Environment of Care

Blood Warmers - Alarm Check Documentation	Updated	Nov 24, 2008
Emergency Exercises	Updated	Nov 24, 2008
Emergency Management	Updated	Nov 24, 2008
Exit Maps	Updated	Nov 24, 2008
Eyewashes - Frequency of Flushing	Updated	Nov 24, 2008
Hazardous Material	Updated	Nov 24, 2008
Installation of Call Buttons	New	Nov 24, 2008
Labeling Oxygen and other Compressed Gas Cylinders	New	Nov 24, 2008
Locking of Electrical Panels	New	Nov 24, 2008
Maintaining Medical Waste Manifests	New	Jan 13, 2009
Material Safety Data Sheets (MSDS) Requirements	New	Jan 13, 2009
Mounting Sharps Boxes/Containers	Revised	Mar 09, 2009
One-Time Extension Based on Unforeseen Conditions	Updated	Nov 24, 2008
Placement of Alcohol Based Hand Rub (ABHR) Dispensers	New	Nov 24, 2008
Security of Syringes and Needles	Updated	Nov 24, 2008
Smoke-free Campus	New	Nov 24, 2008
Staff Only Refrigerators	Updated	Nov 24, 2008
Standpipe Fire Hose Testing	Updated	Nov 24, 2008
Tabletop Drills	Revised	Nov 24, 2008
Temporary Construction Barriers	Updated	Nov 24, 2008
Undersink Storage	Updated	Nov 24, 2008
Use of Fans	Updated	May 18, 2009

Human Resources

Primary Source Verification	Updated	Nov 24, 2008
Health Care Industry/Vendor Representatives	New	Apr 15, 2009
P.P.M.P. Testing Personnel Requirements	Updated	Nov 24, 2008

Infection Prevention and Control

Food and Drinks in Patient Care Areas	Updated	Nov 24, 2008
Licensed Independent Practitioner Health Screening	Updated	Nov 24, 2008

Information Management

Laboratory Reports - Testing Facility Name & Address	Updated	Nov 24, 2008
Record Retention - Instrument Printouts	Updated	Nov 24, 2008

Leadership

Tissue Source Facilities - Verification of Licensing & Registration	Updated	Nov 24, 2008

National Patient Safety Goals

NPSG 1 - Patient Identification

NPSG.01.01.01

Two_Patient_Identifiers	New	Dec 09, 2008

NPSG.01.02.01

Time Out	New	Dec 09, 2008

NPSG 2 - Communication Among Caregivers

NPSG.02.01.01

Read Back Orders	New	Dec 09, 2008

NPSG.02.02.01

Do Not Use Abbreviations	New	Dec 09, 2008

NPSG.02.03.01

Critical Tests, Results and Values	New	Dec 09, 2008

NPSG.02.05.01

Hand-off Communications	New	Dec 09, 2008

NPSG 7 - Health Care-Associated Infections

NPSG.07.01.01

Hand Hygiene	New	Dec 09, 2008

NPSG.07.02.01

Infection-Related Sentinel Events	New	Dec 09, 2008

NPSG 13 - Patient Involvement

NPSG.13.01.01

Patient Involvement	New	Dec 09, 2008

Quality Control

Bacterial ID Systems - Use Of One Organism For Quality Control	New	Nov 24, 2008
Calibration In Lieu Of Calibration Verification	Updated	Nov 24, 2008
P.P.M.P. & Proficiency Testing	Updated	Nov 24, 2008
Q.C. - 8 Hour Frequency	Updated	Nov 24, 2008
Q.C. For Hematology Analyzers With Two Sample Modes	Updated	Nov 24, 2008
Retention Of Blood Bank Crossmatch Samples	Updated	Nov 24, 2008
Rotating Q.C. Among Staff	Updated	Nov 24, 2008
Submission Of Tissue To Pathology	New	Nov 24, 2008
Urinalysis Macroscopic - Use Of Water Or Saline As A Negative Control	Updated	Nov 24, 2008
Use Of Manufacturer Quality Control Ranges	Updated	Nov 24, 2008

Record of Care, Treatment, and Services

Adverse Tissue Reaction Policies	Updated	Nov 24, 2008
Traceability of Records	Updated	Nov 24, 2008

Waived Testing

Color-Blind Testing	Updated	Nov 24, 2008
Patient/Client Self Glucose Testing	Updated	Nov 24, 2008
Physician Competency For Waived & P.P.M.P. Testing	Updated	Nov 24, 2008
Professional Vs. Home Use Tests (Glucose Meters, Etc.)	Updated	Nov 24, 2008
Provider Performed Microscopy Procedures (P.P.M.P.)	Updated	Nov 24, 2008
Reagents Stored With Medications Or Specimens	Updated	Nov 24, 2008
Reference Ranges In Medical/Clinical Record	Updated	Nov 24, 2008
Screening Vs. Definitive	Updated	Nov 24, 2008
Survey Of Urine Drug Testing In A Behavioral Health Care Facility	Updated	Nov 24, 2008
Waived Testing & Proficiency Testing	Updated	Nov 24, 2008
Waived Testing Logs	Updated	Nov 24, 2008