Program?
WHITE PAPER Can Your Hospital Afford Not to Implement a Comprehensive Credentialing Program? 2 Overview Patient safety and continuous quality improvement are top priorities for all healthcare facilities,
More informationMedical Supply Technician
Department: Department Of Veterans Affairs Agency: Veterans Health Administration Job Announcement Number: VX-MC-162359 Medical Supply Technician Salary Range: 26,940.00-43,676.00 USD per year Series &
More informationProvider Validation Information:
Provider Validation Information: Health Care Providers with which we contract (e.g. your PCP or a hospital) submit to COMMUNITY HEALTH OPTIONS, the information contained in our Provider Directory. This
More informationAssociation of perioperative Registered Nurses (AORN) Together, We re Better
Association of perioperative Registered Nurses (AORN) Together, We re Better Who Is AORN? The Association of perioperative Registered Nurses AORN is the global leader in providing nursing education, standards,
More information2/15/2015 HEALTHCARE ACCREDITATION: WHAT IT MEANS TO YOU HEALTHCARE ACCREDITATION WHAT IT MEANS TO YOU
HEALTHCARE ACCREDITATION: WHAT IT MEANS TO YOU D avid G o u rley, R R T, MH A, FAAR C E xecu tive Directo r, Regulatory Affairs Chilton Hospital Po m p ton Plains, New Jersey HEALTHCARE ACCREDITATION:
More informationChanges to Medical Device Regulations
Changes to Medical Device Regulations How these will affect distributors? IMSTA Breakfast Briefing, 24 October 2013 Niall MacAleenan Medical Device Lead, IMB. Slide 1 Content Revision of the medical device
More informationMedical Equipment Management. Medical Equipment Management Activities (EC.02.04.01 and EC.02.04.03)
Medical Equipment Management Plan 2016 I. Introduction, Mission Statement, and Scope The Medical Equipment Management Plan defines the mechanisms for interaction and oversight of the medical equipment
More informationt-doc Instrument Intelligence take command of your operations Always with you
t-doc Instrument Intelligence take command of your operations Always with you 2 T-DOC TAKE COMMAND TAKE YOUR OPERATIONS TO NEW LEVELS Many hospitals lack an overview of their instrument inventory, not
More informationEH&S. Sheet. Fact. Safe and Effective Use of Autoclaves. What are autoclaves? Factors for effective sterilization. Dry heat cycle - when to use
Please post or circulate Fact heet nvironment, ealth and afety Information for the Berkeley Campus No. 33 Revised 04/04/11 afe and ffective Use of Autoclaves Autoclaves are easy to use but can pose a safety
More informationFive steps to risk assessment
This leaflet aims to help you assess health and safety risks in the workplace A risk assessment is an important step in protecting your workers and your business, as well as complying with the law. It
More informationEnvironment of Care Fire Safety Management Plan 2014
Environment of Care Fire Safety Management Plan 2014 Updated 4.29.2014 PURPOSE The purpose of the Fire Safety Management Plan is to ensure that all facilities are designed, constructed, maintained, and
More informationHelping Clinicians Get Out of the Supply Room and Back to Their Patients. How Medical West Hospital transformed its supply chain
Helping Clinicians Get Out of the Supply Room and Back to Their Patients How Medical West Hospital transformed its supply chain Helping Clinicians Get Out of the Supply Room and Back to Their Patients
More informationBehind the Scenes of Inventory Management: A Generalized Approach. Coby Durham Engineering Fellow
Behind the Scenes of Inventory Management: A Generalized Approach Coby Durham Engineering Fellow Presentation Outline Background Information, Motivation Project Process 1. New Item Requests 2. Inventory
More informationAustralian/New Zealand Standard
AS/NZS 4187:2003 AS/NZS 4187 Australian/New Zealand Standard Cleaning, disinfecting and sterilizing reusable medical and surgical instruments and equipment, and maintenance of associated environments in
More informationNational Urgent Care Center Accreditation 2813 S. Hiawassee Rd., Suite 206 Orlando, FL 32835-6690
National Urgent Care Center Accreditation 2813 S. Hiawassee Rd., Suite 206 Orlando, FL 32835-6690 ph: 407-521-5789 fax: 407-521-5790 web: www.aaucm.org/professionals/accreditation National Urgent Care
More informationABPANC HOT BUTTON QUESTIONS
ABPANC HOT BUTTON QUESTIONS WHY DOESN T ABPANC OFFER A FAIL-SAFE PROGRAM LIKE OTHER CERTIFICATION ORGANIZATIONS DO? We are aware of the Fail-Safe type programs offered by a few of our colleague organizations
More informationLaboratory Biosafty In Molecular Biology and its levels
Laboratory Biosafty In Molecular Biology and its levels Workshop 16-17 Oct..2012 Guidelines Does not mean optional Laboratory Biosafety The Laboratory Biosafety Manual is an important WHO publication
More informationAn Infusion of Quality and Safety STAT!
