Analysis Of Nightingale Community Hospital ( Ngch ) Essay

1980 Words Aug 2nd, 2014 8 Pages
A1. Compliance Status
“Nightingale Community Hospital (NGCH) has a vision to be the preferred hospital of choice for patients, employees, physicians, volunteers, and the community.” Their “mission is to create a healing environment, with a passionate commitment to healthcare excellence.” (Nightingale Community Hospital Brochure, n.d., p. 2) NGCH’s four core values are Safety, Community, Teamwork, and Accountability. Nightingale Community, as well as other hospital organizations, is governed by the Joint Commission. The Joint Commission is a non-for-profit regulatory organization that accredits and certifies U.S. based healthcare organizations.
Nightingale Community Hospital’s (NGCH) next Joint Commission survey is thirteen months away. Based on the findings from the recent Periodic Performance Review (PPR), NCGH is compliant on all standards except for the following that were noted thru chart reviews, audits, interviews with staff, observations, review of department documentation, fire history report and/or sentinel event. Each is categorized based on their impact.
Direct Impact:
• EC.02.03.01 – 1st and 4th floor have penetration issues with smoke rated walls
• MM.05.01.09 & NPSG.03.04.01 – OR has unlabeled propofol syringes
• NPSG.03.04.01 – Observed in OR; unlabeled basins and external supplier provided pre-labeled syringes in cataract packs
• UP.01.02.01 – Telemetry, ICU, 3E, and 4E is noted with the use of prohibited abbreviations in progress notes, nursing notes,…

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