preparation of a dental facility for a … of a dental facility . for a jcaho accreditation. site...
TRANSCRIPT
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PREPARATION OF A DENTAL FACILITY FOR A JCAHO ACCREDITATION
SITE VISITJULY 2007
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RON SALYK, DDS, DENTAL DIRECTORMORRIS HEIGHTS HEALTH CENTER
JANET LAVANDEIRA, DMD, DENTAL DIRECTORNORTH HUDSON COMM. ACTION CORP. HC
PANEL:
CLIFF HAMES, DDS, DENTAL DIRECTOR HUDSON RIVER HEALTH CARE, PEEKSKILL, NY
JANET BOZZONE, DMD, DENTAL DIRECTOROPEN DOOR FAMILY MEDICAL CENTER, OSSINING, NY
JURIS SVARCBERGS, DDS, DENTAL DIRECTORCAMCARE HEALTH CORP. , CAMDEN, NJ
DENTAL JCAHO
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DENTAL JCAHO
BASICS-• Joint Commission on Accreditation of
Healthcare Organizations(“Joint Commission”
• External accreditation of your facility• One of a few choices• External accreditation likely to become
mandatory
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DENTAL JCAHO
JCAHO INTRODUCTION
NO SPECIFIC DENTAL GUIDELINES
BUT EMPHASIS IS INCREASING
MANY UNKNOWNS
A COORDINATED EFFORT OF YOUR FACILITY AND YOUR DEPARTMENT
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DENTAL JCAHO
MAJOR AREAS (LIKELY)--------
INFECTION CONTROL
ENVIRONMENT OF CARE
SAFETY AND NPSG’S
RADIATION
PATIENT TRACER
TQM
STAFF INTERVIEWS
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DENTAL JCAHO
EFFECT OF REVIEWER BACKGROUND
EFFECT OF INITIAL WALK-THROUGH
AREA OF FOCUS OR HARDLY THERE?
KNOW YOUR FIELD- THEY CAN BE WRONG!!!!!!!!!
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DENTAL JCAHO
INFECTION CONTROL
INFECTION CONTROL PROGRAM
NOT STRICTLY DENTAL, BUT…….
PRIORITIZED BASED ON CENTER, COMMUNITY, PATIENTS
PRIORITIES REVIEWED ANNUALLY
MORE THAN A BOOK OF POLICIES
SURVEILLANCE-LOOKING FOR ISSUES?
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DENTAL JCAHO
INFECTION CONTROL MANUAL
A PART OF THE PROGRAM
INFECTION CONTROL MANUAL WITH DENTAL SECTION
DENTAL MANUAL WITH IC SECTION
AGREEMENT OF MANUALS/ KNOWLEDGE OF PERSONNEL/ ACTUAL PROCEDURES
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DENTAL JCAHO
EXAMPLE OF AGREEMENT:
RISK ANALYSIS- NEED TO PROTECT EMPLOYEES FROM BLOODBORNE PATHOGENS
GOAL, OBJECTIVE-NEED FOR EYE PROTECTION, COMPLIANCE WITH OSHA, JCAHO, NYSDOH
POLICY AND PROCEDURE IN MANUAL(S)-IC, MEDICAL, DENTAL, LAB, NURSING…..
EYESHIELDS PURCHASED AND AVAILABLE
EYESHIELDS ACTUALLY WORN
STAFF KNOW WHEN AND HOW TO USE AND DISINFECT EYESHIELDS
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DENTAL JCAHO
SPORE TESTING:
WEEKLY
RESULTS AVAILABLE
FOLLOW UP OF POSITIVES
WRITTEN POLICY OF FOLLOW-UP ?????????????
TRY A FAKE POSITIVE ??????????????
TRACKING SYSTEM (NOTEBOOK)- MISSING REPORTS ???????
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DENTAL JCAHO
PROCESS INDICATORS-
ARROWS, BOXES AND CIRCLES
NECESSARY BUT NOT SUFFICIENT- NEED SPORE TESTING
WILL PREVENT USING UNPROCESSED INSTRUMENTS
SOME PRACTICES USE PROCESS INDICATOR INSIDE BAG ALSO
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DENTAL JCAHO
ROOM EQUIPMENT:PPE: GLOVES, FACESHIELDS, MASKS
AVAILABLE?
