What is JCI?

      JCI - Joint Commission International

1.       A healthcare accreditor that identifies, measures, and shares best practices in quality and patient safety

2.       JCI provides solutions to help healthcare organizations improve performance and outcomes.

3.       JCI is part of The Joint Commission, a non-profit healthcare improvement organization.

4.       JCI is recognized worldwide as a standard-setting accrediting body in healthcare.

Employee Name:                                     Employee ID:                        Department:

1 – DEPARTMENT / ORGANISATIONAL INPUTS

.Org Orientation & Induction

Culture of Safety

Safety Education Programme

Dress Code / Grooming Standards

Organisational Ethical Framework

Time & Attendance, Duty Scheduling

Mission Statement & Goals of Institution

Review Organisation Structure & Resources

Communication Process: Public Addressing System / Phones / Email

Bonding & Belonging – ISBAR – Effective & Enhanced Communication

2 – JOB DESCRIPTION & RESPONSIBILITY

Employee Benefits

Credentialing & Privileging

Annual Performance Reviews

Employee Rights & Responsibilities

Review Performance Improvement Plan

Review Job Description & Responsibilities

Disciplinary Procedures / Grievance Handling & Redressal / ICC

3 – HOSPITAL CONTINUOUS QUALITY IMPROVEMENT

Scope of Services

Quality Indicators

Incident Reporting

Emergency Colour Codes

Patient Rights & Responsibilities

Hospital Wide Policies & Committees

IPSG – International Patient Safety Goals

Various Types of Emergency Colour Codes & Code Drills

Discuss JCI, NABH & Quality Certification Accreditation Process & Employees Role

4 – HOSPITAL CLINICAL POLICIES

Vaccinations

Needle Stick Injury – NSI

Antibiotic Stewardship Program

Patient Risk - Incident Reporting Form

Medication Administration Procedure – Nurses / Doctors

Awareness’ of Post Exposure Protocol on Management of – NSI

  Biomedical Waste Management, Hand Hygiene and Infection Control Policies & Practices 

5 – LIFESAVER COURSES

Basic Life Support – BLS

Training Care of Emergency Patients

Awareness of Incidents, Sentinel Events & Accidents – Emergency Codes        

6 – CLINICAL SAFETY & RISK MANAGEMENT

Medication Error

Basics of Housekeeping

Occupational Health Hazards

Safety Education Programme

Quick Response to Unplanned Downtime

Preparation & Administration of Chemotherapeutic Drugs

Various Types of Emergency Colour Codes & Code Drills

Hazardous Materials – HAZMAT, Spill Management – Waste Management Policy

7 – FACILITY MANAGEMENT & SAFETY

Culture of Safety

No Smoking Policy

Disaster Safety & Management Plan

Utility Systems – Electrical, Water & HVAC

Security – Unauthorized Access, Loss & Destruction

Safety – Construction, Equipment, Patient, Visitor & Staff

Emergency Management – Emergency Colour Codes & Patient Safety

Medical Equipment – Functioning & Maintenance of Biomedical Engineering

Construction & Renovation – Management of Risk to Patients, Visitors & Staff

Fire Safety – Protection of Property & Evacuation Plan, People from Fire & Smoke

Hazardous Material and Waste Management – Biomedical Waste & Radioactive Waste

8 – TECHNOLOGICAL SAFETY

Laser Safety

Radiation Safety

Safe Practices in Imaging

Safe Practices in Laboratory

POCT – Point of Care Testing

IT Systems & IT – Digital Security Training

Functioning & Maintenance of Biomedical Engineering

Safe Practices in Imaging, Film Badges & other Safety Devices

Clinical Alarm Systems Policy, Equipment Maintenance & Safety

9 – PROFESSIONAL DEVELOPMENT PROGRAM

Employee Safety

Leadership Skills

Occupational Hazard & Safety Cognizance

Effective & Enhanced Communication Skills

  Technical & Non-Technical Competency - Continuous Learning & Development 

10 – SERVICE STANDARDS

> Service Standards

> Service Excellence

Feedback Analysis

International Communications & Ethical Digital Marketing

In-Bound & Out-Bound Calling - Script Concerned with Scope of Services

* Departmental Continuous Quality Improvement Program

Employee Sign:                                                             Date:                                                 Training Feedback: