Changes to Nursing Notes Per Joint Commission Triennial Survey
By Nufactor - January 20, 2023
We want to share with you the recent outcome of our Joint Commission (TJC) triennial survey related to nursing care. We continue to appreciate you and the care you provide for our patients.
While Nufactor doesn't provide direct hands-on care to patients, the Joint Commission surveys us under the same standards as they do for Home Health Agencies. This is primarily due to Nufactor billing Medicare Part B for a small number of visits (mostly SCIg teach and train visits). Medicare requires us to have deemed status via our TJC survey.
The survey included review of nursing notes, nursing contracts, and 3 "live" visits which were conducted with the surveyor viewing the nurse, patient, and aspects of the visit via FaceTime. Several trends were noted during the survey which will result in the need for changes to process and provision of educational subjects to all our agency partners. We ask you share this information with your nurses so we can address our TJC nursing related findings together.
As described below, some findings prompted changes to the Nufactor Nursing Visit Note (which includes the Medication Profile). If you need an electronic version, please contact a Nufactor Clinical Nurse Coordinator or Clinical Nurse Educator. Nufactor will include a paper version in patient shipments. If you have adapted the Nufactor Nursing Note into your electronic version, please make corresponding changes.
Findings/Corrective Actions:
Finding:
- Medication Profiles – Medication profiles submitted by nurses frequently did not match the medication profile of record. In most cases, the patient advised Nufactor of additional medications they take which were not noted on the profile submitted by the nurse.
Corrective Action:
- Nufactor will modify our current process including revision to our standard nursing note. We will send a current medication profile with each delivery. We will no longer ask the nurse to write in the full profile when the Nufactor medication profile is reviewed. We will ask the nurse to review the Nufactor medication profile and make note of any new medications added or any medications that have been discontinued. See an example of the new note below. If the Nufactor medication profile is not available for review, we ask the nurse to fully list a complete medication profile.
![Joint Commission Survey Medication Profile 1 Joint Commission Survey Medication Profile 1](data:image/png;base64,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)
Finding:
- Use of prohibited abbreviations – TJC published a list of prohibited abbreviations several years ago. The abbreviations are those which can be easily mistaken with another (for example, q.d. can be confused with QID) and should not be used to avoid administration errors.
Corrective Action:
- Nufactor will add the list of prohibited abbreviations to the nursing note so nurses are immediately aware of what abbreviations they should NOT use.
See example of new nursing note below:
![Joint Commission Survey Medication Profile 2 Joint Commission Survey Medication Profile 2](data:image/png;base64,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)
Finding:
- Not following Standard Precautions – These were noted during the observed (FaceTime) visits:
- In one instance a nurse intentionally tore the glove to use an ungloved index finger to palpate the vein for an IV start. The glove was not replaced nor was the IV site cleaned a second time before starting the IV.
- In three instances the nurse did not clean the top of the medication vial (following removal of the cap) or the additive port of the normal saline IV bag used for infliximab.
Corrective Action:
- Nufactor will provide educational tools to each agency regarding Standard Precautions, however we ask each agency to remind their staff of the requirement to use intact gloves for any IV start and/or indwelling catheter access.
- Nufactor will update the nursing note to remind the nurse to clean the top of the medication stopper, medication additive port, and/or access device port with an alcohol pad prior to accessing the vial/port. See example of new nursing note section below. Notes:
- Vial stoppers are not sterile and must be sanitized after the lid is removed.
- Always allow vial stoppers/port to naturally dry without wiping, fanning, or blowing.
- Nufactor will randomly request copies of supervisory visits conducted by the agency to determine clinical care competency for staff providing care for Nufactor patients.
![Joint Commission Survey Medication Profile 3 Joint Commission Survey Medication Profile 3](data:image/png;base64,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)
Finding:
- Documentation
- Nurses did not document the strength of heparin administered during flushing of the IV catheter.
- Nurses did not document the volume of flush solution administered.
- Nurses did not document if the IV was flushed at the end of the infusion.
- Nurses did not document if the peripheral IV was removed.
- Nurses did not document the lot # and expiration date of the infused medication.
Corrective Action:
- Nufactor will update the nursing note with easy-to-use check boxes for most of these items to allow the nurse to document actions taken during the visit. See example of updated nursing note below.
![Joint Commission Survey Medication Profile 4 Joint Commission Survey Medication Profile 4](data:image/png;base64,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)
Finding:
- HR documents required by TJC were not available on request during the survey. Examples include:
- Primary source verification of RN licensure at the time of hire and/or when licensure expires
- Annual TB screening
- Hepatitis B vaccination series or declination of same
- Criminal background checks
- Orientation
- Annual competency
- Annual evaluation
- Job description
Corrective Action:
- At initial credentialing, these documents may be requested for nurses providing care to Nufactor patients.
- At annual recredentialing these documents may be requesting for nurses providing care to Nufactor patients.
Lastly, Nufactor will be adding a quality assurance nurse to our staff. This nurse will review nurses notes for quality. Issues noted will be brought to the attention of the agency with request for corrective action.
We appreciate your willingness to help us continue to provide high level care for our shared patients.
Nufactor Nursing Notes:
Nufactor Nursing Note-MonoclonalAntibody
Nufactor Nursing Note-ImmuneGlobulin
Nufactor Nursing Note-Miscellaneous
Nufactor Nursing Note-Bleeding Disorder