Finding AS-2026-00142

ICU competency assessments overdue for 14 nurses

ICU · Staff Competency · Source: Document Intelligence

highin progress

Confidence High · 95%

Owner Maria Santos · raised 2026-07-25 · due 2026-09-01

AI assessment

Competency framework requires annual reassessment; 14 of 96 ICU nursing records exceed 12 months since last documented evaluation.

Why it matters

Expired competency records are objective, easily-evidenced deficiencies that surveyors can identify from a staff file sample in minutes.

Potential surveyor follow-up

“How do you track competency expiry?”
“Show me the evaluation for a nurse hired in the last year.”

AI recommended actions

Schedule 14 overdue competency assessmentsACT-4440 · competency · ICUhighin progress

Live AccrediScore 81% (+0) · complete linked training

Traceability

Requirement: SQE.3 — Verification of staff competency for assigned duties
Evidence: • DOC-1047
Chain: Requirement → Evidence → Accredi reasoning → Finding → Recommendation

Human verification

This finding was generated with AI assistance and must be verified by an authorized reviewer before it is treated as a confirmed deficiency. AccrediSense does not make accreditation decisions.