Infection Control
Universal Precautions are?
What is Hand Hygiene and PPE (Personal Protective Equipment)
This is the appropriate way to wear your Name/ID badge
What is EVERYDAY and VISIBLE (Above my waist)
Where you can find Policy and Procedures
What is in the Intranet until the HR Hub
JCAHO stands for...
What is THE JOINT COMMISSION ACCREDIDATION OF HEALTH CARE ORGANIZATIONS
This is the process for managing electronic medical records when the information systems are unavailable?
Downtime forms
What is: Timeouts (Procedures/Surgery), Patient Identification, Labeling Specimens, Universal Protocol, Infection Prevention and Medication Management
This outlines your responsibilities as employee
What is your Job Description
Where can you will find information regarding JCAHO and The Joint Commission Survey
What is the intranet
This event is when a patient suffers an unanticipated death, or major, permanent loss of function that is not related to the natural course of their illness or underlying condition. The patient’s loss of function could be physical, mental, or emotional.
What is a SENTINEL EVENT
SDS stands for?
What is Safety Data Sheets
Annual employee health screening consists of...
What is Flu Vaccine and TB screening
Describe how you ensure patient confidentiality
What is 2 patient identifiers: Complete Name and DOB
Also, lock your computer when you step away or for outpatient use the privacy feature
If there is a hostile patient or family member what are the next steps:
What is push the emergency button under Carla's desk, dial 8899 (for the police) or dial 8888 and report the incident with Department and Location.
Examples of this include: Hand hygiene, using masks when sick, isolation protocols for patients, training, appropriate PPE, following disinfection procedures in between patients/clients. Complying with the annual employee health screening protocols.
What is all types of Infection Control processes
The difference between a Code MERT and an RRT
What is a Code MERT is for a person visiting the facility (or someone who is not admitted) and an RRT is for an admitted patient who's condition is rapidly declining
Name two methods of Hand Hygiene
What is
-Soap and Water
-Alcohol Based Solution
Name all the Emergency Response Codes/Alerts (DOUBLE POINTS!!)
Facility Alerts: Fire Alarm Activation and Emergency Plan Activation
Weather Alerts: Severe Weather Watch and Tornado Warning
Security Alerts: Active Shooter, Missing Person and Code PINK (abducted infant)
Medical Alerts: Code Blue (cardiac arrest), Code MERT and RRT.
Plan seeks to enhance the health of our patients, clients, individuals and residents, and enables us to achieve our vision and mission in all that we do by continuously improving the degree of excellence of our services, processes, provider and support staff performance, and decision-making skills. This approach enables us to address the overall health of the system by improving the experience of care, improving the health of populations and reducing per capita costs of health care. All departments within the organization participate in monitoring and implementing quality improvement strategies to improve services.
Quality Improvement Plan; HCAHPS
This is part of the new patient packet, and is also posted in the lobby of each clinic.
What is clients/patients’ rights and responsibilities.
How to respond to a JCAHO surveyor
Listen and stay calm.
Think carefully before answering a question.
Only answer the question asked by the surveyor. You do not need to elaborate.
If you don’t understand a question, ask for clarification.
Whenever possible, mention our practices and procedures that support your answers.
Show enthusiasm and interest!
Show off your successes and the things you know and do well.
Exhibit pride in your department.
It is understandable that you might be nervous. Just take a breath and take your time. The surveyors are asking you about things that you do every day, try to relax so that the good patient care you provide can shine thro
When should you practice Hand Hygiene
What is;
What is our department's practices for ensuring quality care and improving performance
What is
-Performance Improvement Goals
-Monthly Journal Clubs
-Chart Audits
This Binder contains all safety related activities, meeting minutes, emergency site plan, phone tree, emergency supplies inventory, drill documentation, incidents, monthly site building inspections, HVA for the county, annual fire safety inspections
HEALTH AND SAFETY
This is the DAILY DOUBLE;
An independent, not-for-profit organization, accredits and certifies more than 20,000 health care organizations and programs in the United States. accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards
JCAHO
Anytime an individual is expressing any sort of dissatisfaction with our services they may submit this
What is a Complaint and/or a Grievance