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A C C R E D I T A T I O N
all our documents. I'm not sure he read the content of anything."
For having a thread showing on your OR table pads. For having unsecured emergency medications in a completely locked-down department. Or for having expired medications on your emergency code cart (never mind that you're unable to replace them because they're on back order).
For having a construction exit marked with glow-in-the-dark paper signs that lead through a pathway that was safe, but not intended for patients. For having an unmasked surgeon sticking his head in the OR door to see if the patient was in the room yet.
For letting the circulating RN fill in the immediate post-operative notes that the surgeon signed. For letting CRNA students take verbal orders on pre-written order sheets for the covering physicians, even though the "students" have full RN licenses in the state. "They were not writing new orders, only signing pre-printed order sheets as verbal orders from the physician," says anesthesiologist Joe Travis, MD, of Glenwood Regional Medical Center in West Monroe, La. "The orders were for routine CBC and IV starting on OB patients."
For not having an anesthesiologist or a pharmacist present when medicating patients post-operatively ... with a Percocet. For not having enough emergency battery-powered lights should you lose generator power.
Yes, some good advice
Not all dings are nuisances. Some are downright helpful. One facility manager was puzzled when her surveyor dinged her for not having dantrolene on site to treat malignant hypothermia. "All of our cases are either MAC or local anesthesia," she said in protest. All facilities that administer MH-triggering agents, specifically the volatile anesthetic agents and the neuromuscular blocking agent succinylcholine,