IN POLICY?
ACTIVELY WORN?
CONSISTENCY OF POLICY/REALITY
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DENTAL JCAHO
SHARPS CONTAINERS
SHARPS- WHO? HOW?
SCALPELS/ SYRINGE NEEDLES/ SUTURE NEEDLES
CONSISTENCY OF POLICY/REALITY
SCALPEL BLADE REMOVAL
NO STORAGE ON SHARPS CONTAINER
MOUNTED- NO FREE SHARPS TOY BOXES
KEEP BOXES LOCKED
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DENTAL JCAHO
INFECTION CONTROL- INSTRUMENTS• NO DRYING OF MATERIAL• MINIMAL HANDLING-ULTRASONIC?• PPE-NITRIL GLOVES/FACESHIELDS• SOAKING LIQUID - MANY CHOICES-
DETERGENT, ENZYMATIC, WATER• AVOID HIGH LEVEL DISINFECTANT FOR
SOAK-CIDEX!!??%&&&
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DENTAL JCAHO
INSTRUMENT STORAGE• STORED INSTRUMENTS-DATED?• 30 DAY? 90 DAY? EVENT RELATED
STERILITY?• EVENT-RELATED IS ACCEPTABLE• MONITOR THE STORAGE DRAWER• RESTERILIZE- WET, TORN, FALL ON
FLOOR• REMIND STAFF NOT TO PICK UP
DROPPED INSTRUMENTS
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DENTAL JCAHO
INSTRUMENTS, CONT'D
SEPARATION OF CLEAN AND DIRTY AREAS
BEST-SEPARATE ROOMS
NEXT BEST-SEPARATE AREAS (SPATIAL SEPARATION) IN SAME ROOM
NEXT NEXT BEST-NEXT TO EACH OTHER BUT WITH DEFINED CLEAN AND DIRTY AREAS-BARRIERS?
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DENTAL JCAHO
INFECTION CONTROL- NEEDLESTICKS
• POLICY?• STAFF AWARE OF POLICY?• CDC OR NYSDOH OR OTHER?• CAN WORKER BE ASSESSED QUICKLY?• CAN WORKER BEGIN MEDICATION
QUICKLY?• FOLLOW UP-TRENDS? IMPROVEMENTS?
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DENTAL JCAHO
TREATMENT VERSUS NON- TREATMENT ROOM (as per OSHA)
POLICIES FOR EATING/DRINKING
POLICIES FOR MAKE-UP/CONTACT LENSES
POLICIES IN MANUAL?
STAFF AWARE?
IN ORIENTATION? IN REVIEW? IN REAL LIFE?
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DENTAL JCAHO
INFECTION CONTROL- EYEWASH• AVAILABLE AND NEARBY?• DOES STAFF KNOW WHERE THEY ARE?• EXPIRATION DATES?• KEEP CLEAN• DON’T MOVE THEM!!!!!!!!!!!!!!!!!!!!!• SINKS VS. BOTTLES
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DENTAL JCAHO
INFECTION CONTROL- REFRIGERATORS
• 3 TYPES----FOOD VERSUS STORAGE VERSUS LAB
• TEMPERATURE LOG FOR MEDICATIONS
INFECTION CONTROL-SINKS• NO STORAGE UNDER SINKS-CHECK
OFTEN
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DENTAL JCAHO
INFECTION CONTROL- HANDWASHING• POLICY?• IS STAFF AWARE OF POLICY?• SOAP VERSUS ALCOHOL RUBS• CHANGING GLOVES ALONE IS
INSUFFICIENT• IN ORIENTATION?• IN REVIEW?• JCAHO NPSG 2007 # 7
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DENTAL JCAHO
NPSG #7: Reduce the risk of health care-acquired infections.
Requirement #7.a.
Comply with current CDC hand hygiene guidelines. (includes use of alcohol gels)
Requirement #7.b.
