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√TJCsvyrRN_Jordan_Virginia Jordan, MSN, RN


Virginia J. Jordan, MSN, RN

 

Surveyor Program(s): Hospital, Behavioral Health, Substance Abuse, Forensic Facilities

Surveyor Tenure: x 1996

Lives: Illinois

TJC Bio:

  • Virginia Jordan received her Bachelors degree in Education and Nursing from Fitchburg State College, Fitchburg, Massachusetts; and her Masters in Psychiatric Nursing from Boston College, Boston, Massachusetts
  • Ms. Jordan is affiliated with the Association for Practitioners in Infection Control and the American Board of Quality Assurance and Utilization Review Physicians, (ABQAURP) as a diplomate
  • Prior to joining the Joint Commission in 1986, Ms. Jordan worked as Assistant Director of Nursing for St. Anne’s Hospital, Chicago, Illinois, as Director of Nursing/Director of Clinical Services at Old Orchard Hospital, Skokie, Illinois, and as Assistant Professor at Loyola University School of Nursing, Chicago, Illinois. {TJC09}
  • Ms. Jordan has been a Department Head in medical/surgical and psychiatric facilities, and an Asst.Vice-President for Performance Improvement/ Regulatory Compliance (corporate position) for a national psychiatric organization with 50 hospitals throughout the United States.
  • Ms. Jordan has also had clinical work experience including general medicine/surgery; child, adolescent and adult behavioral health and substance abuse.  {TJC09}

Other Background:

  • xxxxx xxxxx xxxxx xxxx xx xxx xxxx xxx xx x x xx xx xx xxx x xx xx x x x x

 

Comments & Recommendations

2011

  • Spent 2 days for the Hospital Accrediation and 2 days on the Behavioral Health Accreditation.  Her attention focused towards contract staffing and towards critical tests and diagnostic procedures
2009

  • Sharp & thorough. Keyed in on competencies and data-driven decision making.  Consultative throughout the process, very open about observations made (some were cited, many were not). 
  • Would get focused on one issue.
  • A good consultant fairly solid but may have the ability to be a bit rigid.  She tends to focus on competencies/competence criteria (documentation of the method used to verify each competency is important to her.), infection control, coordination/integration of services, and looks carefully at behavioral management programs. Recs: Have printed joint commission FAQ’s and published competency guidelines from recent JCR publications to back up the org’s approach to competencies.

 

Relevant Surveying History:

• Evansville State Hospital 11/30/11 • Center for Behavioral Medicine 8/13/09
• North Alabama Regional Hospital 05/22/09 • Larned State Hospital02/2009

102


** Sample Survey Citations (Premier Level)**

[private Membership premier]

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Sample Citations:

20??

  • PC.01.01.01/EP 23/ During tracer activities, it was identified only cranial nerves #2 and #8 were intact instead of #2 to #8.  Also a nursing assessment did not identify triggers or coping mechanisms to be used to reduce agitation that might trigger restraint or seclusion per policy./Indirect Surveyor #2
  • PC.01.03.01/EP 1/ Observed in record review, a patient with uterine dysfunction and gynecologic evaluation by consultant did not have this condition addressed in her treatment plan. A patient with significant dental pathology and underwent dental surgical extraction procedures during her stay.  This disorder and subsequent care was not included in the treatment plan/Direct Surveyor #2 
  • HR.01.02.05/EP 2/ Observed in competency session, primary source verification proof was not located in 4 contract staff files at time of survey/Indirect/Surveyor #2
  • HR.01.03.11/EP 1/ Observed in competency session, review of 3 contract staff files revealed that the organization had not defined the required competencies/Indirect/Surveyor #2
  • HR.01.07.01/EP 1/ Observed in competency session, review of 3 contract staff files revealed the organization had not implemented a process for the evaluation of performance for the past 3 years/Indirect/Surveyor #2

2012

  • LD.00.00.00/EP 0/ X xxxxx xxxxx xxxxx xxx xx x x xx xx xx xxx x xx xxxxxxx. /Indirect/

 

 

 

 

 

 

 

 


 

You may provide surveyor feedback by clicking on the ‘Comments’ link above (2nd line, top left) and/or via the New Post Survey Questionnaire (PSQ).


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