Re: JACHO

From: Anna Meenan, MD (annam@uic.edu)
Thu May 11 22:45:53 2006


The KLEENEX boxes???!!! Wait, are they saying that having kleenex around is LESS sanitary than NOT having kleenex around??? How on earth did they come to that conclusion, and what are the hospitals supposed to do with all the signs from back during the flu season that tell people to "Cover your cough" with a tissue and throw it away.

As someone who has terrible midwestern allergies almost year-round, I cannot function most days unless there is a box of kleenex handy. I'll be real sanitary, dripping all over the patients and their babies.

--
Anna Meenan, MD

P.S. And it's JCAHO, not JACHO

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





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