Every 3 years
What is frequency of a CMS survey when you are in good standing
Fire Response
What is Rescue Alarm Contain Extinguish
F - I - F - O
What is hand hygeine -foam in, foam out of a patient's room?
20 Seconds
What is how long you was your hands?
60 minutes or less
What is the goal for patient throughput a visit?
Document describing all the rights of a patient
What is the Patient Bill of Rights?
Fire Extinguisher Response
Use PASS: Pull Aim Squeeze Sweep
Patient Name and Date of Birth
What are required 2 patient identifiers
Legionella
What is a waterborne organism that can be found in ice machines and water fountains in a hospital
Improve communication between staff and physicians
What is documenting calls with a patient in Expanse?
18 inches from the ceiling
What is the minimum space required to store items from the ceiling. The purpose is to assure that all items can be impacted by the sprinkler system.
x1234
What is the number to call for an overhead page to be made
Something that could be used to hang or strangulate
What is a ligature risk? We must assure that there are no ligature risks available to patients.
Videx
What is the hospital disinfectant? Videx has a dwell time of 10 minutes
CMS Survey Parts
What is Clinical Survey and Life Safety Survey?
Upright and in a rack
What is How oxygen should be stored
Unapproved abreviations
What are abbreviations that can cause medication errors and/or patient harm
Individually fit mask to protect hospital staff
What is an N95 mask. If you forget your size, contact Infection Control
Communication method for people with limited English proficiency, deaf or hard of hearing
What is the language line?
Reporting a safety event
What is an incident report entered into Meditech Expanse for review and action by leadership?
Can also be used to report complaints and compliments
Chemical spill clean up guide
What is consult the SDS sheets found on the hospital website
Denise McMahan
Who is the hospital safety officer and the compliance offier?
28 days
What is when a multi-dose vial expires?
Patient Privacy
What is Health Information Portability Accountability Act? HIPAA