JCI Accreditation Presentation 4
JCI Accreditation Presentation 4
JCI Accreditation Presentation 4
ACC
1. Patients Initial Screening Prior to Treatment
• Patients who may be admitted to Elaraby Hospital or who seek outpatient
services are screened to identify if their healthcare needs match the
hospital’s mission and resources.
• Patient will be accepted only if the Hospital can provide the necessary
services and the appropriate outpatient or inpatient setting for care.
• So, If The Patient Healthcare Needs is not matching our scope of service or
Resources
• Patients will be Stabilized and transferred to appropriate Healthcare Facility matching
their Health
2. Emergency Department Triage Process
• As ED is struggling to cope with overcrowding, there is a critical need for
triage system to sort these incoming patients more rapidly and more
accurately.
• Emergent or urgent Patients are given priority for assessment and treatment.
• Emergent: patient’s condition is life-threatening and requires immediate intervention.
• Urgent: patient’s condition is potentially life-threatening and requires timely
assessment and possible intervention.
2. Emergency Department Triage Process
• Elaraby hospital uses an evidence-based Australasian Triage Scale to
prioritize patients.
• Patients are triaged to five Categories.
• Level One for the most severe cases that need immediate intervention.
• Level five for the cold cases.
• All healthcare teams shall keep the patient’s medical record up to date to
ensure communication of the latest information.
7. Continuity of Patient Care
• Continuity and coordination are evident throughout all phases of patient care,
as follow:
1. The Physician shall document patient's care, course of treatment and
discharge.
2. The Nurse shall
• Assure continuity of care with the care plan.
• Assure that a care plan is implemented with input from the patient/family and other
appropriate healthcare team members.
• Exchange of information between nursing staff during each shift, and during transfers
between units.
3. Nutritionist, dietitian, physical therapists, and other ancillary personnel shall
contribute to the care plan through consultation for patients as required.
7. Continuity of Patient Care
• Very urgent and urgent consultations require direct contact between the
referring and the consulting physician.
8. Consultation
• Specifying the providers and services that the patient will receive upon
discharge.
• Begins early in the care process, prior to admission (i.e. elective surgical
cases) or at the time of admission if possible (within 8 hours).
11. Patient Discharge
• Discharge: The point at which patient’s active involvement with hospital is
terminated and the hospital no longer maintains active responsibility for the
care of patient.
• The safe and effective use of all medications, potential side effects of medications,
and prevention of potential interactions with over-the-counter medications and/or
food.
• Pain management.
• Rehabilitation techniques.
11. Patient Discharge
• Remove ID band and assist the patient leave the Hospital safely.
12. Against Medical Advise (AMA)
• Staff nurse shall document this in nursing progress notes and inform
the physician.
• Physician and nurse shall document this in AMA form and they sign the
form, with another member of medical team or nurse sign as a second
witness.
13. Out on Pass
• Out on Pass: the process for patient being permitted to leave the
hospital during the planned course of treatment on an approved
pass for a defined period of time.
• Transfer: The formal shifting of responsibility for the care of a patient from
one care unit to another, one clinical service to another, one qualified
practitioner to another, or one organization to another.
14. Patient External Transfer
B. Determine that the receiving facility can meet the needs of the patient to be
transferred by contact the receiving physician to ensure that the receiving
facility
• Accept patient before the transfer.
• Has an available bed for patient.
• Has the appropriate resources to provide continuing care to the patient.
14. Patient External Transfer
• The physician authorizing the transfer:
C. Ensure that the patient/ family are informed and educated on the need to
transfer and they approve of it.
• Management:
• Monitoring vital signs
• Continued support of cardiorespiratory system.
• Use of appropriate medications as ordered by a physician