Guide to JCAHO Human Resources Standard 2.20
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Introduction Table of Contents Checklist for 2.20
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Human Resources standard 2.20: Staff
members, licensed independent practitioners (LIP), students and volunteers
as appropriate, can describe or demonstrate their roles and responsibilities
based on specific job duties or responsibilities relative to safety.
Element of Performance 1: Can
describe risks within the hospital's environment
© 2005
Joint Commission on Accreditation of Healthcare Organizations. Any
use of any or all of the Joint Commission standards and elements of
performance beyond this particular tool is strictly forbidden without
the written permission of the Joint Commission.
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This page provides a set
of criteria for evaluating the staff's and others' understanding of risks
that they may encounter in the facility.
| See also Elements of Performance 2, 3, and 4, below. |
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= Compliance |
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= Environmental Improvement |
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=
Tools and Resources |
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Each job description
details training requirements related to safety and environmental management
issues including:
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Training records
indicate employees trained, dates, agenda covering environmental risk
areas such as indoor air quality, hazardous materials and waste and
infectious materials and waste.
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Employee performance
records indicate employee compliance with responsibilities related
to environmental management and safety. |
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Employees can demonstrate
familiarity with emergency procedures such as spill clean up and reporting. |
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Employees can demonstrate
knowledge of hazardous materials and waste. |
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Records are available
for ongoing, periodic competence assessment.
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Training records
indicate training on pollution prevention and waste reduction concepts. |
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Staff can describe
pollution prevention and waste reduction activities occurring in the
facility. |
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Staff can describe
how safety risks might be minimized thorough the use of pollution prevention,
e.g. use of less toxic cleaners. |
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Human Resources standard 2.20: Staff
members, licensed independent practitioners (LIP), students and
volunteers as appropriate, can describe or demonstrate their roles
and responsibilities based on specific job duties or responsibilities
relative to safety.
Element of Performance 2: Can
describe actions to eliminate, minimize or report risks.
© 2005
Joint Commission on Accreditation of Healthcare Organizations. Any
use of any or all of the Joint Commission standards and elements of
performance beyond this particular tool is strictly forbidden without
the written permission of the Joint Commission.
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Employees demonstrate
competence in handling hazardous and infectious materials. |
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Employees demonstrate
competence in handling hazardous and universal waste.
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Employees operate
in such a manner as to minimize spill risks. |
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Employees can apply
both engineering and work practice controls to help minimize or eliminate
exposures to harmful chemical or physical agents. |
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Employees can locate,
and are familiar with, spill response kits and equipment. |
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Employees are familiar
with spill response procedures.
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Staff members, LIP,
students and volunteers can describe how safety risks might be minimized
through the use of pollution prevention, e.g. use of less toxic cleaners. |
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Purchasing policies
and procedures are in place that minimize the quantity of hazardous
materials entering the facility, or that eliminate the use of some
hazardous materials entirely.
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Human Resources standard 2.20: Staff
members, licensed independent practitioners (LIP), students and
volunteers as appropriate, can describe or demonstrate their
roles and responsibilities based on specific job duties or responsibilities
relative to safety.
Element of Performance 3: Can
describe procedures to follow in the event of an incident.
© 2005
Joint Commission on Accreditation of Healthcare Organizations. Any
use of any or all of the Joint Commission standards and elements of
performance beyond this particular tool is strictly forbidden without
the written permission of the Joint Commission.
|
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Staff members, LIP,
students and volunteers can demonstrate competency in procedures
to follow in the event of a release, spill, or fire.
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Staff members, LIP,
students and volunteers are knowledgeable regarding the location
of resources to address environmental incidents e.g., spill response
plan, spill kit, emergency response coordinator, material safety
data sheets, protective equipment. |
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Human Resources standard 2.20: Staff
members, licensed independent practitioners (LIP), students and
volunteers as appropriate, can describe or demonstrate their
roles and responsibilities based on specific job duties or responsibilities
relative to safety.
Element of Performance 4: Can
describe reporting processes for common problems, failures
and user errors.
© 2005
Joint Commission on Accreditation of Healthcare Organizations. Any
use of any or all of the Joint Commission standards and elements of
performance beyond this particular tool is strictly forbidden without
the written permission of the Joint Commission.
|
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Procedures are in
place and documented for reporting environmental and safety incidents
such as exposures and illnesses, spills, leaks, compromised containers,
etc. |
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Employees can demonstrate
knowledge of reporting processes. |
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Employee, patient
and visitor incident/accident reports are being used and data available
for trending. Reports of problems and errors are submitted to Safety/Risk
management/Infection Control committees. |
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Number of incidents
relating to spills and releases decreases over time. |
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Number of employee
exposure and illness related incidents decrease over time. |
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