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Every Tracer we complete, we can calculate a Top 10 Least Complaint list based on the questions. This helps our organization to keep in compliance and have targeted efforts in our daily work for patient and unit safety. Here is the list of common examples that The Joint Commission will review closely.
1. Is the unit free from expired supplies/medications?
2. Are all exits marked, fully illuminated, and free from blockage?
3. Is the pantry neat and clean? Drawers and cabinets are in order, with no spillage or overstocking of items (check expiration dates).
4.Is the unit free from uncleanable surfaces? (exposed wood, cork, etc.).
5.Are staff wearing badges above their waist?
6.Are all items on one side of the hallway?
7.Are Med. Gas tanks appropriately separated in holders? (In Use vs. Empty).
8.Are all carts locked? Pull open drawers to check.
9.Are code cart logs completed? Code cart check: pads attached, O2 tank full, plugged into a red outlet, sharps bin no more than 3/4 full, nothing extra on the cart. 2 locks present.
10. Does all equipment have a Bio-Med sticker and date (PM'ed)?
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