Infection Prevention
Define HAI
Healthcare Associated Infection
* A major threat to patient safety that is often preventable.
What is P.A.S.S and when is it used?
Pull
Aim
Squeeze
Sweep
Used during a fire.
What kind of demeanor should you have when with surveyors?
Always maintain a professional and courteous demeanor with surveyors at all times.
Define OEM
Original Equipment Manufacturer; Produces medical equipment and defines maintenance tasks recommended to preserve safe and effective function.
Define Rounding and its importance.
Rounding: Connecting with the CUSTOMER and building relationships.
* When rounding with intention, we create meaningful connections that help us anticipate needs, improve service, and reinforce our commitment to excellence.
*Build relationships, ask questions, make a connection.
Define Contact Transmission/Isolation
Organisms that are transferred through direct contact with an infectious patient or indirect contact through contact with a contaminated object.
What is R.A.C.E and when is it used?
Rescue
Alert
Contain
Evacuate
Used during a fire or disaster.
How should you respond to a Surveyor if you do not know the answer to the question being asked?
If you are unsure of an answer, it is appropriate to let the surveyor know that you will obtain the correct information and respond promptly.
Define NFPA
National Fire Protection Association; An international non-profit organization devoted to eliminating death, injury, property, and economic loss due to fire, electrical, and related hazards.
Define Sweeping and its importance.
Sweeping: Taking ownership of our equipment, being proactive and accountable.
* Every device we locate and every record we verify helps ensure the right equipment is available when and where it's needed.
*Searching with a purpose, verifying accuracy, Improve accountability.
Define Airborne Transmission/Isolation
Organisms that are transmitted via aerosolized droplet nuclei or small particles that remain infective over time and distance. Microorganisms may be inhaled by individuals who have not had face-to-face contact with the infectious individual.
Where is the Hospital's SDS located?
Available on InovaConnect(tools)
How should you answer questions from a surveyor?
Provide concise, direct responses-answer only what is asked without offering additional, unrequested information.
List the Five Rights of Medication Administration.
Right Patient
Right Drug
Right Dose
Right Route
Right Time
Where should the Vendor FSR be attached?
The preferred practice is to attach the Vendor FSR directly to the call vs the Service Report Screen. This allows anyone reviewing the equipment history to quickly locate the documentation and supports our policy.
*Always enter the Vendor Field Service Report number in the Vendor FSR field on the call screen in Tesseract.
Define Droplet Transmission/Isolation
Organisms that are transmitted via large respiratory droplets that travel from the respiratory tract of the infectious individual to the mucosal surfaces of a susceptible individual.
What is the proper way to store oxygen tanks?
Clearly labeled; full & empty (<500 PSI) stored separately; secure portable tanks.
Which words should you not use when communicating with JCO Surveyors?
"usually" "sometimes" "normally"
They imply inconsistency in following your facility's policy.
List examples of HIGH risk equipment.
Patient lifts, MRI, reverse osmosis water systems, radiant warmers, ventilators, anesthesia machines, heart-lung bypass machines.
If a vendor completed a repair on a UM call what is the most important document needed to close the call and why?
Vendor Field Service Report, needed to verify the work completed for the repair and certifying the device is safe for use.
Describe the correct order for PPE removal.
PPE removal in this order: Gown and gloves together (or, if using a reusable gown, gloves first, then gown into laundry bin), goggles or face shield, and mask or respirator and hand hygiene.
What is RMW and what does it do?
Regulated Medical Waste
Red bags for biohazardous waste (blood/saturated materials).
Is it okay for surveyors to speak with frontline staff?
Absolutely, let staff speak for themselves during tracers. Surveyors want to hear how everyday workers handle safety and care.
What temperature should refrigerated medications be maintained at and what categories are used for storing medications?
Refrigerated meds should be maintained at 36-46F (2-8C) with daily temperature monitoring.
The categories used are room temperature, ADM, refrigerated, controlled substances, expired, patient-owned, hazardous/chemotherapy.
When is it okay to drop a device form inventory after not being able to find it?
After the device has had TWO PM cycles and you have attempted to look for the device TWO different times under EACH PM cycle.