Quality is not an act, it is a habit. Aristotle An Infusion of Quality and Safety STAT! Quality is not an act, it is a habit. Mary Kakenmaster MSN, RN, CNE Oakton Community College mkakenma@oakton.edu
More informationDeleted Elements of Performance for Rehabilitation and Psychiatric Distinct Part Units in Critical Access Hospitals
Deleted Elements of Performance for Rehabilitation and Psychiatric Distinct Part Units in Critical Access Hospitals Effective January 1, 2010 Critical Access Hospital Accreditation Program Standard EC.0001
More informationTips for Success. Documenting Practice Workflows and Envisioning the Future. 1. Involve All Areas of Practice
Documenting Practice Workflows and Envisioning the Future Tips for Success The many and varying clinical and administrative processes, workflows and documents that currently drive and control the daily
More informationPRINTED: 10/12/2012 FORM APPROVED CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 0938-0391 (X2) MULTIPLE CONSTRUCTION A.
CENTERS FOR MEDICARE & MEDICA SERVICES OMB NO. 0938-0391 (X1) PROVER/SUPPLIER/CLIA ENTIFICATION NUMBER: B. WING (X3) SURVEY NAME OF PROVER OR SUPPLIER (X4) PROVER'S PLAN OF CORRECTION A 000 INITIAL COMMENTS
More informationQUALIFICATION HANDBOOK
QUALIFICATION HANDBOOK Level 2 Certificate in Assisting and Moving Individuals for Social Care Settings (0402-01) Level 3 Award in Inducting others in the Assisting and Moving of Individuals in Social
More informationDepartment of Veterans Affairs VHA DIRECTIVE 2009-004 Veterans Health Administration Washington, DC 20420 February 9, 2009
Department of Veterans Affairs VHA DIRECTIVE 2009-004 Veterans Health Administration Washington, DC 20420 USE AND REPROCESSING OF REUSABLE MEDICAL EQUIPMENT (RME) IN VETERANS HEALTH ADMINISTRATION FACILITIES
More informationHazard Analysis and Critical Control Points (HACCP) 1 Overview
Manufacturing Technology Committee Risk Management Working Group Risk Management Training Guides Hazard Analysis and Critical Control Points (HACCP) 1 Overview Hazard Analysis and Critical Control Point
More informationMANY OF TODAY S SURGERIES USE MINIMALLY INVASIVE
Lesson No. CRCST 137 (Technical Continuing Education - TCE) Sponsored by: by Patti Koncur, CRCST Educational Specialist, IAHCSMM and Scott Davis, CMRP, CRCST, CHMMC Materials Manager University Medical
More informationSUBJECT: SAFETY MANAGEMENT PLAN REFERENCE #1003 PAGE: 1 DEPARTMENT: HOSPITALWIDE OF: 1 EFFECTIVE:
SUBJECT: SAFETY MANAGEMENT PLAN REFERENCE #1003 PAGE: 1 DEPARTMENT: HOSPITALWIDE OF: 1 MISSION: Insert your mission statement for the Safety Management Plan. Be sure that the mission for the plan reflects
More information7/24/2015. Disclosure. Preventing Medication Errors in a Just Culture Environment. Blame Free Culture. Objectives.
