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Jci most common question

oint Commission International Accreditation Standards for Hospitals, 6th Edition, provides the basis for accreditation of hospitals throughout the world. Joint Commission International (JCI) standards define the performance expectations, structures, and functions that must be in place for a hospital to be accredited by JCI. The standards are divided into two main sections: 1) patient-centered care and 2) health care organization management.

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Jci most common question

  1. 1. 6th Edition Joint Commission International Accreditation (JCIA) Survey Most Common Question Joven Botin Bilbao, RN, MAN Accreditation and Clinical Nurse Educator (IMS)
  2. 2. IPSG  Tell me how to identify patient Correctly?  Tell me how to ensure the correct treatment is delivered to correct unconscious or Uncommunicative patient or new born?  Tell me how to ensure the correct treatment is delivered to unknown Patient?  Tell me what you do if the doctors is not available to order medication during an emergency?  Tell me the process of receiving critical value result?
  3. 3.  Tell me how to communicate patient care?  Do you have high alert medication in your hospital? What are they?  Show me the List of high alert medication/LASA? Or how can you access the list of high alert medication and LASA?  Tell me, Do you take any precaution measure to improve the safety of high alert medication?  Tell me, Do you keep concentrated electrolytes here ? IPSG
  4. 4.  Tell me what do you do to ensure safe surgery or procedure provided to your patient?  Could you share me what is time out?  Tell me when do you require surgical site marking for patient?  Tell me more about sign-out?  Show me the documentation of time-out and sign-out perform to your patient?  Show me how do you perform hand hygiene? IPSG
  5. 5.  Tell me how do you know that these step are sufficient to reduce risk of HEI?  Tell me in which situation would you perform a hand washing?  Tell me the initiatives you have done in your department to improve the rates of compliance of hand hygiene?  What is the compliance rate of hand hygiene from last month Audit?  Tell me how do you ensure that the patient is safe from harm due to patient fall? IPSG
  6. 6.  Show me the intervention perform to prevent falls for your patient?  Tell me when do you know that your patient are higher risk for fall?  Tell me how do you reduce the risk of patient harm for patient on fall risk?  Tell me what would you do if you witness a patient fall?  Tell me how do you prevent a patient harm from falls in Out patient Settings ?  Tell me where do you documents fall assessment and intervention in OPD? IPSG
  7. 7.  Who perform initial assessment?  What is the time frame to complete the initial assessment?  What is the minimum elements included in initial assessment?  What is the validity on initial assessment for pre-operative patient?  Tell me about your nutritional assessment policy?  What do you do if the patient/family express for financial problem? AOP
  8. 8. AOP  Tell me about functional assessment?  How do you do pain assessment?  What do you do if patient has pain?  What is your policy in pain management?  Do you do pain reassessment?
  9. 9.  Tell me about functional assessment?  How do you do pain assessment?  What do you do if patient has pain?  What is your policy in pain management?  Do you do pain reassessment? AOP
  10. 10. AOP  How do you document pain assessment, treatment and re assessment?  Do you do point care testing?  Do you have any certificate or competency on how to do point of care testing?  Do you know the turnaround time for lab investigation? For stat/urgent? For routine? For preliminary result?
  11. 11. COP  What is the care plan for this patient? How to reassess if patient care plan are effective?  Who are your high risk patient?  What would you do after screening of patient with need for nutritional needs?  What is your policy in handling patient at end of life care?  How often do you check your crash cart? When your crash cart are open during codes how long need to completed and close by pharmacy?
  12. 12. COP  What is the response process for resuscitation?  Do you have policy on the use of restraints?  Do you have policy on organ donation?  What is your process in administering blood and blood products?  Tell me what do you check if patient admitted to your unit?
  13. 13.  What is the criteria for admission in the hospital? Unit?  What is the process of admitting patient  What is the process in transferring patient to other unit ( intra hospital transfer)  What information get transferred with patient during transfer to other facility?  How to handover patient during transfer to other facility? ACC
  14. 14.  Who evaluate patient’s readiness for discharge?  What does discharge summary contain?  When is the discharge summary completed?  What education and follow up instructions given to the patient at discharge?  What is the process if patient request for out on pass?  What is the process for managing patient who notify staff that they wish to discharge or leave against medical advice? ACC
  15. 15.  How the patient and family involve in anesthesia plan of care?  Who is the responsible to give anesthesia to high risk, pediatric and major operation?  Tell me when would an informed consent required  Tell me how do you ensure the safety of the patient during procedural or conscious sedation? ASC
  16. 16.  Tell me what is procedural sedation?  Is your doctor are privilege to administer conscious sedation?  How do you ensure the safety of the patient just receive conscious sedation?  How do you know if the patient fit for discharge after receiving conscious sedation?  Tell me who can discharge the patient from monitoring after conscious sedation? ASC
  17. 17.  Tell me when do you know when the ambulatory patient is ready to be discharge after conscious sedation?  How do you know that patient fits for discharge from PACU?  Do you have a process on how the post anesthesia patient monitored outside recovery room? ASC
  18. 18.  Tell me who ensures and check you medication storage or medication room ?  How to make sure that medication are safe from loss or theft?  Tell me what are your high alert medication?  How are medication requiring below 25 degrees or below room temperature stored ?  Where is your crash cart/e-Kit located ? MMU
