Talking to Surveyor
Clinic Readiness
EMERGENCIES
Infection Prevention
How Smart Am I
100
Where should you go when surveyors arrive at your clinic?
Do not run & hide!!! You are the expert in your clinic & you want to be proud of the work you do :)
100
This item should be worn at all times and what location should this item be on your body?
What is your name tag? and It should be worn above your waist.
100

How would you respond to a fire.

Follow RACE and PASS and refer to our work unit fire emergency plan located on check-in desk.

100
Papers are found in this position in the office and clinic space.
What is turned face down.
100
There is an emergency in your clinic - a patient appears to have gone unresponsive who do you call?
What is 911?
200

One of the strongest messages to convey during a survey is that the department promotes this.

What is a culture of safety and continuous improvement.

200

These should always remain clear and unobstructed.

Hallways and exits.

200

How would you respond to a medical emergency?

What is call 911, indicate type of emergency, location, name, and call back number.

200

Do this before and after donning gloves.

What is hand hygiene?

200
Without looking at your badge who can state what RACE & PASS stand for?
What is Rescue, Activate Alarms, Contain Smoke, Extinguish/Evacuate and Pull, Aim, Squeeze, Sweep.
300

This is how to identify a patient.

What is ask for 2 identifiers (name and DOB)

300

How we handle faulty equipment.

What is remove from service immediately and submit help ticket.

300

The location of the closest pull station.

What is on the wall, in the physician's area, inside the door, closest to the alcove.

300

The minimum length of time to wash your hands.

What is 15 seconds.

300

The single most important practice to prevent the spread of infection.

What is hand hygiene?

400

Where to report a safety concern.

What is the environmental health and occupational safety - FLA site on the intranet for patient/employee and workplace violence concerns.

400

This is the amount of fullness the red sharps container should be emptied.

What is 3/4 full?

400
Surveyors may ask where staff find emergency response instructions.

What is the department emergency preparedness plan on the intranet or work unit plan printed out on the check-in desk.

400

You do this before and after every patient interaction.

What is hand hygiene.

400

The appropriate disposal method for acetone/alcohol.

What is utilizing the acetone/alcohol waste container in the room shared with AIC and putting dirty containers in the dirty location until cleaned for reuse.

500

How we answer when asked where our cleaning and disinfection procedures are located.

What is locate and explain the applicable policy/procedure.

500

Place where preventive maintenance and safety checks on equipment are documented.

What is the clinical device database on HTM site for safety checks and our work unit equipment database on teams.

500

These are the locations of the three closest fire extinguishers to our tech space in the lab.

What is By AIC shared room in tech space, by doors leading to hospital corridor outside the backroom to the scheduling desk, and down the hallway between Pain Med and the CNP Lab.

500

This is an important process that occurs in which the patient's identity is verified, correct procedure is confirmed, and all needed information is obtained prior to beginning any procedure.

What is Time-Out Process.

500

How our lab handles a power outage.

What is follow the work unit's downtime and emergency procedure located in the yellow downtime bin.

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