Rounding Checklist Items

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What are some checklist items you use for rounding?  How frequent do you round?  How is information tracked and disseminated to units/Directors; etc?  We have approximately 15 individual facilities to track and provide feedback to and 4 POCC to do it with as we are a regional team (5 major hospitals, 3 FSED, and many clinics).  We need to be thorough but efficient.  Ideas? Thoughts?  

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I have around 70 clinics who perform waived testing only and have started "rounding" once a year. 
First year- anyone less than 70% get a reinspection. Second year anyone less than 85% gets a reinspection and third year anyone less than 90% get the reinspection.
We track them in Sentact and all results go to managers/supervisors. Directors get involved if action items are not completed in a timely manner.

I look at:

  • CLIA certificate onsite
  • Standard POC Testing being used
  • Instrument Settings (including BioMed stickers)
  • Labeling and dating of supplies
  • Quality control being run per manufacturer 
  • Supplies being stored per manufacturer
  • QC/Patient log documentation complete and accurate
  • Staff training documentations
  • Lab Supplies (LabCorp, Cellnetix, Etc.) expiration dates


Hello,

We have 85 Clinics and a 650 bed hospital with several units performing POC testing. I use the Joint Commission Tracers application to generate a Tracer audit. This is great because it is able to generate reports of questions that are most frequently cited or of concern. Staff can go around with smart phones and tablets, document findings and upload and attached photos if needed.

 We round each location monthly or quarterly depending on performance. Locations that are scoring 100% only need to be audited quarterly. While those that need attention are audited monthly. These reports we send directly to clinic or unit leadership monthly. 
Tracer_Observation_Form_03-07-2023_042747158_PM53564309.docx

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