07 Infection Prevention and Control and Safety

II.C.

Medical staff members, allied health providers, employees, volunteers and others receive safety program education and training and comply with the requirements.

Notes: 
P&P
Location: 
Orientation Checklist, Employee Training Log

II.A.03.

Policies addressing manufacturer or regulatory agency recalls related to medications, medical equipment and devices, and food products.

Notes: 
P&P
Location: 
Pharmacy

II.A.04.

Prevention of falls or physical injuries involving patients, staff and all others.  As required by regulation or contract, the reporting of falls or physical injuries is accurate and timely.

Notes: 
P&P

II.A.02.

Processes to reduce and avoid medication errors

Notes: 
P&P
Location: 
Pharmacy

II.A.01.

Processes for the management of identified hazards, potential threats, near misses and other safety concerns

Notes: 
P&P
Location: 
Illness and Injury Prevention Program, Health and Safety, Infection Control

II.A.

Elements of a safety program address the organization's written safety program address the environment of care and the safety of patients, staff and others, and must meet or exceed local, state or federal safety requirements. The elements of the safety program include, but are not limited to:

II.

SUBCHAPTER II - SAFETY: An accreditable organization adheres to safe practices for patients, staff and others as evidenced by the following characteristics:

I.O.

The organization's written policies address cleaning of patient treatment and care areas which, at a minimum, address

1. cleaning before use,

2. cleaning between patients,

3. terminal cleaning at the end of the day

4. Requirements that cleaning products are used according to the manufacturer’s instructions for use. 

Notes: 
P&P
Location: 
infection Control Program

I.M.

A written policy addresses the identification and processing of medical equipment and instruments that fail to meet high-level disinfection or sterilizaton parameters.

Notes: 
P&P
Location: 
infection Control Program
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