Monitoring Tools for Compliance Plans

Running Head: COMPLIANCE PLAN

Compliance plan

Author Note

This paper is being submitted on January 12, 2017, for

Overview

Nazareth medical facility is proud of the values that have driven our success. These values have shaped a setting and culture that nurtures the highest standards, ethics and personal integrity in the institution. Also, they are depicted in the in services that are provided at Nazareth hospital. Thereby reaching an exemplary level in corporate citizenship that is a benchmark within the healthcare. As a result, it is imperative for the organization to adhere to the following noted guidelines. One, the clinical officers as well as some of the staff members are not washing their hands when visiting patients and most employees have no knowledge of how to use fire extinguishers.

To start with, the hand hygiene is a significant aspect in every healthcare setting. The main purpose of this compliance plan is to show the significance of hygiene in medical personnel. Washing hands before attending patients prevent the spread of bacteria between patients. This can be prevented by the health personnel's washing their hands anytime they are visiting the patients. This practice is not only imperative to the patients, but to the personnel's health too.

The compliance function should be subjected to an independent evaluation by all employees. The terms in this paper should be incorporated with respect to the following. The health infection control practice advisory committee (HICPAC) guidelines on the patients and the facility hygiene. The auditing in Nazareth hospital is done by both internal and external auditors. Monitoring of the compliance is done by those responsible for given processes. New employees will receive education about compliance in laws and regulation which is done through new employees’ first days of orientation. This will also be completed by hands on training in the proper techniques of hand washing, along with visual aids. In terms of discipline, any employee irrespective of the position held is a subject to Nazareth discipline including termination. All employees have the sole mandate to report perceived misconduct in hygiene (Wayani, 2014).

At the same time, the compliance department wishes to sensitize the Nazareth hospital employees on the use of a fire extinguisher. This compliance program aims at enhancing sound practices to ensure our facility is well protected. It is imperative for employees to have knowledge in use of an extinguisher. This is because the risk of fire outbreak can be anywhere in the facility.

As a result, this compliance program overview is vital for the management to ensure the enactment of the program. The compliance function should be subjected to an independent evaluation by all employees. The terms in this paper should be incorporated with respect to the following. The OSHA statue, 29CFR1910.57 requires the employees within an organization, to be exclusively trained on the use of fire extinguishers (Quinn, Bureau of National Affairs (Arlington, Va.), & Bloomberg BNA, 2014).

Auditing in Nazareth hospital is done by the internal auditors and the external auditors. This is to ensure accountability of the functions in the facility. The monitoring of the compliance will be done by designated individuals who will ensure the compliance of the extinguishers training. At the same time, the new employees will receive the extinguishers training in an orientation in their first days through hands on training, along with power points detailing the proper techniques.

References

Quinn, J. M., Bureau of National Affairs (Arlington, Va.), & Bloomberg BNA. (2014). Corporate compliance: Building a world-class borderless ethics compliance program. Arlington, VA: Bureau of National Affairs. Retrieved from, http://www.worldcat.org/title/corporate-compliance-building-a-world-class-borderless-ethics-compliance-program/oclc/887206956

Wayani, R. (2014). Microsoft System Center 2012 R2: IT GRC Compliance Program Key Concepts. Retrieved from, https://www.knowledgenet.com/online-training/courses/microsoft-system-center-2012-r2-%C2%96-monitor-and-operate-compliance/