Joint Commission Standards
Medications
IMS
CTS
Fun Facts
100

The standard containing the Environment of Care Policy. 

RI – Rights of the Individual

100

The policy requiring staff to check for responsiveness if patient is believed to be suffering from an opioid overdose.

Naloxone (Narcan) Policy

100

Per this policy a complete screening and assessment will be completed for patient on admission or within an established time frame.

Obtaining Medical Histories Policy

100

This policy tells you what to do with drug paraphernalia.

Personal Property and Disallowed/Restricted Use Items Policy

100

Which of the following is true about Eileen: She can yodel, has bungee jumped, has ridden a motorcycle

Bungee jumped!

200

The standard containing the Physical Environment Policy.

LS – Life Safety

200

The policy requiring staff to complete the Medication Error form.

Adverse Medication Reaction Policy

200

The policy’s purpose is to determine the presence of substances in the bloodstream and measure their concentration to determine treatment and safe withdrawal

Detoxification Testing Policy

200

This policy requires the Clinical Department to conduct a Comprehensive Diagnostic Assessment which includes an assessment of trauma, abuse, neglect, or exploitation.

Assessment of Trauma, Abuse, Neglect, or Exploitation Policy

200

Which of the following is true about Stephanie: owned a parakeet, likes to skateboard, has been to Argentina.

Owned a parakeet - named Baby!

300

The standard containing the Prohibition of Weapons policy.

EC – Environment of Care

300

The policy states medications must be taken within one hour of the time prescribed by the physician.

Self-Administration of Medication Policy

300

The policy’s purpose is to determine whether patient’s health status requires urgent or emergent care

Monitoring Health Status Policy

300

This policy recognizes that relapse is an integral part of the addiction disease process.

Relapse in Treatment Policy

300

What is true about Beth: loves gardening , jumped off an Olympic diving board, won a pole vaulting contest in high school.

Jumped off an Olympic diving board

400

The standard containing Infection Priority Risks policy

IC - Infection Prevention and Control

400

The six rights of self-administration.

Right patient, right medication, right dose, right route, right time, right documentation

400

This policy states YWR monitors the stabilization of patients through the provision of ongoing treatment.

Providing AOD or Recovery Treatment Services Policy

400

The purpose of this policy is the coordination of care among providers and between settings.

Continuity of Care Between Providers Policy

400

Which of the following is true about Tom and Irfan: they share the same birthday, Tom covets Irfan's tools, they love golfing together.

same birthday, tax day!

500

The standard containing the Reducing the Risk of Suicide policy.

NPSG – National Patient Safety Goals

500

The policy states nurse will administer an AIMS assessment on patient every 7 days on patients receiving neuroleptic medications

Psychotropic Medications Policy

500

This policy states YWR will provide MAT

Treating SUD Including Detoxification Policy

500

This policy requires patients have an SUD to be admitted to YWR.

Admission, Readmission, and Intake Policy

500

Which of the following is true about Dr. Foster: she milked a cow, piloted an airplane, had a poodle named Frou-Frou

milked a cow - lots of them!

M
e
n
u