Nursing Services

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 NPG.11.02.01

The hospital assesses and manages the patient's risks for falls.

The hospital assesses and manages patient fall risks and implements fall risk reduction interventions based on the patient population, setting, and individual assessed risks.

Citation

TJC NPG.12.02.01

The nurse executive directs the implementation of a nurse staffing plan(s).

Requires the nurse executive to direct nurse staffing, ensure 24/7 registered nurse coverage, and establish policies for outpatient department staffing.

Citation

TJC NPG.12.04.01

The hospital verifies that staff complete all requirements for employment and practice within...

Requires the hospital to verify staff credentials, criminal background checks, health screenings, and scope-of-practice compliance.

Citation

TJC NPG.12.06.01

The hospital evaluates staffing during performance improvement activities.

Requires the hospital to include staffing adequacy in performance improvement analyses, report findings to safety program leaders, and provide annual written reports to governance.

Citation

TJC NR.11.01.01

The nurse executive directs the implementation of nursing policies and procedures, nursing st...

Requires the nurse executive to direct nursing policies, standards, and staffing, with registered nurse assignment, supervision, and evaluation of nursing care.

Citation

TJC PC.11.02.01

The hospital assesses and reassesses the patient and the patient's condition according to def...

Requires the hospital to assess and reassess patients within defined time frames, including initial assessments, medical history and physical examinations, and defined scope and content of screening.

Citation

TJC PC.11.03.01

The hospital plans the patient’s care.

Requires the hospital to develop, implement, and revise an individualized written plan of care based on assessment findings and patient goals, with patient involvement.

Citation

TJC PC.13.02.03

The hospital uses restraint or seclusion safely.

The hospital must ensure that restraint or seclusion is implemented safely by trained staff according to a modified plan of care.

Citation

TJC PC.13.02.07

The hospital monitors patients who are restrained or secluded.

Requires physicians, other licensed practitioners, or trained staff to monitor the condition of patients who are restrained or secluded.

Citation

TJC PC.13.02.11

The hospital evaluates and reevaluates the patient who is restrained or secluded.

Requires in-person evaluation of patients in restraint or seclusion for violent or self-destructive behavior within one hour of initiation, including assessment of the patient's condition and need for continued use.

Citation

TJC PC.13.02.13

The hospital continually monitors patients who are simultaneously restrained and secluded.

Requires the hospital to continually monitor patients who are simultaneously restrained and secluded, using trained staff in person or via close-proximity video and audio.

Citation

TJC RC.12.02.01

Qualified staff receive and record verbal orders.

Requires that only staff authorized by hospital policy and consistent with law accept and record verbal orders.