/P 179 0 R >> 62 0 obj /Parent 19 0 R >> >> << >> 21 [null null null null null null null null 380 0 R null << /S /Lbl /Group 512 0 R /S /P /Pg 69 0 R /Usage 54 0 R Learn how working with the Joint Commission benefits your organization and community. endobj /K 50 /A 923 0 R /P 794 0 R >> 271 0 obj /P 917 0 R << 114 0 obj /A 749 0 R endobj /P 7 0 R /Rotate 0 >> 340 0 obj /S /LBody endobj /S /Figure /K 44 /P 864 0 R << /S /TextBox Ensure that fresh-air requirements for the area are met. /P 765 0 R /Pg 65 0 R endobj /K 55 9. << << >> << /P 181 0 R << /Pg 88 0 R << /P 166 0 R /Lang (EN-US) /K 29 null 467 0 R null null null null 468 0 R null 469 0 R 470 0 R /S /LBody /Pg 74 0 R /S /Lbl endobj /P 742 0 R /S /TextBox /S /P /A 733 0 R << /P 21 0 R >> /A 677 0 R /Rotate 0 >> The 2014 FGI Guidelines/ Standard 170-2013 provides lists of rooms that should be positively or negatively pressurized with respect to surrounding areas. endobj /K 33 /A 698 0 R Customer Service Provide posters and other graphic devices that are quick references to the meanings of the stand-alone symbols. /A 590 0 R /K [501 0 R] endobj /K 127 23 0 obj endobj /K 18 Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, The Joint Commission Retires Select Accreditation Requirements, Revisions Related to Licensed Practitioner Evaluation Time Frames, Revisions to Eliminate the Use of Licensed Independent Practitioner Terminology, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, CMS Hospital Infection Control Worksheets, CMS - Ambulatory Surgical Center (ASC) Infection ControlWorksheet, Guideline for Disinfection and Sterilization in Healthcare Facilities (2008), Guidelines for Design and Construction of Health Care Facilities 2018 edition, Positive air pressure relationship to adjacent areas, Temperature range 72 to 78 F or 22 to 26 C. (HAP) After sterilization, medical devices and instruments are stored so that sterility is not compromised. /Pg 76 0 R /S /TextBox 179 0 obj /Lang (EN-US) /A 1039 0 R /A 679 0 R /Pg 61 0 R /Lang (EN-US) /K 40 277 0 R null null null 278 0 R null null null 279 0 R null /K 34 /Pg 88 0 R 166 0 obj /Pg 79 0 R /Resources 513 0 R /MediaBox [0 0 720 540] /P 7 0 R Organizations can take the following actions to ensure that their supplies and devices are stored appropriately and safely with the goal to keep patients safe from infection and other potential harm from supplies and devices that are expired or otherwise compromised. /Group 512 0 R /Group 512 0 R /S /Lbl /P 1006 0 R /Pg 73 0 R /Pg 59 0 R /S /Lbl /P 172 0 R /P 849 0 R << Educate staff on where to find information specific to IFU should a question or concern be identified. /S /TextBox /S /LBody /K 17 384 0 obj << /Rotate 0 /P 957 0 R >> /Parent 19 0 R << /A 786 0 R 493 0 obj /S /P /Pg 79 0 R endobj endobj 408 0 obj /P 27 0 R /Pg 82 0 R /Parent 14 0 R >> /P 1068 0 R /P 110 0 R << endobj /Pg 71 0 R /P 44 0 R /P 917 0 R /S /Lbl 213 0 R null null null null 214 0 R null 215 0 R 216 0 R 217 0 R /Group 512 0 R /S /LBody >> Cleaning and Disinfecting The pharmacy and areas where medications are stored, compounded, dispensed, pre-pared, and administered are clean. /P 42 0 R /P 729 0 R /Kids [64 0 R 65 0 R 66 0 R 67 0 R 68 0 R] endobj /P 636 0 R << Infection Control Environmental Infection Control Guidelines Guidelines for Environmental Infection Control in Health-Care Facilities (2003) Environmental Infection Control Guidelines (print only) [PDF - 240 pages] HICPAC Recommendation Categories See updates to this guideline. /S /TextBox /P 711 0 R endobj endobj endobj << << /Resources 540 0 R /Group 512 0 R /K 43 /K 8 All staff should always don suitable personal protective equipment (PPE) before entering the area. 345 0 obj /Pg 81 0 R endobj >> /Pg 75 0 R /S /P /A 583 0 R >> << /Lang (EN-US) null null null 193 0 R null null null 194 0 R null null 383 0 obj /K 38 /A 1077 0 R /Pg 73 0 R 208 0 obj /K 31 | /Lang (EN-US) 300 0 obj /K 13 endobj /P 1057 0 R 67 0 obj >> /Tabs /S 257 0 obj >> 43 0 obj Train your staff with a tool to quickly and efficiently assess standards compliance with our Hospital Compliance Assessment Workbook. /Title /P 33 0 R >> /P 913 