Denise E. Smith, RN, MS, CLNC, HACP-CMS, Head of Consulting & Senior Consultant

From Breast to Bottle – Let’s Keep That Breast Milk Safe

Introduction Breastfeeding, also called nursing, is the process of feeding human breast milk to a child, either directly from the breast or by expressing the milk from the breast and bottle-feeding it to the infant. The World Health Organization recommends that breastfeeding begin within the first hour of a baby’s life and continue as often

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Behind the Scenes – Mock Survey

Do you ever wonder what a mock survey consultant does prior to visiting your organization? Have you been curious about the extent of preparation that occurs, how we are able to identify areas for improvement (or regulatory gaps) in a short period of time, and how it all comes together in a final report to enable effective resolution?

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Is Your Staff Competent and Can You Prove It?

The definition of competent is having the necessary ability, knowledge, or skill to do something successfully. Being competent on paper and being able to perform a necessary skill or job responsibility are two different things. Before you can be competent you must be educated, trained and a competency assessment performed. You need to have the

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Enzymatic Spraying of Instruments at Point of Use

You have finished the procedure, now what’s next? Prior to sending instruments to Sterile Processing, it is important to remember to remove as much blood and bioburden from the instruments and keep them moist during transport. With Personal Protective Equipment on, rinse or wipe the instruments with water. Never use saline as it will damage

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Managing Your Medical Staff’s OPPE and FPPE

  In 2008, The Joint Commission (TJC) implemented a new standard, MS.08.01.03, requiring detailed evaluation of practitioners’ professional performance as part of the process of granting and maintaining practice privileges in a healthcare organization. Although the standard took effect in 2008, many organizations continue to struggle to establish meaningful indicators and ensure these processes are

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Is Glove Disinfection Acceptable and Safe?

Since COVID-19, the shortage of personal protective equipment has become an issue for many organizations throughout the country. Disposable gloves are being disinfected between tasks using alcohol-based hand sanitizer. It might sound like an acceptable practice under the circumstances, but did you ever think about what the alcohol does to the gloves that you are

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