49th Annual Meeting Preventing Medication Errors in a Just Culture Environment Disclosure I do not have a vested interest in or affiliation with any corporate organization offering financial support or
More informationDarlene Rodgers, BSN, RN, CNN, CPHQ Executive Director, ESRD Networks 15/17
Darlene Rodgers, BSN, RN, CNN, CPHQ Executive Director, ESRD Networks 15/17 To build strategic partnerships with dialysis providers, ESRDS Network, renal associations, public health professionals, federal
More informationUCCS Biosafety Management Policy
UCCS Biosafety Management Policy SAFE STORAGE AND HANDLING OF BIOLOGICAL LABORATORY WASTE (For assistance, please contact Environmental Health & Safety) It is the intention of the University of Colorado
More informationTHE MAJOR GOAL OF THE ELECTRONIC MEDICAL RECORD (EMR)
Lesson No. CRCST 146 (Technical Continuing Education - TCE) Sponsored by: by Carla McDermott, RN, CRCST, ACE Clinical Nurse III South Florida Baptist Hospital Plant City, Fla. ELECTRONIC MEDICAL RECORDS
More informationPhilips Healthcare is part of Royal Philips
Shield_CMYK_2013 Philips Healthcare is part of Royal Philips How to reach us: www.philips.com/healthcare healthcare@philips.com Product information: www.philips.com/anesthesia 2014 Koninklijke Philips
More informationNational Decontamination Guidance on Loan Medical Devices (Reusable): Roles & Responsibilities GUID 5002
National Decontamination Guidance on Loan Medical Devices (Reusable): Roles & Responsibilities GUID 5002 July 2015 Contents Page 1.0 Executive summary... 3 2.0 Background... 4 3.0 Objective... 5 4.0 Scope...
More informationFAQ: Unique Device Identification Final Rule
FAQ: Unique Device Identification Final Rule October 2013 Key Changes from Proposed Rule A separate UDI is not required for devices within a convenience kit, regardless of Class designation, so long as
More information"ADOPTED STANDARDS FOR THE REGULATION OF MEDICAL WASTE" IN HEALTH CARE FACILITIES LICENSED BY THE MISSISSIPPI STATE DEPARTMENT OF HEALTH
"ADOPTED STANDARDS FOR THE REGULATION OF MEDICAL WASTE" IN HEALTH CARE FACILITIES LICENSED BY THE MISSISSIPPI STATE DEPARTMENT OF HEALTH REGULATED MEDICAL WASTE "Infectious medical wastes" includes solid
More informationPPG SUPPLIER DEVELOPMENT ASSESSMENT
Supplier: Address: Products: Assessment Date: Assessment Team: Certification: Supplier Contacts Position E-mail Phone General Comments: Assessment Results Summary Sections Non-conformity Action Point Quality
More informationTHE BASICS OF STERILIZATION
THE BASICS OF STERILIZATION Objectives: State the importance of sterilization to patient care Review three key essentials of the sterilization process Describe sterilization methods used, application,
More informationNew Beginnings: Managing the Emotional Impact of Diabetes Module 1
New Beginnings: Managing the Emotional Impact of Diabetes Module 1 ALEXIS (AW): Welcome to New Beginnings: Managing the Emotional Impact of Diabetes. MICHELLE (MOG): And I m Dr. Michelle Owens-Gary. AW:
More informationInfection Control in the Dental Practice through Proper Sterilization
Midmark Corporation 60 Vista Drive P.O. Box 286 Versailles, Ohio 45380-0286 937-526-3662 midmark.com Infection Control in the Dental Practice through Proper Sterilization In today's world, the need for
More informationOutpatient Surgery Settings in California
Outpatient Surgery Services in California: Oversight, Transparency, and Quality Prepared by B & R Klütz Consulting July 2015 About the Author Brenda G. Klütz is managing principal of B & R Klütz Consulting,
More informationEndoscope Tracking System
Endoscope Tracking System ENDORA Tracking System Workflow Storage: Displays which cabinet the endoscope is in Timestamps when endoscope enters the cabinet Procedure: Links patient ID to endoscope used
More informationHome Health Aide Hiring, Training and Supervision
Hiring and Supervision in Home Health Home Health Aide Hiring, Training and Supervision Hiring, training and supervision of home health aides is an important management challenge to home healthcare agencies.
More informationORGANIZATION/FACILITY CREDENTIALING/RECREDENTIALING APPLICATION
ORGANIZATION/FACILITY CREDENTIALING/RECREDENTIALING APPLICATION CURRENT COPIES OF DOCUMENTS TO BE SUPPLIED WITH COMPLETED APPLICATION INCLUDES: Current accreditation certificates Current State license
More information