The infection control program is designed to prevent and stop infections from spreading in the healthcare setting. Policy and procedure must be enforced in conjunction with the appropriate surveillance activities. Within the chapter of the Accredia® Infection Control Program policy and procedures you will have exactly the surgery center policy and procedures the inspectors are looking for.
As a surgery center accreditation consultant, our aim at Accredia® is to help improve your experience regarding the type of inspection you need whether it is the surgery center accreditation process or Medicare certification. Here at Accredia® we provide you with the surgery center policy and procedure manual, consulting, forms and assessments to get you through the desired inspection easily and successfully.
Each surgery center is unique however the standards to meet are the same. You must have specific surgery center policies and procedures in place. You will need to have in written format policies and procedures that reflect the following chapters:
If you are preparing your surgery center for accreditation or certification with AAAASF or if you are up for re-accreditation or re-certification; AAAASF mandates the following medications are to be stored in your crash-cart. If they are not present in the crash cart you will be cited with a deficiency. Below are the following medications that need to be identified during your AAAASF inspection:
Fire Drills are mandatory and have to be conducted on a quarterly basis to maintain your surgery center accreditation and Medicare deem status certification for the surgery center. New mandates dictate that the individual in charge of initiating the drill (this person is deemed as the safety officer) must also submit to the Quality Committee a written critique evaluating the fire drill along with the actual documentation of the fire drill.
Malignant Hyperthermia (MH) is a potentially fatal, inherited disorder usually associated with the administration of certain general anesthetics; triggering agent such as halothane, isoflurane, sevoflurane, desflurane or enflurane either alone or in combination with the depolarizing muscle relaxant. These drugs can induce a drastic and uncontrolled increase in skeletal muscle oxidative metabolism, which overwhelms the body’s capacity to supply oxygen, remove carbon dioxide, and regulate body temperature, eventually leading to circulatory collapse and death if not treated quickly.