Volume 2024 | No. 2
SURVEYOR
RENAL DIALYSIS
NOTES
RD7-T Overview of the requirement:
The emergency plan requires testing at least annually, staff training at least every two years and appropriate patient orientation. The standard is assessed through review of training logs, observation, and response to interviews. Surveyors noted inconsistency in staff training and patient orientation.
Comment on deficiencies:
Frequency of citation:
26%
Examples of surveyor findings:
n Staff did not provide appropriate orientation to patients. n The patient education and information checklist states that the emergency orientation should occur with in the first three treatments. Two of ten patient records reviewed showed no emergency orientation for patients admitted for one- and two-years to date. n The organization did not have documentation of exercises to test the emergency plan. n There was no evidence of staff training on the emergency plan at least every two years.
Tips for compliance:
n Educate staff on the emergency plan.
Consistency is key. The three components of this standard are annual emergency exercises (testing), staff training (every two years), and patient orientation. Schedule the testing and training. Add patient orientation to an admission checklist.
We’re here to help. To learn more, visit our website at achc.org , call us at (855) 937-2242 , or email customerservice@achc.org .
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