Joint Commission 1
How often are employees educated on PHI?
What is annually, via Relias?
When do you perform hand hygiene?
What is Before or after contact with patient or items in the patient's environment, before clean procedure, or after body fluid exposure.
How are staff deemed culturally competent?
What is Mandatory New-Hire Cultural Competency Training, and Annual Training.
Where can Advanced Directives/Living Will forms be found in Wellsky?
What is Document Storage within Wellsky.
Where are our fire extinguishers located? (Name 3 places)
What is each hall of unit, near kitchen, near front entrance, within outpatient, near emergency room.
What are fall preventative measures offered in the facility? (Name at least 4)
What is bed alarm, chair alarm, non-skid socks, fall pads, bed rails, bed in lowest positions, belongings within reach, external room signage, internal room signage above HoB?
What do you do if a patient care error occurs?
What is ensure the patient is safe and report to the Charge Nurse, Nursing Leadership, Quality Director and complete an incident report.
What is used facility wide to promote engagement and communication with staff?
What is communication boards, staff meetings, and Town Halls?
What is the PAM Health mission Statement?
PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with loyal, dedicated, and highly trained staff, to be the most trusted and impactful source for healthcare services in every community it serves.
DAILY DOUBLE!
What is our fire plan?
What does PASS stands for?
What is Rescue, Alarm, Confine, Extinguish?
What is Pull, aim, squeeze and sweep
There is a chemical spill in your office, what do you do?
What is review the SDS manual, ensure the area is secure, and seek assistance from EVS and/or Plant Ops?
Who is responsible for assuring that the patient's rights are respected and maintained at all times?
What is every team member?
How can we protect patient's privacy and confidentiality?
What is Log out of computers when not in use or when 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.
DAILY DOUBLE!!
What is the risk of having potted plants in the facility?
What is transmission or infection, via soil?
If a patient wants to report concerns over patient safety and quality care, where do you refer them to?
What is refer them to the poster in registration. Department Leader, Charge Nurse or Lead. Also Refer to Quality. Refer to Compliance Hotline.
When should sharp containers be replaced?
What is when 2/3 full?
Who is the Facility Safety Officer?
Who is Interim Brayla, DQM, who will be transferred to Barney who is DPO?
How do PAM Health employees keep competent?
What is by attending and successfully completing Skills fair, Relias training and required CEUs for their specialties?
How does PAM follow National Patient Safety Goal, NPSG.01.01.01, "Identify Patient Correctly"?
Verify 2 forms of ID; Name & DOB.
What are the two main, easy to use chemicals used to clean the facility at this time?
What is Bleach based blue topped wipes, and Peroxide based white topped wipes? (Clorox/Oxcivir)
What is the code called for an active shooter situation?
What is Code Silver.
What is use plain language and offer specifics if able.
DAILY DOUBLE!
What are two things you can do to keep patient's safe?
What is hand hygiene, wear PPE, observe for unauthorized personnel, report suspicious behavior or activities....?
Where are the Human Resource policies and/or procedures maintained?
Where is the PAMCentral intranet.