Environment of Care
Life Safety
Infection Control
Medication Management or Human Resources
Leadership or
Provision of Care
100

How many Oxygen Cylinders can be a room?

What is 12?

100

When can a fire rated door be propped open?

What is never?

If you see a fire door propped open, please remove the item propping open the door immediately.

100

When is it appropriate to wear PPE such as gloves, gowns, mask, goggles, bouffant caps, and shoe covers outside of a patient care area. 

What is never. 

With the exception of transporting a patient with a Special Pathogen or High Consequence Infectious Disease. 

100

What is our current practice for patient's own medications?

What is sent to security?

100

What is the first thing you do when you hear that the Joint Commission surveyors are in the facility?

What is initiate the daily sweep checklist

200

What is the maximum amount of signage allowed on a fire door?

What is 5% of the surface area?

200

How are you allowed to leave a fire-rated door held open?

What is with a magnet that automatically releases the door in a fire. 

200

What is the appropriate location for eating and drinking in patient care areas?

What are the Hydration Station and the break room. 

200

Is the top of WOWs an appropriate location to secure medications?

What is no. 

200

What is the correct thing to say when you do not know the answer to a surveyor's question?

What is, I will find someone to answer that question. 

300

When are you required to verify air pressure relations?

What is prior to use. And daily while in use. 

300

What does the "A" is race stand for?

What is activate the alarm by pulling the nearest pull station and calling *77777 to inform the operator of the location of the fire. 

300

What PPE is required when using PreKlenz for Point of Use cleaning of surgical instruments?

What are gloves and safety goggles. 

300

What is our current practice for expired medications?

What is; routinely removed from the Pyxis and placed in black bins (Hazardous materials bin). Expired meds that are controls are placed in medication disposal for destruction. 

300

If a patient does not speak English, is it appropriate for a staff member who speaks the same language to be an interpreter?

What is no. 

The delivery of qualified language services will be conducted with the use of Cultural Link/ Language Line.  

400

What items are allowed to be in the corridors?

What are Isolation carts, crash carts, and patient Transporation equipment. 

400

During a fire why do we close all doors?

What is to contain the smoke and heat of the fire.

400

What is the current practice for glucometer cleaning and disinfecting?

What is a two-step process using 1 sani-wipe for 1 minute for cleaning and 1 sani-wipe for 1 minute for disinfecting. A minimum of 3 horizontal and 3 vertical wipes for cleaning and for disinfecting. Including the sides and the back of the glucometer.

400

What competency is required for a Food and Nutrition employee performing dishwashing procedures. 

What is pot washing sanitation sink competency?


400

Who will the surveyors mainly direct questions to?

Who is the staff providing care or services for what is being evaluated. 

500

How how often are your air pressure relations required to be certified?

What is annually. 

500

What five questions are inspections required each time during an inspection?

What is; what do you do during a fire {RACE, how do you use a fire extinguisher (PASS), where is your nearest pull station (every exit), where is your smoke boundaries (the doors that automatically close), who can isolate medical gas (clinical nurse coordinator, /charge nurse or respiratory therapy)

500

Who can demonstrate the steps of glucometer cleaning and disinfection?

Who is a nurse leader who is responsible for implementing the glucometer cleaning huddle card.

500

When can a pain medication be administered at a higher dose than the patient's stated pain scale?

What is, upon patient request for the higher dose and physician approval is obtained. 

500

What is the time-frame requirement for critical lab value reporting/communication?

What is within thirty minutes.

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