Emergency Services

Citation

TJC EM.12.01.01

The hospital develops an emergency operations plan based on an all-hazards approach.

The hospital must maintain a written all-hazards emergency operations plan that includes procedures for surge capacity, evacuation, sheltering, and resource management.

Citation

TJC EM.12.02.05

The hospital has a plan for providing patient care and clinical support during an emergency o...

The hospital must have procedures for sharing patient information and transferring patients to other facilities to maintain continuity of care during emergencies.

Citation

TJC HR.11.03.01

The hospital provides orientation, education, and training to their staff.

The standard addresses hospital staff orientation, ongoing competency training, annual emergency services readiness training, documentation, and use of QAPI findings to inform training needs.

Citation

TJC LD.13.01.07

The hospital effectively manages its programs, services, sites, or departments.

The hospital must assign qualified leadership to oversee specific clinical programs, services, and departments.

Citation

TJC LD.13.03.01

The hospital provides services that meet patient needs.

The hospital must provide services that meet patient needs, including nursing, emergency, laboratory, and surgical care.

Citation

TJC MS.16.01.01

The organized medical staff oversees the quality of patient care, treatment, and services pro...

Addresses organized medical staff responsibility for care quality, privileges, patient safety, histories and physicals, emergency care policies, and selected radiology and nuclear medicine staff qualifications.

Citation

TJC NPG.01.03.01

The hospital manages the flow of patients throughout the hospital.

The hospital measures, sets goals, reviews results, and takes leadership action to manage patient flow, bed availability, throughput, support services, and emergency department boarding.

Citation

TJC NPG.01.05.03

Resuscitative services are available throughout the hospital.

The hospital provides resuscitative services under standards and policies, makes equipment available for the population served, and trains involved staff.

Citation

TJC NPG.01.05.04

The hospital develops and implements processes for post-resuscitation care.

The standard addresses hospital policies, procedures, or protocols for interdisciplinary post–cardiac arrest care and neurological prognostication.

Citation

TJC NPG.01.05.05

The hospital reviews resuscitation cases to identify opportunities for improvement.

The standard addresses interdisciplinary review of resuscitation cases and data to identify practice and system improvement opportunities.

Citation

TJC PC.12.01.05

Resuscitative services are available throughout the hospital.

Requires resuscitative services and equipment to be available throughout the hospital, including specified operating room equipment and obstetrical emergency equipment when applicable.

Citation

TJC PE.04.01.03

The hospital manages utility systems.

Requires the hospital to manage utility systems, including emergency power and lighting in critical care areas, emergency gas and water supply, compliance with NFPA emergency power standards, and risk management during repairs or maintenance.