Environment of Care Protocol
Clinical and Front Office
FTCA General Questions
Lab, Diagnostic and Referral Tracking
Incident/Adverse Event Procedure
100

An emergency fixture provided to flush tepid water to the eye, diluting any hazardous materials that may have to come in contact with the eye.  Water temp range between 60-100 degrees.

What is an Eyewash Station?

100

 This policy is used to route calls to appropriate staff, it involves LPNs, RNs, MA, and Providers, Front Office and Call Center Staff. Triage decisions are to be consistent with evidence-based guidelines and protocols rather than using clinical decision -making

 What is Phone Triage Protocol/Policy?

100

Name of the learning management system that ANHC uses.

What is Relias?

100

 In FTCA Lab / Diagnostic and Referral Tracking, this position tracks referrals from submission to appointment completion, follows up on missing documentation, and removes delays so patients receive timely specialty care.

Who is the Referral Coordinator?

100

A risk incident form is submitted through this communication channel

What is incident@aneighbor.org?

200

 Checking valves, tanks, and hoses

What is a Foil Test, Nitrous Maintenance?

200

Each time a patient fails to arrive without prior cancellation within 24 hours of rearrangement, it is recorded as this cancelation

What is no-show tracking?

200

Minor, often quickly resolvable patient concern

What is a Complaint?

200

This process identifies hospital admissions and ER visits, completes patient outreach within required timeframes, obtains discharge documentation, and schedules follow-up care to prevent gaps in treatment.

What is Hospital/ER follow-up?

200

This person is your Risk/Compliance Officer

Who is Jennifer Richardson?

300

Must be performed under applicable CLIA certification. Test kits/ must be stored pr manufacturer guidelines, and must ensure visibility of expiration dates, and lot tracking.  

 What is Point of Care Storage and Handling? 

300

This is a process that must be completed before any services are rendered that fall under: General Treatment, Release of Information, Telehealth, Minor Patients, Sliding Fee Program. Staff must explain the nature and purpose of services, including risks, benefits, and alternatives. It must be documented in the EHR or on a singed paper form scanned into the record.

What is a consent to treat?

300

The process of verifying a provider’s qualifications to ensure they are competent and eligible to provide care.

What is Credentialing?

300

Under this policy, results are expected within 5 business days and must be tracked up and followed by clinical support staff or the assigned provider.

What is Lab Tracking Policy?

300

The time an incident/adverse event should be reported

What is the same business day?

400

Must be logged upon receipt, expiration verified and distribution documented in patient record and log.

What are Sample Medication Controls? (Medical/Dental)

400

This is a container that is specialized, puncture-resistant waste container designed to safely store and dispose of items with sharp points or edges that can pierce or cut human skin. Prevent accidental needlesticks and prevent spread of bloodborne pathogens like HIV or hepatitis.

What is a Sharps Container?

400

The process of authorizing a provider to perform specific clinical services or procedures based on their qualifications and competency.

What is Privileging?

400

Under this policy, diagnostic results are expected within 10 business days; if delayed, the MA/Medical Receptionist follows up to obtain and document the results.

What is Diagnostic Tracking Policy?

400

An event that could have resulted in harm but did not reach the patient due to timely intervention or chance.

What is Near Miss?

500

 Blood Glucose Monitoring, Rapid Strep Tests, Pregnancy Tests, Urine Strips, Flu Tests

What are Point of Care Testing?

500

Occupational Safety and Health Administration

What is OSHA?

500

More formal, may be written or verbal, and requires further investigation 

What is a Grievance?

500

A formal request by a provider to direct a patient to another healthcare provider or specialist for additional services, tests, or evaluations.

What is a Referral?

500

A serious, unexpected occurrence involving death or major harm that signals the need for immediate investigation

What is Sentinel Event?

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