Joint Commission Policy Statement
Tristate Nursing is committed to providing a higher standard of service and to the delivery of
safe, quality patient care.  Tristate Nursing complies with the Joint Commission’s Standards for
Healthcare Staffing Services.  As our customer, you can have confidence that the processes within
Tristate Nursing support that the supplemental staff working in your organization have met the
requirements established by the Joint Commission.  To assure compliance with the Joint Commission
Standards for Healthcare Staffing Services, Tristate Nursing provides the customer a written
description of the following service features.

1.  Subcontractors
Tristate Nursing will not engage subcontractors to provide Assigned Employees unless agreed to in
advance by the customer.

2.  Floating
Assigned Employees may only be placed in assignments that match the job description for which
Tristate Nursing assigns them; if an Assigned Employee is asked to float to another department with
the customer, the department must be a like department or unit and the float employee must have
demonstrated previous competency and have the appropriate certifications, credentials for that
department/unit. Assigned Employees should only be floated to areas of comparable clinical
diagnoses and acuities.

3.  Competency Review
It is the responsibility of Tristate Nursing to conduct and finalize the pre employment assessment
of the Assigned Employee’s competence based on the techniques, procedures, technology and skills
needed to provide care, treatment and services to the populations served by the customer upon
completion of Tristate Nursing’s orientation.
It shall be the responsibility of the customer to cooperate in a review or evaluation of each
Assigned Employee, relative to the employee’s ability to perform specific job functions upon
completion of employee’s assignment or shift. Tristate Nursing relies on the customer’s feedback in
order to accurately assess and re-assess the competence of the Assigned Employee on an
sed on the customer’s report of clinical performance.

4.  Orientation of Employees
Tristate Nursing will provide all new employees with an orientation to the company’s policies and
procedures.  It shall be the responsibility of customer to orient assigned employees to the
facility and its rules and regulations and to acquaint them with the facility policies and
procedures, including dress code, physical layout and equipment and to validate competency and
ability of Assigned Employee to properly use equipment.

5.  Employees and Independent Contractors
As the provider of staffing services, Tristate Nursing will be the employer of Assigned Employees
and shall not by reason of their temporary assignment with the customer through Tristate Nursing
become employees of the customer. At its sole discretion Tristate Nursing reserves the right to
utilize Independent Contractors in addition to its employees, to assist in the provision of all
agreed upon Healthcare Supplemental Staffing services.

6.  Incident, Error, Tracking System
Upon notification of Incidents and or Errors, Tristate Nursing shall document and track all
unexpected incidents, including errors, sentinel events and other events, such as injuries and
safety hazards related to the care and services provided, utilizing its data gathering tools. 
Information gathered tracked and analyzed is to shared and reported appropriately to customers, 
regulatory bodies and the Joint Commission as required.

7.  Communicating Occupational Safety Hazards/Events
It shall be the responsibility of the customer to notify Tristate Nursing within 24 hours of the
event; any competency issues, incidents, and/or complaints related to the Assigned Employee and/or
Tristate Nursing. Customer agrees to initiate communication with Tristate Nursing whenever an
incident/injury report related to the Assigned Employee is completed

8.  Requirements for Staff Specified
The requirements of staff sent to the customer by Tristate Nursing are to be determined by the
customer as part of the written agreement between the two parties. It is Tristate Nursing’s
obligation to comply with the requirements of the customer by supplying staff that have the
documented competencies, credentials, health screening and experience to satisfy the requirements
specified by the customer in order to deliver safe care to the population being served.

9.  Staff Matching Requirements
Tristate Nursing shall verify the Assigned Employee’s licensure, certification, education and work
experience to assure they are competent and possess the skills and experience that match
requirements for the assignment. Matching
the Assigned Employee’s licensure, certification, education and work experience to assure they are
competent and possess the skills and experience matching the specified requirements of the
assignment may include the use of new grad practitioners for Allied personnel and non- licensed
nursing personnel such as sitters, caregivers and nursing assistants, it may also include licensed
nursing personnel upon the request or approval of the customer.

10. General Information

The Tristate Nursing office, located in Sioux City, IA is open Monday through Friday from the hours
of 8:00 a.m. – 5:00 p.m.  Our local telephone number is 712-277-4442 or call toll free at
800-727-1912.   Outside of normal business hours our answering service is available 24 hours a day.

In the event of an emergency, natural disaster or other uncontrollable event, Tristate Nursing will
continue to provide service to you through our corporate network from a location where phones and
computers are functional.  Tristate Nursing will do everything possible to support you in meeting
your needs during crisis situation(s).  A copy of our Emergency Management Plan is available upon
request.

Our goal is to always provide you with a consistent level of service.  If for any reason you are
dissatisfied with our service or the service provided by one of our healthcare professionals, we
encourage you to contact the local manager to discuss the issue.  Tristate Nursing has processes in
place to resolve customer complaints in an effective and efficient manner.  If the resolution does
not meet your expectation, we encourage you to call the Tristate Nursing corporate office at
712-277-4442.  A corporate representative will work with you to resolve your concern.  Any
individual or organization that has a concern about the quality and safety of patient care
delivered by Tristate Nursing healthcare professionals, which has not been addressed by Tristate
Nursing management, is encouraged to contact the Joint Commission at www.jointcommission.org or by
calling the Office of Quality Monitoring at 630.792.5636.  Tristate Nursing demonstrates this
commitment by taking no retaliatory or disciplinary action against employees when they do report
safety are concerns to the Joint Commission.