Sanity is madness put to good use. – George Santayana
I swear this is true. Like I’ve said before, I can’t make this stuff up. The Greatest Hospital in the World has prepared for JCAHO’s arrival by forming the “JCAHO Readiness Swat Team.” These team members will jump into action when JCAHO walks through the front door. Here’s the plan:
The hospital operator will make an overhead announcement, welcoming JCAHO inspectors to the Greatest Hospital in the World. Of course this is code for, “Panic! JCAHO has landed.”
Each unit will break open a stack of note cards that are kept at the nursing station. These note cards contain last minute instructions on what to do when JCAHO hits the door. Swat team members will jump into action and complete the tasks listed on the cards.
Medications nurses must complete a last minute check of the crash cart. They are to plug in the crash cart, and make sure that only the current month’s inventory sheet is on the cart. The card instructs the nurses to hide archive the previous months’ records.
Unit charge nurses are the most important swat team members. The charge nurse must make sure that no one is eating or drinking at the nurses station, and that everyone is charting according to hospital policy. That means no surfing the web. The charge nurse is also responsible for calling in additional staff, and for making sure that “key staff members” are on the unit during the survey. That means that charge nurses have been instructed not to call in trouble makes that will tip off inspectors about the JCAHO Readiness Swat Team.
I’m going to enjoy my extra time off.
Healthcare Today
August 18th, 2008 at 7:46 pm
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Everyone at the Greatest Hospital in the World hates JCAHO, especially the JCAHO Readiness Team. Read on, and learn how these super heroes of health care are going to save our butts….
Kim
August 19th, 2008 at 12:04 am
This is errily similar to Big Dialysis Clinics last minute “oh crapola, big HMO corp coming to inspect us, hide everything under your labcoats!” plan, we also “archived” lots of paperwork in places you don’t wanna know about.
-Kim
Karin, RN
August 19th, 2008 at 1:05 am
Overhead announcement sounds like a great idea. My hospital does the old-style beeper system that alerts only the key people first like the unit managers.
Laura in Alameda, CA
August 19th, 2008 at 1:23 am
Ours is called as a code something. Not red, not blue. Yellow? Purple? Can’t remember. At least the place gets painted.
Braden
August 19th, 2008 at 11:31 am
We just had JCAHO come and had the same overhead page welcoming the wonderful and amazingly amazing Guests of Honor to our hospital. We had the same frantic running around by anyone managementish. We had to hunt for things that were now mysteriously stashed in patient rooms, management offices, and secure undisclosed locations (oh, THAT’s where Dick Cheney is!).
When JCAHO actually made their way onto the unit, they took a few charts, went into the break room and a couple hours later said thank you and left. I don’t even think they looked around the unit to see all the floor-buffing and food-snatching and counter-clearing we had been doing for the past 6 months.
Kristi
August 19th, 2008 at 6:31 pm
S.W.A.T = Shit, we’re all Thcrewed.
Back in my OR days, we had a bit more warning of the JCAHO visits because it was a minimal access department.
We’d cram all sorts of equipment that usually resided in the halls for quick access into one of the Urology rooms and just slap a sign on the door that said “Awake Patient”.
While they were in the locker rooms donning scrubs, hats and shoe covers over their wing tips and heels, we could always manage to find someone to slap on a mask and scrub like they were going into the OR room for the ‘case’.
Worked. Every. Time.
Gerbil
August 19th, 2008 at 9:03 pm
And if you answer JCAHO’s questions incorrectly, the team will swat you.
tammy swofford
August 19th, 2008 at 9:48 pm
Only new paint? Our hospital puts down new carpet, the cafeteria menu moves from roadkill meat to semi-sirloin, bedside commodes disappear, and pharmacy tubes our STAT meds to us quickly. STAT portable chests mysteriously are done in ten minutes and we all walk around with frozen smiles until JCAHO leaves.
*We do get one topping pizzas delivered when we pass JCAHO. God forbid we ask for two toppings.
Tammy
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