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TJC Human Resources

Accreditation Sustainment 2020
Across
Staff who provide patient care, treatment, and services practice within the ______ of their license, certification, or registration and as required by law and regulation. HR.01.02.07 EP2
The hospital orients its staff to the key safety content it identifies before staff provides care, treatment, and services. Completion of this __________ is documented. HR.01.04.01 EP1
The hospital has a qualified dietitian on a full-time, ______, or consultative basis. HR.01.02.05 EP 2
The hospital _______ and documents that the applicant has the education and experience required by the job responsibilities. HR.01.01.01 EP3
The equivalent process for credentialing and privileging physician assistants and advanced _____________ registered nurses who practice within the hospital is approved by the governing body. HR.01.02.01 EP1
Before providing care, treatment, and services, the hospital confirms that __________ who are brought into the hospital by a licensed independent practitioner to provide care, treatment, or services have the same qualifications and competencies required of employed individuals performing the same or similar services at the hospital. HR.01.01.01 EP7
A full-time, part-time, or ________ pharmacist develops, supervises, and coordinates all the activities of the pharmacy department or pharmacy services. HR.01.02.05 EP 28
The hospital ______ staff qualifications specific to their job responsibilities. HR.01.01.01 EP1
Staff participate in ongoing ___________ and training to maintain or increase their competency and, as needed, when staff responsibilities change. Staff participation is documented. HR.01.05.03 EP1
The hospital orients staff on specific job duties, including those related to _______ prevention and control and assessing and managing pain; sensitivity to cultural diversity based on their job duties and responsibilities. HR.01.04.01 EP3
All staff who provide patient care, treatment, and services possess a current _______, certification, or registration, in accordance with law and regulation. HR.01.02.07 EP1
Down
Staff competence is initially ________ and documented as part of orientation. HR.01.06.01 EP5
The hospital defines the ___________ it requires of its staff who provide patient care, treatment, or services. HR.01.06.01 EP1
An individual with the educational background, __________, or knowledge related to the skills being reviewed assesses competence. HR.01.06.01 EP3
Staff supervise students when they provide patient care, _________, and services as part of their training. HR.01.02.07 EP5
The hospital orients staff on relevant hospital wide and unit-specific ________ and procedures. HR.01.04.01 EP3
The hospital orients staff on patient rights, including _____ aspects of care, treatment, or services and the process used to address ethical issues based on their job duties and responsibilities. HR.01.04.01 EP3
Staff _______ with applicable health screening as required by law and regulation or hospital policy. Health screening compliance is documented. HR.01.01.01 EP5