Ambulatory Care

Physical Plant Maintenance Competency

Document Overview:  This tool template is designed to ensure that your competency assessment documentation meets the intent of the competency assessment process. Simply populate the tool with the key steps of the skills you are assessing and follow the directions on the form. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over

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Medication Refrigerator Temperature Log

Document Overview:  This tool is designed specifically to address all of the CMS Conditions of Participation and Accrediting Organization requirements for logging refrigerator temperatures. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

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Laundry Services Tracer

Document Overview:  This tool template is designed to ensure that your competency assessment documentation meets the intent of the competency assessment process. Simply populate the tool with the key steps of the skills you are assessing and follow the directions on the form. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over

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Eyewash Inspection Log

Document Overview:  This tool is designed specifically to address all of the CMS Conditions of Participation and Accrediting Organization requirements for monitoring eyewash equipment. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

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Emergency Management Letter of Appointment

Document Overview:  This tool is designed specifically to address the CMS Conditions of Participation and Accrediting Organization requirements for Emergency Management. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

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Immediate Use Compounding Competency

Document Overview:  This tool template is designed to ensure that your competency assessment documentation meets the intent of the competency assessment process. Simply populate the tool with the key steps of the skills you are assessing and follow the directions on the form. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over

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Infection Prevention & Control Leader Letter of Appointment

Document Overview:  This tool is designed specifically to address the CMS Conditions of Participation and Accrediting Organization requirement for Infection Control. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

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Medication & Sample Product Log Tracer

Document Overview:  This tool is designed specifically to address all of the CMS Conditions of Participation and Accrediting Organization requirements for logging of samples. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

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Surgical & Procedural Fire Risk Tracer

Document Overview:  This tool is designed specifically to address all of the CMS Conditions of Participation and Accrediting Organization requirements for a Surgical Fire Risk Assessment. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document

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Pain Management Program Tracer

Document Overview:  This tool is designed specifically to address all of the CMS Conditions of Participation and Accrediting Organization requirements for Pain Management. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

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Infant Circumcision Tracer

Document Overview:  This tool is designed specifically to address all of the CMS Conditions of Participation and Accrediting Organization requirements for Patients undergoing a Circumcision. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

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