Webinar Overview:

The purpose of this program is to familiarize the attendee with the 2010 joint Commission chapter on the Provision of Care (PC). This is one of the most important chapters that address patient care and one of the most extensive. There are 68 standards in this section! It includes important issues such as falls, pain, abuse and neglect, assessment of patients, diagnostic testing, care plans, resuscitation services, food and nutrition products, end of life care, moderate sedation, deep sedation, patient education and training, ECT and behavioral health issues.

Target Audience

• This program is for anyone involved in the provision of patient care especially:
  • Physicians
  • Nurses
  • other health care providers
• Risk Managers
• Hospital Attorneys
• Compliance Officers
• Joint Commission Coordinators
• Quality and Performance Improvement Staff
• Chief Nursing Officer
• Policy and Procedure Committee Members
• Department Managers
• Staff Nurses
• Case Managers
• Ethic Committee Members
• Nurse Educators
• Nurse Managers
• Patient Educators
• Behavioral Health Staff
• Director of Dietary
• Hospice Staff
• Pharmacist and Pharmacy Staff
• Falls Specialist and team
• Staff involved in moderate or deep sedation
• CRNA and anesthesiologist
• PACU Nurses
• Social Workers
• Discharge Planners
• others who participate in ensuring compliance with requirements and the process should attend.

This program is a must attend for nursing staff.

Webinar Objectives:

• Describe what information must be included in the admission assessment including nutrition and hydration status, functional status and physical and social assessment
• Recall the requirements for a history and physical including the 30 days and updated on admission rules
• Discuss the TJC requirements on pain management and assessment
• Discuss the requirement for an assessment for a patient who may be a victim of abuse and neglect and contrast the CMS CoP requirements
• Recall the requirements for patients having moderate or deep sedation

Webinar Agenda/Outline:

• Written process for accepting patients and transfers and accepting patients to meet their need (PC.01.01.01)
• Assessment and reassessment of patients and what information must be included in the assessment (PC.01.02.01)
• Defined time when assessment must be done, H&P, Nursing assessment, nutritional assessment, and functional assessment (PC.01.02.03)
• RN determines needs for nursing care (PC.01.02.05)
• Pain management and pain assessment and referral (PC.01.02.07)
• Fall assessment and management (PC.01.02.08)
• Abuse and neglect patients and assessment and reporting (PC.01.02.09)
• Assessment of patients who receive psychosocial services to treat alcoholism
• Assessment of patients who receive treatment for emotional or behavioral disorders (PC.01.02.13)
• Diagnostic testing and procedures performed as ordered and in time frames and interpretation of test result (PC.01.02.15)
• Plan of care (PC.01.03.01)
• Behavioral management policies, time outs, aversive procedures, and seclusion (PC.01.03.03)
• Behavioral management and plan of care, time outs, restraints, least restrictive and patient physical safety (PC.01.03.05)
• Care, treatment, and services to patient and plans of care, blood transfusions, and IV medications (PC.02.01.01)
• Care provided as per order, order for medications, respiratory treatment, and read back of verbal orders (PC.02.01.03)
• Interdisciplinary and collaborative care and treatment (PC.02.01.05)
• Resuscitation services and training, resuscitation equipment and procedures (PC.02.01.11)
• Respond to changes in the patient’s condition and rapid response teams not required (PC.02.01.19)
• Coordination of patient care and hand off communication (PC.02.02.01)
• Food and nutrition products, special diets, what to do if patient refused food, storage of food and nutrition products, diet manual, and proper sanitation of food and nutrition (PC.02.02.03)
• Education for children and youths (PC.02.02.07)
• Access to outdoors with patients with a long length of stay (PC.02.02.11)
• Comfort and dignity at end of life and required staff education (PC.02.02.13)
• Patient education and training, patient training based on assessment, what training and education to every patient must include, information on the safe and effective use of medication, use of equipment, oral hygiene, fall reduction strategies, and communication of patient safety concerns (PC.02.03.01)
• Patient personal hygiene, housekeeping, incontinent patients, oral care program and maintaining living quarters (PC.02.03.03)
• High risk procedures including moderate and deep sedation or anesthesia (PC.03.01.01)
• Patient care before operative or high risk procedures including deep sedation and anesthesia, evaluations, pre procedural education, preanesthesia assessments, plan of care for anesthesia, 48 hour requirements for preanesthesia and postanesthesia assessments, and LIP concurrence with anesthesia plan (PC.03.01.03)
• Monitoring requirements for moderate or deep sedation, what must be monitored (PC.03.01.05)
• Care after moderate sedation or deep sedation (PC.03.01.07)
• Lab procedures for handling of tissue removed during a surgical procedure (PC.03.01.08)
• ECT safely performed, policy required and documentation requirements (PC.03.01.09)
• Surgical treatments for emotional, mental or behavioral health disorders (PC.03.01.11)
• Restraint and seclusion for non behavioral health patients, leadership responsibilities, and use of evidences based guidelines (PC.03.02.01)
• Restraint and seclusion policies required, must cover 11 topics, who must approved restraint policy (PC.03.02.03)
• Standards on restraint and seclusion for those who do not use the Joint Commission for deemed will be provided but not covered since involves small number of hospitals (VA hospitals and Shriners)
• Restraint and seclusion standards will not be discussed but will be provided for those that use the Joint Commission for deemed status since these are covered in a separate program that combines both the CMS and TJC restraint standards (PC.03.05.01, PC.03.05.03, PC.03.05.05,PC.03.05.07, PC.03.05.09, PC.03.05.11, PC.03.05.13, PC.03.05.15, PC.03.05.17, PC.03.05.19)
• Patient needs after discharge or transfer (PC.04.01.01)
• Hospital discharges or transfer and assessment, needs after discharge, services needed after discharge, discharge planning and reassessment (PC.04.01.03)
• Patients are informed before discharge or transfer, reason for discharge, written discharge instructions required, patient and family involvement in process (PC.04.01.05)
• Hospital notifies other services providers of information about discharge, summary of care, goals, community resources made available etc. (PC.04.02.01)
• Safe administration of blood and look back program and required policy (PC.05.01.09)

Contact Hours:

This course has been approved for 2.4 Iowa Nursing Contact Hours. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.