Joint Commission 1
How does the hospital ensure that patients are informed of their rights upon admission?
What are patients receiving a Patients' Rights Package; Your Rights; and Privacy Notice?
How do you wear your hospital badge?
What is always easily visible, above the waist, face out, not flipped over?
When do you perform hand hygiene?
What is upon entering and leaving a patient room, between patient contacts if there is more than one patient in a room, before or after contact with the patient, before donning and after removing gloves, before handling an invasive device, after body fluid exposure, and as needed, such as after sneezing or coughing, and before handling food or oral medications?
When do multi-dose vials expire?
What is follow manufacturer's expiration date or specific days from opening for those on the exception list?
Who initiates the Universal Protocol (Timeout)?
Who is the Registered Nurse?
Where are fire alarm pull stations located?
What are the nearest exits?
If you are speaking with a surveyor and don't know the answer (which is ok) what do you say?
What is I would ask my supervisor or you can refer to the policy and provide the correct information? If needed, ask the surveyor to repeat the question and really listen to what they are asking for.
What fall and injury prevention measures are offered in the facility? (Name 2)
What are the bed in a low position, wheel locks on the bed, stretcher, wheelchair, yellow fall risk sign, yellow wristband, and yellow non-slip socks?
What do you do if a patient care error occurs?
What is to ensure the patient is safe? Report the incident to your supervisor, and complete an RL6 report.
What do you do if the patient speaks a different language other than English?
What is asked for a certified interpreter, either in person or virtually?
What is the appropriate nail appearance?
What is natural with no artificial like gels, acrylic, extenders, tips, and powders?
What does RACE stands for?
What does PASS stands for?
What is Rescue, Alarm, Confine, Extinguish, or Evacuate?
What is Pull, Aim, Squeez,e and Sweep
Where is the chemical or hazardous spill kit in your department/floor? What do you do?
Where is the OR? Then, contact the Safety Director, review the SDS manual, ensure the area is secure, and seek assistance from the EVS and/or Facilities team.
Who is responsible for assuring the patient's rights are respected and maintained at all times?
What is every team member?
How can we protect patients' privacy and confidentiality?
What is log out of computers when not in use or unattended, medical records only accessed when required by job duties, do not leave papers with patient information unattended, provide information only to those permitted by the patient, and do not discuss patient information in common areas?
Where can you find information on cleaning equipment or IFUs?
What is OneSource? Located on the hospital intranet page.
If a patient wants to report a complaint or grievance, where do you refer them?
What is refer them to Patient Experience?
When should sharp containers be replaced?
What is when 3/4 full?
Who manages the fire safety program at the hospital?
Who is the Safety Director and or Fire Prevention Officer?
What should be included when you are performing outpatient screening aside from falls, nutrition, depression, vital signs, and medication reconciliation?
What is suicide screening?
How does the hospital follow the National Patient Safety Goal (NPSG.01.01.01, "Identify Patient Correctly"?
Use at least two ways to identify patients—name and date of birth.
What is the wet contact time for the PDI Super Sani- Cloth wipe ( Purple Top)?
What is the wet contact time for the PDI Sani-Cloth Bleach wipe (Orange Top)?
What is 2 minutes
What is 4 minutes
What do you do after you give a pain medication in PACU?
What is a pain reassessment?
DAILY DOUBLE!
The amount of time it takes to scrub your hands when washing them at a sink.
What is 20 seconds?
Where are the Hospital's policies and procedures maintained?
On the hospital's intranet site (PolicyStat)?