Infection Control
Hot topics
Altus Hospice
Policy & Procedure
100

The number 1 way to reduce the spread of communicable disease

What is

handwashing

100

Who is your Supervisor

PCM - Patient Care Manager/CD

100

How are you involved in the QAPI program? 

What is 

QAPI is reviewed in quarterly meetings and any quality issues are reported your PCM

100

What are the hospice policies and procedures regarding resuscitative guidelines?

What is

Patients have the right to accept or refuse medical care, resuscitation, surgical treatment and the right to formulate an advance directive. 

If a patient is a full code, CPR should be initiated, and 911 should be called. 

200

When adverse events occur (like infections, falls, medication errors, or other incidents) they are reported immediately to this person

Who is

the Clinical Director

200

The person to immediately report suspected or actual mistreatment, neglect, or abuse to

Who is

Immediately reported to your clinical directors/ Immediate supervisor

200

Document received at hire which tells you your job responsibilities

What is

my job description

200

What type of training did you receive on workplace and home safety issues 

What is 

Relias Education - multiple courses are assigned to cover safety

300

How we carry items into a patient's home environment when a bag is necessary

What is

bag technique

300

What type of infection control education do you provide to patients? 

What is

Instruct them to refer to their patient handbook and let your RNCM know. 

300

The platform we use for monthly inservices and ongoing education

What is 

Relias Learning


300

 These things maintain what type of compliance

-Only disclosing information on a "need to know" basis 

-Keeping patient records behind 2 locks  

-Password protecting electronic devices

-Shredding documents with patient information        

What is

HIPAA compliance

400

The type of isolation used for all patients

What is

Standard Precautions

*Universal Precautions is also acceptable

400

People who can administer medications to patients

Who are

Nurses, physicians, and caregivers

400

How many hours of in-services/continued education do you need within a 12 month period? 

What is

At least 12 hours per Calander year. 

400

How would you provide care to patients/families with a communication/language barrier? 

What is

The Language Line

500

What type of precautions are in place when this PPE might be used:  Gown, gloves, face shield/goggles, and the N95 respirator/mask 

What is

Droplet or Airborne Precautions

Care of the COVID positive patient


500

Describe the process if your were ever determined to not be competent to perform a task what would happen? 

What is

You can no longer perform task, until you become competent, through additional education and training provided by the company. 

500

Describe process for handling a patient grievance or complaint.

Complete grievance form either with family/patient or yourself, turn in to CD/PD. 

Leadership investigates complaint and follows up with family/patient

Recorded in a grievance log

500

Patient Care and Service are our highest priorities and primary reason for existence. Altus will be the highest quality care hospice provider in our community.

What is 

Mission Statement 

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