Los Angeles, California Nov 27, 2019 (Issuewire.com) - Nicole Brown the owner of Accredia who has been working with ancillary outpatient settings specializing in surgery center training, accreditation, certification and licensure since 2005. I also provide surgery center realty services for the healthcare industry.
Preparing for a Joint Commission inspection will take more time and specific focus. I will always reference for a Joint Commission inspection you will need to understand the 6 high functional areas of a surgery center that include Safety, Security, Hazards Materials and Waste, Fire Safety, Medical Equipment, and Utilities. You will also have to have and discuss the following surgery center policy and procedures manuals:
Infection Control Plan
Patient Complaints and Grievances
Advance Directive
Observer In Patient Care Area
Deeper Than Intended Level Of Sedation
Disinfection Of Equipment & Devices
Fire Watch
Violence In The Workplace
Environment Of Care Plans
Interim Life Safety Measures Implementation
Emergency Power
Compressed Gas Cylinder
Safety
Disposal Of Infectious Waste
Exposure Control Plan
Medical Staff Bylaws
Procedure For Appointment Privileges
Duplicate Orders
Multidose Vials
Medication Errors
Identification of Site
Discharge Guidelines
Reporting Medication Errors
Before a practitioner performs surgery in the ambulatory surgery center you must grant the practitioner privileges to perform procedures. This is called the credentialing process or granting of appointment privileges. The Governing Board must grant the practitioner privileges and show evidence of orientation before they can perform procedures. This must be documented in the Governing Board meeting. This process is as follows:
The Medical Executive Committee (MEC) reviews Medical Staff Credentialing File for an appointment. MEC Recommends to the Governing Board approval of privileges.
https://accredia.us/surgery-center-accreditation-consultant/
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