Re: JACHO

From: art fougner, md (evsono@pipeline.com)
Thu May 11 17:07:41 2006


Perhaps we could let them know directly via email how we feel? Do you have a contact person?

Art

At Thu, 11 May 2006, Lynn Montgomery, MD wrote: >
>Listers,
>The outstanding organization, JACHO, has stuck another blow in making the
>practice of medicine safer for all of us. In my hospital, these are the
>changes that have been mandated:
>
>-Before giving each patient their breakfast tray, each patient's hospital ID
>has to be looked at to verify their identity.
>
>-The kitchen on the Women's Unit had an industrial, commercial grade soup
>warmer that the cafeteria stocked with soup each evening for patients and
>staff. That has been removed because it is against JACHO regulations.
>
>-The kleenex boxes have been removed from the nurses stations and patient
>rooms because they are unsanitary and against JACHO regulations.
>
>-Despite patient admission and discharge meds being documented on H&P's,
>order sheets and prescription forms with duplicates, a separate form has to
>be included in the chart with all admission meds, all discharge meds and
>signed, not once, but twice by the physician.
>
>-Pre-op H&P's dictated greater than 24 hours prior to surgery have to be
>updated and signed a second time.
>
>-When writing for medications such as Phenergan, it is not sufficient to
>write "IV q3-4h prn", it has to be written "IV q3-4h prn for nausea and
>vomiting". Or better yet, you can't use "Dulcolax suppositories prn". It
>has to be "Dulcolax suppositories prn constipation"...
>
>These jerks have got to be sitting around a big table thinking of things to
>continue justifying their existence...
>Lynn

--
art fougner, md
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