Sync template from atomicqms-style deployment

README.md

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-# clinical-inpatient
+# Clinical Inpatient Services Quality Management System
 
-A comprehensive QMS template designed for hospital inpatient units, nursing services, and acute care facilities.
+A comprehensive QMS template designed for hospital inpatient units, nursing services, and acute care facilities.
+
+## 🏥 Designed For
+
+- **Medical-Surgical Units** - General inpatient nursing care
+- **Intensive Care Units** - ICU, CCU, SICU, MICU
+- **Step-Down Units** - Progressive and intermediate care
+- **Specialty Units** - Oncology, transplant, cardiac, neuro
+- **Rehabilitation Units** - Acute inpatient rehabilitation
+- **Observation Units** - Short-stay and clinical decision units
+- **Long-Term Acute Care** - LTACH facilities
+
+## 📋 Regulatory Framework
+
+This template supports compliance with:
+
+- **The Joint Commission** - Hospital accreditation standards
+- **CMS Conditions of Participation** - Medicare/Medicaid requirements
+- **State Hospital Licensing** - State-specific regulations
+- **ANA Standards** - American Nurses Association practice standards
+- **AACN Standards** - Critical care nursing standards
+- **NPSG** - National Patient Safety Goals
+- **OSHA** - Occupational safety requirements
+- **HIPAA** - Patient privacy requirements
+- **CDC/NHSN** - Healthcare-associated infection surveillance
+- **Nurse Practice Act** - State-specific nursing regulations
+
+## Repository Structure
+
+```
+├── SOPs/
+│   ├── Patient-Care/          # Assessment, interventions, documentation
+│   ├── Medication-Admin/      # High-alert meds, IV therapy, controlled substances
+│   ├── Safety/                # Fall prevention, skin integrity, restraints
+│   ├── Infection-Control/     # HAI prevention, isolation, hand hygiene
+│   ├── Emergency-Response/    # Code blue, rapid response, emergency protocols
+│   └── General/               # Document control, training, CAPA
+├── Forms/
+│   ├── Assessment-Tools/      # Admission, pain, fall risk, skin assessments
+│   ├── Care-Plans/            # Interdisciplinary care plan templates
+│   ├── Medication-Records/    # MAR, IV therapy, controlled substance logs
+│   ├── Safety-Checklists/     # Hourly rounding, shift handoff, safety huddles
+│   ├── Incident-Reports/      # Event reporting, near-miss documentation
+│   └── Training/              # Competency assessments
+├── Policies/                  # Institutional nursing policies
+├── Work-Instructions/         # Step-by-step procedures
+└── Templates/                 # Document templates
+```
+
+## Document Numbering Convention
+
+- **POL-XXX**: Policies
+- **SOP-PC-XXX**: Patient Care SOPs
+- **SOP-MED-XXX**: Medication Administration SOPs
+- **SOP-SAF-XXX**: Safety SOPs
+- **SOP-IC-XXX**: Infection Control SOPs
+- **SOP-ER-XXX**: Emergency Response SOPs
+- **WI-XXX**: Work Instructions
+- **FRM-XXX**: Forms and Records
+
+## 🤖 AI-Powered Assistance
+
+This repository includes **AtomicAI**, your inpatient QMS assistant. Mention `@atomicai` in any issue or pull request to:
+
+- Draft patient care and assessment SOPs
+- Create medication administration procedures
+- Generate fall prevention and safety protocols
+- Develop infection control procedures
+- Create emergency response workflows
+- Review documents for Joint Commission compliance
+
+### Example Prompts
+
+- "@atomicai create an SOP for central line insertion and maintenance"
+- "@atomicai draft a high-alert medication double-check procedure"
+- "@atomicai write a fall prevention bundle protocol"
+- "@atomicai create a CLABSI prevention checklist"
+- "@atomicai develop a rapid response team activation procedure"
+- "@atomicai create a restraint assessment and monitoring protocol"
+
+## Getting Started
+
+1. **Align with Hospital Policies** - Ensure consistency with institutional requirements
+2. **Customize Assessment Tools** - Adapt forms for your patient population
+3. **Set Up Safety Protocols** - Implement fall prevention and skin care bundles
+4. **Establish Medication Safety** - Configure high-alert medication procedures
+5. **Train Staff** - Use competency assessment forms
+
+## Key Documents to Create First
+
+1. **Admission Assessment SOP** - Standardized patient intake process
+2. **Medication Administration Policy** - Five rights, high-alert drugs
+3. **Fall Prevention Protocol** - Risk assessment and interventions
+4. **Pressure Injury Prevention** - Braden scale, turning schedules
+5. **Shift Handoff Communication** - SBAR or standardized handoff tool
+6. **Rapid Response Activation** - Criteria and escalation procedures
+7. **Central Line Care Bundle** - CLABSI prevention protocol
+
+## Special Considerations for Inpatient Care
+
+### Patient Assessment
+- Comprehensive admission assessment
+- Ongoing reassessment frequency
+- Pain assessment and management
+- Fall risk stratification (Morse, Hendrich)
+- Skin integrity (Braden scale)
+
+### Medication Safety
+- High-alert medication protocols
+- Look-alike/sound-alike medications
+- Independent double-check requirements
+- Controlled substance management
+- IV compatibility and administration
+
+### Patient Safety
+- Two-patient-identifier verification
+- Hourly rounding programs
+- Bed alarm and fall precautions
+- Restraint use and monitoring
+- Suicide risk assessment
+
+### Infection Prevention
+- Hand hygiene compliance
+- Isolation precautions by type
+- Central line bundle (CLABSI)
+- Catheter care (CAUTI prevention)
+- Surgical site infection prevention
+
+---
+
+*This template is maintained by AtomicQMS. For questions, open an issue in this repository.*