  19. 19.  Who is responsible to check your crash cart and how often?  How to make sure that crash cart are maintain for completeness?  How to compute pediatric medication dosage during emergency code?  How to differentiate sound alike medication?  What you will do if the medication control or narcotics drugs?  What is the process of administration of control/narcotics medication from floor stock? MMU
  20. 20.  Do you have a process to finding out what medication is taking by newly admitted patient?  Do you allow patient to used own medication brought from home?  Do you allow patient to self administer medication?  What is your process of getting medication in the night or the pharmacy is closed?  How is parenteral nutrition are stored in your unit? MMU
  21. 21.  What constitute complete medication order?  Who review medication order? What is the process of medication appropriateness review ?  Do you accept verbal and telephone order for high alert medication and narcotics?  Where you can access the complete list of medication allowed in the hospital?  Do you pre[are IV admixture in this unit? where do you prepare? Can you show how to prepare? MMU
  22. 22.  What is your policy for multi dose medication?  What precaution do you observe when administration of medication?  What do you understand about free flow mechanism? Do you set limit to your infusion pump?  What do you do if the medication are recalled? MMU
  23. 23.  What is medication error? What do you do if there is medication error?  What is a near miss?  What do you do if the patient having drug adverse Reaction?  How drug allergies and adverse reaction reported? MMU
  24. 24.  Tell me what do you know about infection control?  Tell me how to prevent the spread of infection in your institution?  Tell me, what do you do if you are required to assist a procedure for an infectious patient?  How do you know if the negative pressure room is working?  What would you do if the negative pressure will mal function and you have patient inside negative pressure room? PCI
  25. 25.  What would you do if your were pricked with used needle or had a blood/body fluids exposure?  Tell me what happen after the needle stick injury when the staff return from Health clinic?  What will you do if you witness blood or body fluids spill?  How do you know if the items are good to be used?  How do you clean your equipment? PCI
  26. 26.  Do you have job description?  How the hospital/ department prepare you to perform the work you are doing?  Tell me about you hospital orientation/ probationary program?  Tell me What is your key competency to work in this unit?  Tell me who need to be BLS,ACLS,PALS,NRP,ALSO certified? And how frequent is being done? SQE
  27. 27.  Tell me how do you maintain or advance your skills and knowledge to meet the patient needs and/ or continuing education requirements?  How to maintain the staff clinical knowledge and skills are consistent with the patients needs?  Is there any staff health and safety programme for you as employee?  Do you have counselling and follow- up treatment for staff who are second victim or involve in adverse or sentinel event? SQE
  28. 28.  Does the nursing staff participate in Quality improvement program? Or do you have any improvement program in you unit? What is your role or participation?  Do you receive education or training about your roles in providing a safe and effective patient care facility? SQE
  29. 29.  Who is the responsible for quality and patient safety in the hospital?  Do you have KPI data? Where you can get the data? Do you know here to find it?  What do you do if your department did not reach the target measures?  Do you do bench marking? Can you explain further about bench marking? QPS
  30. 30.  What aspect of patient care has you unit improved in last 6 or 12 months ? what do you intent to improve for next 6 or 12 months?  How do you manage the adverse incident happen to your unit? What is root cause?  How are the staff involve in quality decision and the resulting quality activities?  What is culture of safety? How do you promote such culture? QPS
  31. 31.  Tell me who does the patient and family education?  Tell me who assess the patient and family education, language, learning capacity and barriers?  How do you conduct family and patient education?  How do you assess patient and family ability and willingness to learn?  Show me where do you documents PFE? PFE
  32. 32.  Tell me what did you understand patient rights and responsibilities?  Tell me how the hospital address the patient religious and spirituals needs?  How are the patient protected from assault?  How the DNR order issued?  What will you do if you are having ethical dilemma in taking care of patients? PFR
  33. 33.  Tell me the process should a patient/ family have any complaints or conflict?  Tell me the procedure require informed consent?  Tell me the process of obtaining informed consent?  What do you do if the patient speaking/ reading English or Arabic?  Do you use family member as Interpreter? PFR
  34. 34.  Tell me the process of consent taking if patient is incapable of giving informed consent?  Tell me the validity of the consent?  Tell me the care you provided for vulnerable patient?  Tell me how the hospital safeguard the patient’s belongings? PFR
  35. 35.  Tell me what happen if the patient request for their medical records?  How to ensure that the authorized person enters patient records?  How do you protect patient confidential information?  How is the abbreviation being monitored?  How are you inform in an event of system downtime? MOI
  36. 36. FMS  Tell me, What would you do in the event of fire?  Tell me, what would you do when a non- ambulant patient caught fire?  What come next after you recued patient?  How do you know that the fire extinguisher is suitable to your department?  Tell me how do you know it is suitable to evacuate patient from your unit?
  37. 37. FMS  Show me where would you go in the event of fire?  Tell me the last fire drill in your hospital?  How do you prevent the fire from spreading?  How are your new staff prepared in the event of fire outbreak?  What happen if you see someone smoking in the hospital?  What happen in an event of power trip ?

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