Nina Smith, RNC, M Ed
Surveyor Program(s): Hospitals, Critical Access Hospital, BHC
Surveyor Tenure: x ????
Lives: Colorado
TJC Bio:
- Prior to joining the Joint Commission, Ms. Smith was the Administrator and Chief Clinical Officer for Centennial Peaks Hospital in Louisville, Colorado.
- Before that, Ms. Smith was the Western Divisional Director of Operations for TLC/StaffBuilders Home Health Care.
- Ms. Smith has published in Behavioral Health and Home Care books and journals and was on the Board of Directors for the Association for Ambulatory Behavioral Health.
Other Background:
- Currently licensed in Colorado and California, as an RN. (Was previously licensed in TX, too)
Comments & Recommendations
2015
- xxx xxxxx xxxxx xxxx xx xxx xxxx xxx xx x x xx xx xx xxx x xx xxxxxxx xxxxx xxxxx xxxx xx xxx xxxx xxx xx x x xx xx xx xxx x x. 07242009
2007
- Very pleasant and easy to work with. Recognizes the challenges of acute psychiatric care and showed patience as we identified the manner in which we satisfied standards.
Recent Survey History:
| • Alaska Psychiatric Institute03/6-7/07 | • State Hospital 091407 |
102
** Sample Survey Citations (Premier Level)**
[private Membership premier]
[/private]
Sample Citations:
20??
- XX.00.00.00/EP x/ Observed in Tracer Activities: xxxxx xxxxx xxxxx xxxx xx xxx x x xx xx xx xxx x xx xxxxxxx. /Indirect/
- XX.00.00.00/EP x/ Observed in Individual Tracer: xxxxx xxxxx xxxxx xxxx xx xxx xxxx xxx xx x x xx xx xx xxx x xx xxxxxxx. /Direct
2007
- NPSG 2C/EP 2-4/ Observed in Tracer Activities: Failure to define required time frames related to ordering, receiving and reporting critical test results
- MM.2.20/EP 2, 7/ Observed:Failure to log refrigerator temps reliably each day and date of opening on insulin vial was smudged and unreadable, should considered expired if date of opening cannot be identified.
- MM.3.20/EP 13/ Observed during record review: Order for antacid every 4-6 hours without giving direction on how to choose which time. Order written and read back but not signed within 72 hours.