Unnanounced Survey - Report

Tuesday, January 29, 2008 at 1:35:48 PM

An unannounced Joint Commission Survey was held in November of 2007. Findings from the survey resulted in a need for a plan of corrective action which was submitted in January. Of particular interest to the Medical Staff is a change to the medical and behavioral restraint forms. All signatures, time, and date have been moved to the bottom of the form. It should also be stressed that verification of the correct person, procedure, and site should occur before the beginning of any invasive procedure. Verification must occur even when the procedure is an emergency.

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