What’s the real difference between a requirement and a recommendation—and why does it matter so much during a survey? In this episode of Transmission Control, hosts Garrett Hollembeak and Jill Holdsworth sit down with Sylvia Garcia-Houchins, former Director of Infection Prevention and Control at The Joint Commission, to decode one of the most misunderstood parts of accreditation. Sylvia breaks down how to tell a law from a guideline, what happens when IFUs cite AAMI standards, and the risk of writing “should” or “shall” into your policies without realizing what it means. She shares practical tips for staying credible under pressure, avoiding self-inflicted citations, and knowing when to stand your ground. If you’ve ever wondered where best practice ends and requirement begins, this episode is your survival guide for survey season. Tune in today!

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