TJC requires inspection once per calendar month
What is the requirement for fire extinguisher inspection intervals?
This is done before any invasive procedure that involves more than minimal risk.
What is timeout/universal protocol?
What we perform before entering and leaving a room
What is hand hygiene?
We screen our patients on admission for this vaccine year round
What is the pneumococcal vaccine?
RACE
What is rescue, alarm, contain, evacuate?
TJC requires that BAMC identifies individuals entering its facilities. There is also a requirement to control access to and from areas identified as security sensitive.
What are the requirements for ID badges?
QD, QID, IU, MS04.
What are "do not use" abbreviations?
This is the single most effective way to prevent transmission of infection
What is handwashing?
Medications left on top of med carts or at bedside
What are unsecured meds?
PASS (pull, aim, squeeze, side to side)
What is, how to use a fire extinguisher?
These machines require regularly scheduled maintenance to minimize waterborne pathogens
What are the requirements for ice machines?
These are BAMC Hospital's 2 patient identifiers
What is name and date of birth?
Gloves, gowns, masks, eye shields and face shields are all examples of this
What is Personal Protective Equipment (PPE)?
This is completed when an unintentional event occurs to a patient or visitor
What is an incident report?
Ensures it is the correct patient, the correct procedure etc.
What is the universal protocol?
This is how often a fire drill must be conducted each year at every clinic site.
What is twice?
You do this when receiving critical lab results
What is read back?
This infection control practice considers all patients to be possible carriers of blood borne pathogens, and requires PPE to be used when coming in contact with ALL patients' blood, urine, or other body fluids
What are universal precautions?
When an event is caught before it reaches a patient
What is a near miss?
This provides staff with assistance when a patient is showing signs of respiratory distress
What is the rapid response team?
These inspections are conducted by the Environment Committee to identify and list repairs that need to be performed.
What are EOC rounds?
The amount of time you have to report critical lab results
What is 30 minutes?
All of these, with the exception of vaccines must be disposed of after 28 days of opening
What are multi-use vials?
Falling star, yellow bracelet, bed in low position, call light within reach
What are fall precautions?
SDS
What are the Safety Data Sheets?