0 R endobj /Type /Page /S /P /S /LBody >> << /Pg 79 0 R /K [13 896 0 R] endobj /K 22 /P 29 0 R Learn more about the communities and organizations we serve. endobj /A 1018 0 R /Rotate 0 Do we need to monitor the temperature and humidity of the rooms where sterile supplies are stored? endobj Certifications from The Joint Commission represent the most stringent, comprehensive and evidence-based proof of the success of your program available. /S /H1 /P 931 0 R >> /K [200 0 R] 374 0 obj 25 0 obj /P 697 0 R /P 942 0 R /A 887 0 R The Joint Commission does not specifically require that these parameters be documented, however your staff should be able to identify if any sterilized supply, whether single use or reprocessed, has been potentially compromised (as may occur if the integrity of the package is in question or has evidence of damage from humidity) and can speak to whether that item would be appropriate for use.Finally, your organization may refer to evidence-based guidelines and national standards (EBGs) for guidance as to how sterile supplies should be stored. /K [13 652 0 R] /S /TextBox /Resources 564 0 R /S /Lbl null 455 0 R null null null 456 0 R null null null null /A 660 0 R /Pg 82 0 R /Resources 556 0 R >> << << /P 999 0 R << /K 8 central sterile supply areas, sterile and clean supply storage areas, medication preparation areas, operating rooms, isolation areas, and PE areas. /Pg 74 0 R 106 0 obj /A 768 0 R /Lang (EN-US) /A 690 0 R /P 759 0 R /Pg 80 0 R 224 0 obj /Pg 77 0 R /K [380 0 R] /Pg 82 0 R << 372 0 obj /Pg 79 0 R >> /A 978 0 R /Tabs /S /K 8 /P 164 0 R endobj 496 0 obj /A 827 0 R /S /TextBox /Pg 87 0 R /A 921 0 R /Pg 63 0 R << /Pg 74 0 R /P 808 0 R >> /P 7 0 R /S /Lbl >> /S /P >> endobj /A 737 0 R 445 0 obj /Lang (EN-US) /Pg 84 0 R /K [91 0 R 92 0 R] /Pg 71 0 R /Parent 18 0 R /K 41 /Parent 5 0 R >> /S /LBody 457 0 R null null null null null 458 0 R null 459 0 R 460 0 R Advise the end-user to thoroughly clean device. /S /Slide 433 0 obj /P 755 0 R /Lang (EN-US) >> >> << >> Therefore, anything that a patient or staff member wears, ingests, or is treated with should not be stored under a sink. /P 22 0 R /A 979 0 R /A 1046 0 R /A 1054 0 R /K 22 /P 704 0 R /P 7 0 R /K [25 1050 0 R] endobj /Lang (EN-US) /S /TextBox /A 1027 0 R /K 30 ASHRAE Standard 170- 2008 Table 7.1 ventilation requirements for sterile storage in CENTRAL MEDICAL AND SURGICAL SUPPLY areas includes the following: Positive air pressure relationship to adjacent areas Minimum outdoor air exchange 2 per hour Minimum total air exchange 4 per hour Maximum relative humidity 60% /S /Slide /Pg 65 0 R << /P 810 0 R 243 0 obj This Standards FAQ was first published on this date. >> /S /Slide /MediaBox [0 0 720 540] Your organization must show evidence that, whether in a designated Central Surgical Supply area or in a storage room with mixed clean and sterile supplies, you are storing those supplies in a manner to protect from contamination and maintain the integrity of the packaging from damage. /P 7 0 R 269 0 obj /P 51 0 R /S /P << /Lang (EN-US) /S /P This page was last updated on December 08, 2022. null null null 274 0 R null null null null 275 0 R null /Contents 557 0 R /Tabs /S /K [134 0 R 135 0 R 136 0 R] /Lang (EN-US) 50 0 R 51 0 R] >> >> 321 0 obj /S /Lbl /S /TextBox /A 509 0 R << endobj /K [594 0 R] endobj << endobj >> /P 906 0 R /Lang (EN-US) << << They also contain discussion and examples of practices which hospitals . >> endobj >> /S /LBody /K 25 Paying attention to device labels is important to ensuring that the device can be used safely. /Group 512 0 R /Lang (EN-US) /P 159 0 R << Internal shipping boxes (not corrugated boxes) may be used to dispense sterile and clean supplies but should be discarded when the box has been emptied. endobj /A 1024 0 R /A 55 0 R endobj /K 73 >> << A clean liner within the cart is acceptable, and the linens should be covered. /Pg 87 0 R >> /K 46 /K [263 0 R] /P 815 0 R /Pg 76 0 R 358 0 obj << /P 106 0 R /A 916 0 R /Lang (EN-US) /S /Lbl /K 20 /Lang (EN-US) /K [625 0 R] >> Continue your learning with a deeper dive into our standards, chapter by-chapter, individually or as a team. 34 0 obj null null 365 0 R null null null 366 0 R null null null /S /GoTo endobj /Lang (EN-US) /CropBox [0 0 720 540] endobj endobj 85 0 obj /A 1040 0 R 390 0 obj /K 59 /Resources 562 0 R /A 689 0 R /Type /Page /Pg 87 0 R >> << /K [25 1005 0 R] endobj << endobj /K 38 402 0 obj /Resources 554 0 R /Pg 65 0 R /S /Lbl /K 8 endobj /Tabs /S endobj /A 950 0 R null null null 389 0 R null null null 390 0 R null null /P 1055 0 R endobj >> /S /LBody endobj The endoscope storage cabinets should have doors, be clean, free of debris, dry, and off of the ground. 