Manage as sentinel events all identified cases of unanticipated death or major permanent loss of function associated with a health care-acquired infection.
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DENTAL JCAHO
NATIONAL PATIENT SAFETY GOALS THAT AFFECT YOU-
1A- USING 2 PATIENT IDENTIFIERS2B- LIST OF PROHIBITED ABBREVIATIONS3C- LOOK ALIKE/SOUND ALIKE DRUGS3D- LABEL ALL MEDICATIONS USES (TEMPORARY
BOTTLES)7A- HAND HYGIENE8A KNOWING PATIENT’S CURRENT MEDS
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DENTAL JCAHO
HEPATITIS B VACCINATIONSAll “exposed” staff OR signed
declinationNeed to work with HRI’ll bet some are missing!
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DENTAL JCAHO
PPD/ TB TESTING
BASED ON RISK
OFTEN ANNUALLY
WORK WITH HR
I’LL BET YOU ARE MISSING SOME!
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DENTAL JCAHO
COMPETENCIES
EMPHASIS ON ASSISTANT COMPETENCIES
DOCUMENTATION ON FILE?????
INSTRUMENT PROCESSING/AUTOCLAVE USE/XRAYS
SPECIFIC FILES ASKED FOR-AN ASST. WHO STERILIZES INSTRUMENTS??????
GENERAL EMPLOYEE EVALUATION INSUFFICIENT
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DENTAL JCAHO
COMPETENCIES (CONTINUED)
INFECTION CONTROL OFFICER/CHAIR
IS THAT YOU?
BACKGROUND
TRAINING
DOCUMENTATION
PROFESSIONAL ORGANIZATIONS
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DENTAL JCAHO
IC COMMITTEE
EXISTS?
MEETS?
REGULAR RECORD OF MEETINGS (MINUTES)?
INPUT/RECORDING/ACTIONS
DENTAL REPRESENTATION?
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DENTAL JCAHO
WASTE MATERIAL
REGULATED BY STATE, CITY, OSHA, EPA
RED CAN-NO STORAGE, NOT A SEAT
KEEP CANS CLOSED
SEPARATION-BIOHAZARD/SHARPS/TRASH
TEETH-BIOHAZARD-AMALGAM? PATIENT TAKES TOOTH?
LEAD WRAPPERS FROM FILM-HAZARD? PICK- UP?
FIXER- HAZARD? PICKUP?
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DENTAL JCAHO
www.jcaho.orgwww.cdc.govwww.apic.orgwww.shea-online.orgwww.idsociety.orgwww.osap.org
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DENTAL JCAHO
SUGGESTED READINGS
CDC/MMWR DENTAL INFECTION CONTROL PRACTICES DEC 19,2003
CDC/MMWR FACILITY INFECTION CONTROL GUIDELINES JUNE 6, 2003
CDC/MMWR HANDWASHING GUIDELINES OCTOBER 25, 2002
OSHA REGULATIONS 1910.1030 (ABOUT 20 PAGES-WORTH YOUR WHILE)
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DENTAL JCAHO
PAIN ASSESSMENT
OFFICIAL JCAHO TRAINING-PAIN ASSESSMENT NOT APPLICABLE TO CHC’S-REALLY FOR HOSPITALS???????
GUESS WHAT? – IT DOES APPLY
POLICY/TOOLS/STAFF KNOWLEDGE/CHART REVIEWS
AGREEMENT OF POLICY WITH PRACTICE- BE ABLE TO SHOW THAT PAIN IS ASSESSED AND TREATED
YOU ARE NOT REQUIRED TO USE HAPPY-FACES
MODIFY YOUR PROGRESS NOTE? CHANGE FORMS?
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DENTAL JCAHO
X-RAY RELATED ITEMS
DOSIMETERS
RESULTS AVAILABLE FOR JCAHO?
RESULTS AVAILABLE TO STAFF
RESULTS REVIEWED AND SIGNED OFF
STAFF KNOWLEDGE THAT RESULTS ARE AVAILABLE
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DENTAL JCAHO
X-RAY ITEMS - 2
•RESULTS TIMELY?•POLICY FOR WEARING•POLICY FOR STORAGE•POLICY FOR FOLLOW- UP•ANY ACTUAL F/U•ARE THEY WEARING THEM TODAY??????
