HR Information
How often does an employee receive performance evaluations?
Twice yearly
Completed annually for pharmacists and every 6 months for technicians
What are Media fills, gloved fingertip testing
5 days to respond and investigate, 14 day to inform the patient in writing of the results
What is the Medicare complaint response timelines
Dumpster in the front parking lot
What is the meeting point for a fire or fire drill
How would you provide care to a patient/family with a communication/language barrier?
Translation Line
Training documents are stored in this location
Connecteam
Frequency that surface samples are collected
What is monthly
Evidence or suspicion of abuse or neglect
What is to report to the Director of Nursing or the Pharmacy Manager when notified of or suspicion of abuse to a patient
Monthly Environmental Audit includes:
What is-
Fire extinguishers in date and in the green
Eye wash exp date checked
No boxes within 18 inches of the ceiling
Emergency route posted
Emergency lighting works
What's the first thing you do when an ACHC Surveyor walks in?
Check Identification and escort them to an appropriate workspace
The Annual required trainings
What are:
compliance, confidentiality, FWA, cultural diversity, communication barriers, infection control, workplace safety, emergency and disaster planning, OSHA /Hazardous, complaints, patient rights and responsibilities
Every 6 month ENV visit includes:
Conduct clean room certification, smoke studies, air velocity, air sampling
Shipping temperature verification testing and annual packing observations
Safety data sheets are located?
What is in SharePoint - regulatory and compliance, Safety Data sheets
Goal for Speed to answer and call abandonment rate
What is less than 30 seconds, 5%.
All calls managed through Orlando, results reported at PI
Critical Point, Simplifi, Media Fills
What are compounding training platforms
Information required on the compounding record
What is lot number, expiration date, quantity, compounding directions, storage temperature directions for use, copy of the lable
Things that must be reported to ACHC withing 30 days
Change in ownership, change in address, change in CEO, pharmacy license suspension, being fined or penalized by an insurance company or Medicare, any open investigation by a regulatory or federal agency, FDA 483
First aid section
What is the important information on the SDS
Who might the surveyor interview?
The Surveyor will choose and select staff based on the services provided. In addition, the Surveyor will interview the Administrator and the Clinical Supervisor, as well as a governing body member, if applicable.
Compliance Plan review,
What is required to be reviewed and acknowledged annually for each employee
Room Temperature 4 days
Refrigerated 10 days
What is USP 797 sterility guidelines for compounded sterile products.
These must be reported to the compliance officer and reviewed at the PI meeting
What is any ethical issues
Plan for ongoing patient care if the pharmacy shuts down
What is-
Assess situation
Contact Gregg
If prolonged, transition patients and business to Orlando
Contact BOP regarding inventory
List five patient rights.
1. Choose a homecare agency to provide care
2. Be treated with dignity, respect, and consideration
3. Receive all services outlined in the plan of care
4. Be able to identify visiting personnel members through agency generated photo identification
5. Voice grievances/complaints regarding treatment or care
Others...
The Right to Obtain Your Medical Records.
The Right to Privacy of Your Medical Records.
The Right to Make a Treatment Choice.
The Right to Informed Consent.
The Right to Refuse Treatment.
The Right to Make Decisions About End-of-Life Care