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You are here > Home > Reading Lists > Compliance Resources > The 50 Essential JCAHO Survey Policies & Procedures The 50 Essential JCAHO Survey Policies and Procedures  Diana Arendt, RN, MSN, CCRN Looseleaf Binder: 368 pages + bonus CD-ROM ISBN 1578393892 978-1578393893 HCPro April 2004 Price $199.00   Finally, a resource that provides you with the 50 must-have policies and procedures to comply with the JCAHO standards and state license regulations - in a format you can customize for your own facility. Now more than ever before, JCAHO surveyors will scrutinize your organization's policies and procedures.  Sixty percent of the JCAHO survey process focuses on the tracer methodology. That means that you need to have your core policies constantly available as surveyors may request them at any time while reviewing a patient's history. Unfortunately, most organizations continue to struggle with the task or writing effective, concise policies. Under the new scoring guidelines, you also need to show that each of your policies and procedures has been in place for at least 12 months. And don't forget state regulations concerning your policies and procedures. There is no need to start from scratch when the work has already been done for you. This practical, time-saving tool will provide you with the 50 core policies and procedures that are essential to your organization's success. You can be confident that these policies stand up to both JCAHO scrutiny and your state license regulations.  You'll receive these 50 core policies in both print and electronic formats allowing you to easily customize each for your organization. You can use the CD-ROM to customize any form or policy provided. Simplicity is the key to effective policies and procedures. Each sample policy and procedure in The 50 Essential JCAHO Survey Policies and Procedures book and CD-ROM lists the elements you need to meet state and accreditation requirements. As a result, you'll end up with the most concise, effective policies possible. Save time and resources with sample forms and tools. In addition to the 50 policies and procedures, you'll also receive best practice forms and tools that will save you time including: CMS Patient Rights Grievance Form Summary of Documentation Requirements for a History and Physical Advance Directive Information Sheet Common Questions and Answers Regarding Do Not Resuscitate Orders Disaster Privileges Form Resident Supervision Grid Abuse Reporting Checklist Care Plan: Problem/Goal List Patient/Family Teaching Record Restraint Use Decision-Making Tree These are some of the policies and procedures you'll receive: Advance Directives Confidentiality of Patient Information Conflict of Interest Consent Do Not Resuscitate Orders Foregoing Life Sustaining Treatment Interpreter and Translation Services Organ and Tissue Donation Patient Rights Grievances Patient Rights Abuse: Recognition, Reporting, and Patient Care Age-Appropriate Care Clinical Alarms Multidisciplinary Progress Notes Pain Management Patient Assessment Patient Care Planning Patient Discharge Instructions Patient and Family Education Patient Transfer Summary Procedural (Moderate) Sedation Restraint Use: Med-Surg and Behavioral Health Transfer of Patients with Emergency Medical Conditions Medication Administration Medication Inventory Pharmacy Review of Medications Storage of Medications Infection Control Surveillance Universal/Standard Precautions Autopsy criteria Patient, Procedure, and Site Verification Sentinel Events Code of Ethics Custody Patients Plan for Provision of Patient Care Infant and Child Security Latex Allergy Medical Device Safety Employee Files Human Resources Management Plan Staff Rights History and Physical Exam Medical Center Wide Policy Process Medical Record Review Patient Access to Medical Records Verbal and Telephone Orders Disaster Privileges House Staff Supervision of Residents Tele-radiology Diana L. Arendt, RN, MSN, CCRN, has more than 20 years of quality experience in nursing and administrative positions and an extensive background in adult critical care and emergency nursing. She currently serves as director of continuous readiness—accreditation, regulation, and licensing—for Kaiser Permanente, Southern California. She is responsible for directing the assessment, consultation, and education related to continuous survey and audit readiness in the Southern California hospitals, home health, hospice, and accredited ambulatory setting. As the project manager for 12 medical centers in a large HMO, Ms. Arendt leads the process to standardize all nursing and ancillary staff documentation forms, policies, and procedures. She is also an advanced cardiac life support instructor. She earned both her bachelor of science degree in nursing and her masters of science degree in nursing administration from San Diego State University, San Diego, CA. Ms. Arendt is a member of Sigma Theta Tau, National Honor Society for Nursing, and has been on the faculty for a college nursing program. She has published numerous articles and received several awards, including the Spotlight on Leadership Award, Kaiser in 1996 and 1997, and Nurse Educator of the Year, Sigma Theta Tau, 1988. Ms. Arendt is a member of the American Organization of Nurse Executives and American Association of Critical Care Nurses. Looseleaf Binder: 368 pages + bonus CD-ROM ISBN 1578393892 HCPro April 2004 Price $199.00   Finally, a resource that provides you with the 50 must-have policies and procedures to comply with the JCAHO standards and state license regulations - in a format you can customize for your own facility. With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety. 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