Accreditation Is Important For Any Hospital

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Accreditation is very important for any hospital because it helps hospitals to identify where they are not in compliance. The Joint Commission is an organization that accredits health care organizations. Nightingale Community hospital is preparing for Joint Commission inspection coming and they are also preparing for the audit. Through this audit, the hospital will determine whether they are in compliant with Joint Commission inspection. The hospital use periodic performance review to monitor the hospital throughout the year.

1a. Compliance Status
The purpose for this review is to ensure that Nightingale Community Hospital is prepared for accreditation audit. There are several standards outlined by the Joint Commission that Nightingale Community Hospital is in compliant within most areas.
There has been a great improvement when it comes to emergency management, where they have implemented a plan on how emergencies are responded to and handled. The human resource has also implemented a training program for staff.
The following are also some areas where Nightingale Community Hospital has improved on.
• Infection prevention and control
• Performance improvement
• Rights and responsibilities of the individuals
• Emergency management
• Waived testing
• Human Resource

2. Trend non compliance
Nightingale Community Hospital has been found to be non-compliant in several areas. This shows the hospital needs to implement education in order to meet joint commission standards. The hospital needs to come up with an action plan to address the non-compliant areas.
EC.02.03.03 Fire Drill
Nightingale Community hospital is not in compliant with the Joint Commission fire drill. After reviewing the documentation provided by the hospital, record...

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... nurses. According to American Nurses Association magazine, Nurse patient ratio is a model based on the number of patient per unit, in which the number of nurses per number of patients or patient days determine staffing level. Each nurse needs to be assigned two patient per shift for better service. They also need to reduce the number of hours each nurse works with maximum being 12 hours per shift and limited over time or else patient care will be at risk and this will also reduce fatigue on staff. The hospital should also hire PRN nurses who will work over a shift in case a nurse fall sick.
Nightingale Community Hospital should also consider introducing shift differential, whereby nurses who work at night will be paid more than those who work during the day. Those who work during holiday will receive double pay per hour to attract more nurses to join the hospital.

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