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DENTAL JCAHO
X-RAY - 3
POLICY FOR PREGNANT PATIENTS?
NYSDOH GUIDELINES FROM 8/06
“ORAL HEALTH CARE DURING PREGNANCY AND EARLY CHILDHOOD”
POLICY FOR HOLDERS?
IS STAFF AWARE OF POLICY?
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DENTAL JCAHO
X-RAY APRONS
AVAILABLE
USED ON ALL EXPOSURES
ABILITY TO HANG FLAT
ARE THEY REALLY?
TEST FOR “LEAKS”
NEW-LEAD FREE APRONS?
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DENTAL JCAHO
MEDICATIONS
SECUREDEXPIRATION DATES
MINIMALCHECK DRAWERS, CABINETS, EVERYWHERE
PRESCRIPTION PAD CONTROLNPSG RELATED TO ABBREVIATIONS
STANDARDIZE MEDS IN VARIOUS SITESCOLOR CODING PROBLEMS
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DENTAL JCAHO
STORAGE
NOT ON FLOOR
NOT NEAR SPRINKLERED CEILING
NOT NEAR CEILING LIGHTS
PLASTIC SHEETING?
NOT NEAR SUCTION
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DENTAL JCAHO
TQM/CQI AND PATIENT CARE
CHART REVIEW: RANDOM PICKS?
PATIENT CARE AS ASSESSED BY CHARTS?
PATIENT CARE AS ASSESSED BY EXTERNAL REVIEW?
NOTE LEGIBILITY
DENTAL PRESENCE IN TQM TEAM?
DENTAL INDICATORS IN TQM PROGRAM?
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DENTAL JCAHO
PATIENT CARE AND PATIENT TRACER• PATIENT MAY BE SELECTED FOR
PROCEDURE• HIGH RISK/ SAFETY RELATED?• EXTRACTIONS WITH TIME-OUT,
CONSENT, INFECTION CONTROL ETC. A LIKELY SELECTION
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DENTAL JCAHO
TIME OUT/ AVOIDING LATERALITY MISTAKES
TIME OUT FORM-ESTABLISH PATIENT (2 IDENTIFIERS)
ESTABLISH TOOTH/SIDE
AGREEMENT OF DOCTOR/PATIENT/WITNESS (ASST.)
CAN BE COMBINED WITH CONSENT FORM
PATIENT SHOULD ALSO IDENTIFY PROVIDER (NAME TAG)
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DENTAL JCAHO
TRAINING STAFF AND MOCK SITE VISITS• INITIAL ORIENTATION• ANNUAL REVIEW• DOCUMENTED?• START JCAHO PREP EARLY• IS STAFF AWARE? THEY MAY BE
QUESTIONED• USE OF CHECKLISTS• NEVER ASSUME
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DENTAL JCAHO
MORE TRAINING----
SMALL VISITING TEAM WITH UNFAMILIAR MEMBERS
QUESTION ALL STAFF-FIRE? SAFETY? CODES RED, BLUE, PINK, GREEN, X-RAY POLICIES? IC POLICIES?
OPEN ALL DOORS
WRITTEN F/U LIST WITH RESPONSIBLE PERSON
HOLD STAFF ACCOUNTABLE
HAVE STAFF TRAIN STAFF (NOT ALWAYS YOU…)
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DENTAL JCAHO
SOME MISC. OBSERVATIONS-------
“JCAHO SAYS”…PROBABLY NOT
“OSHA SAYS”….PROBABLY NOT
THERE ARE AREAS WITHOUT STRICT GUIDELINES AND ANSWERS THAT YOUR ORGANIZATION MUST SOLVE
YOU MAY DEVELOP YOUR OWN RULES AND GUIDELINES (EXAMPLES….)
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DENTAL JCAHO
QUESTIONS FORTHE
DISTINGUISHEDPANEL?
?????????