12 [null null null null null null null null 263 0 R null /A 875 0 R /P 47 0 R Set expectations for your organization's performance that are reasonable, achievable and survey-able. 418 0 obj >> /Pg 67 0 R /Pg 70 0 R endobj /StructParents 18 endobj endobj >> << /Pg 70 0 R 318 0 obj 455 0 obj /Lang (EN-US) endobj /P 738 0 R The information in this publication is derived from actual events that occur in health care. Rules and regulations: The first level of the hierarchy is ensuring that your organization is compliant with all building code requirements. endobj 107 0 obj /P 46 0 R /Pg 88 0 R /P 32 0 R /Pg 85 0 R null null 383 0 R null null null null 384 0 R null null Learn about the priorities that drive us and how we are helping propel health care forward. /S /LBody /S /LBody They are under no obligation to accept your risk assessment but they may, especially since you demonstrated to the surveyor that you gave this some attention and discussion. /P 39 0 R /K [402 0 R] /K [620 0 R 421 0 R 422 0 R 423 0 R 424 0 R 425 0 R] /S /Lbl endobj 41 0 obj 299 0 obj << /OCProperties 4 0 R /Group 512 0 R >> >> 4 [null null null null null null null 100 0 R] endobj /K 30 >> 195 0 obj /S /TextBox /P 45 0 R /Pg 70 0 R endobj /P 866 0 R 334 0 obj /Count 7 >> /S /TextBox << << Reflects new or updated requirements: Changes represent new or revised requirements. /P 150 0 R Below is an example of a label of a fictitious product showing symbols that may be included on the label.2, The hierarchical approach to infection prevention for packaged sterile supplies and devices. null 256 0 R null null null null 257 0 R null 258 0 R 259 0 R A visit from The Joint Commission can be daunting, due to the importance of passing the inspection and obtaining accreditation for your medical facility. 339 0 obj endobj >> /A 947 0 R /K 72 /Lang (EN-US) 140 0 obj /Pg 75 0 R /P 592 0 R : Your organization may refer to EBGs and national standards for guidance as to how sterile supplies should be stored. /Pg 83 0 R >> /S /Lbl /Lang (EN-US) 281 0 obj /Pg 77 0 R 69 0 obj /Lang (EN-US) /MediaBox [0 0 720 540] 293 0 obj >> << /Pg 77 0 R /S /Lbl << Calculating Storage Space Needs In addition to working storage and refrigerator/freezer storage, backup storage must be provided. /K [614 0 R] << /S /LBody /K 42 /K 36 >> /A 909 0 R /P 7 0 R >> The next level of the hierarchy is the CMS Infection Control Worksheet for the Hospital (HAP) and Ambulatory Surgical Center (ASC). 189 0 obj /Pg 82 0 R << /Contents 543 0 R >> 7 [null null null null null null null null 224 0 R null /Lang (EN-US) endobj /P 140 0 R /A 938 0 R endobj endobj endobj 376 0 obj >> endobj >> /Type /Page /Diagram /Figure 153 0 obj /Author () >> << /P 975 0 R 261 0 obj endobj /A 839 0 R /S /Slide /Pg 65 0 R 451 0 R] /Pg 86 0 R << The table above shows examples of common symbols that may be included on packaged sterile products and their meanings. << /P 175 0 R << >> endobj /P 908 0 R /A 993 0 R /P 146 0 R >> /Pg 67 0 R Get more information about cookies and how you can refuse them by clicking on the learn more button below. >> /Resources 568 0 R /P 49 0 R /K 8 /Lang (EN-US) /Group 512 0 R 240 0 obj endobj /Group 512 0 R /Lang (EN-US) /Pg 90 0 R << endobj /K [176 0 R 177 0 R 178 0 R] /P 33 0 R /S /Figure /K [496 0 R] /Pg 78 0 R endobj /P 23 0 R /Lang (EN-US) 389 0 obj << >> << /Tabs /S endobj 472 0 obj /S /LBody << >> /A 650 0 R /A 637 0 R /S /LBody 294 0 obj /S /Lbl /S /LBody 440 0 obj /A 1014 0 R 333 0 obj /K 57 In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care.

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