Joint commission
Certified

1. Subcontractors
Tri State 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 Tri State 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, and 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 Tri State 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 Tri State 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. Tri State Nursing relies on the customer’s feedback in order to accurately assess and re-assess the competence of the Assigned Employee
is based on the customer’s report of clinical performance.

4. Orientation of Employees
Tri State 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, Tri State Nursing will be the employer of Assigned Employees and shall not by reason of their temporary assignment with the customer through Tri State Nursing become employees of the customer. At its sole discretion Tri State 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, Tri State 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 Tri State Nursing within 24 hours of the event; any competency issues, incidents, and/or complaints related to the Assigned Employee and/or Tri State Nursing. Customer agrees to initiate communication with Tri State 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 Tri State Nursing are to be determined by the customer as part of the written agreement between the two parties. It is Tri State 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
Tri State 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 Tri State 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. Outside of normal
business hours, in the event of an emergency please contact us at 1-800-727-1912. 
In the event of an emergency, natural disaster or other uncontrollable event, Tri State Nursing will continue to provide service to you through our corporate network form a location where phones and computers are functional. Tri State 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. Tri State 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 Tri State 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 Tri State Nursing healthcare professionals, which has not been addressed by Tri State 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. Tri State Nursing demonstrates this commitment by taking no retaliatory or disciplinary action against employees when they do report y of care concerns to the Joint Commission.