Comments on: JCAHO’s in the HOOOUSE

By: CR

CR — Fri, 12 Dec 2008 16:56:13 +0000

Apparently JCAHO does not need to follow the laws of physics. Every arm chair physicist knows you can’t start a fire with a typical static charge found in the home. It has a lot of volts, but not much heat. Ever try to start a fire with one of those firesteels? It’s not so easy if you don’t know what you’re doing. You have to angle the steel just right, get it real close to the tinder because the heat from the spark only lasts a fraction of a second, and you must have the right tinder.

By: CR

CR — Fri, 12 Dec 2008 16:53:03 +0000

And yet they didn’t ding your for dirty door knobs or handles? Door knobs have much more bacteria than a toilet seat, and are almost never cleaned.

Now you know why a dog drinks out of a toilet, but doesn’t lick the door knob.

By: pookiemd

pookiemd — Thu, 11 Dec 2008 01:47:24 +0000

I dispise JACHO. Everyone runs around like a chicken with no head (?turkey?) buffing charts, polishing the floors, and then BOOM! as soon as JACHO leaves, it’s back to normal. Either we need to run a hospital as JACHO wants or we don’t. I hate the pretension we all go through when JACHO comes. What a bunch of BS.

By: J

Mon, 08 Dec 2008 11:06:53 +0000

In reference to the prior post about is there any data on patient outcomes: A few years ago I was staffing cases in the OR at a VA hospital. It was about 2 weeks before we were moving to a different state and I wasn’t real scared of JCAHO when they came to the OR. While the resident was prepping the patient I was talking to the MD clipboard (it sounds like the same one that visited White coats establishment) and told him I was interested in JCAHO (I had a mask on so I didn’t need to keep a straight face). I asked about references and publications showing how JCAHO improved patient care/outcomes. He said the website for JCAHO is full of information but he didn’t have any specifics off the top of his head. I have searched the website for such data, and to date I have found nothing.

By: SeaSpray

SeaSpray — Sat, 06 Dec 2008 07:30:50 +0000

“safety risks of static cling. ” Ha ha ha ha ha ha!

Um…that’s not true…r-i-g-h-t???

Only if you’re standing underneath a plastic sticker on a window and you bust butt.

By: Andrew Garland

Andrew Garland — Fri, 05 Dec 2008 23:56:24 +0000

To “Yeah, I’m not leaving a name” :

It would be fun to spray the nurses with fluorescent dye and examine them for bacteria. Anything to reduce hospital infection. (smile).

—–
Bureaucracies operate off of lists of past incidents, not necessarily capturing the central point of each one.

Possibly, a sticker somewhere tested positive for MRSA, or a box of supplies was placed high on a pile, just below a dusty air vent. One time, maybe a visitor grabbed a syringe from a treatment table.

These things live on in the bureaucratic memory. The golden rules are:
(1) “I can’t anticipate anything that hasn’t yet happened. I’m not responsible.”
(2) Never let the same bad event occur twice, no matter the cost.

By: Flighterdoc

Flighterdoc — Fri, 05 Dec 2008 23:23:59 +0000

Moronic inspectors….thought I left them in the military. At least in the military they had to reference every stupid thing that came out of their mouth to a regulation (sorry, ‘instruction’, an inanity that slipped through) and an absolutely valid defense was the book didn’t say what they claimed.

However, with the dope-smokers, there is no book: whatever gasseous emanation escapes a sphincter becomes a new policy demand: at least until the next inspection and inspector.

By: cynic

cynic — Fri, 05 Dec 2008 01:28:51 +0000

WC, my condolences for having to deal with the monkey squad.

Instarx, why are you so defensive? Did someone hide your clipboard? Or did you misplace it due to an age related issue?

By: PGY-4

PGY-4 — Fri, 05 Dec 2008 00:09:57 +0000

Instarx must be a jacaho inspector wanna-be or medical administrator; at the very least he/she likely doesn’t regularly take care of patients for a living. Thus he/she obviously doesn’t know how a hospital REALLY functions (or doesn’t because of all the useless rules & regulations “the jc” forces on it…

By: Wanderer

Wanderer — Thu, 04 Dec 2008 19:37:25 +0000

“This little charade makes me wonder if these surveyors cite hospitals for silly random “violations” as a joke – just to see everyone run around and fix them. Doubt it, but I have to admit that it would be kind of funny if that really were the case.”

Just like our rants about “stupid things patients say,” the auditors keep a running list of most obnoxious thing they dinged someone on during an audit so that when they get together they can all laugh about it. I can imagine it now at the weekly re-programming sessions:

“You should have seen them scurry when I told them the window decals were a safety violation!” laughter ensues
“No Bob, that was good, but did I tell about how I was able to get tape outlawed…”

The things they ding people on makes me think this isn’t far from the truth!