Joint Commission 1
How does the hospital ensure that patients are informed of their rights upon admission?
What is patients receive a Patients' Rights Package; Your Rights as a Hospital Patient in New York State;Privacy Notice
What do you do if there is an active shooter situation?
What is Run-Hide-Fight
When do you perform hand hygiene?
What is upon entering and leaving a patient room; between patient contacts if more than one patient in a room; Before or after contact with patient; before donning and after removing gloves, before handling an invasive device, after body fluid exposure, and as needed such as after sneezing or coughing, and before handling food or oral medications.
What is 28 days from opening (date vial with date opened and 28-day expiration date).
What elements at a minimum must be included in a time-out (Universal Protocol) before any invasive procedure?
What is everyone involved in procedure STOPS all work and activity and verify:
Patient identification (name, DOB, MRN)
Correct surgical procedure
Patient Consent
Surgical location, side, site
How do you test the defibrillator?
What is test while plugged in and set to 30 joules.
If you are speaking with a surveyor and don't know the answer (which is ok) what do you say?
What is I would ask my supervisor or you can refer to the policy and provide the correct information. If needed, ask the surveyor to repeat the question and really listen to what they are asking for.
What falls and injuries preventative measures are offered in the facility? (Name 2)
What is bed in low position, wheel locks on the bed, stretcher, wheelchair, yellow fall risk sign, yellow wristband, yellow non-slip socks, or patients may use personal footwear: proper fitting, low heel, soft sole shoes/sneakers; purposeful rounding, call bell within reach, night light on, use of a Fall T.I.P.S. poster?
What do you do if a patient care error occurs?
What is ensure the patient is safe and report the incident to your supervisor and complete a VOICE report.
What do you do if you pull medication from a vial into a syringe and have to put the syringe down. You are not immediately administering the dose.
What is label syringe with the date and name and dose of the medication or fluid in the syringe before placing it down.
Are verbal orders acceptable?
What is verbal orders are not acceptable. However, in an emergency situation a RN may receive verbal orders from the prescriber. The practitioner shall sign or write the orders immediately after the crisis and or event is over but within 24 hours.
What does RACE stands for?
What does PASS stands for?
What is Rescue, Alarm, Confine, Extinguish or Evacuate?
What is Pull, Aim, Squeeze and Sweep
There is a chemical spill in your office, what do you do?
What is contact Safety Director, review the SDS manual, ensure the area is secure, and seek assistance from EVS and/or Facilities team?
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.
Where can you find information on cleaning equipment?
What is OneSource. Located on hospital Regulatory intranet page.
If a patient wants to report a complaint or grievance, where do you refer them to?
What is refer them Guest Relations, Department Leader, Nursing Director, Head Nurse, Hospital Administrator, Risk Management, external agency (i.e NYS DOH, The Justice Center, TJC, NYS OASAS, NYS OMH, NYC Office of Public Advocate, etc.)
When should sharp containers be replaced?
What is when 3/4 full?
What are the two health equity focus areas that we are working on as a hospital?
What is Asthma and Diabetes
How do you report workplace violence?
Call hospital police at 7302 and complete WPV form on your desktop.
Can a family member or friend be used to interpret for a patient or legal guardian?
Discourages the use of adult friend/family to assist in communication, especially when exchange of medical information takes place.
The hospital promotes patient safety by reducing errors in documentation associated with the use of this list.
What is "Do Not Use Abbreviations" -a standardized list of unapproved abbreviations.
-U,u (Unit)
- IU (International Unit)
- Q.D., QD, q.d., qd (Every day)
- Q.O.D., QOD, q.o.d, qod (Every other day)
- Trailing zero (X.0 mg)
- Lack of leading zero (.X mg)
- MS (Write Morphine Sulphate)
- MSO4
- MgSO4 (Write Magnesium Sulfate)
What are the 6R's (six rights) for Medication Safety?
Right Medication
Right Dose
Right Route
Right Time
Right Patient
Right Documentation
DAILY DOUBLE!
How are staff educated and assessed for competence in the use of restraints?
Department of Nursing education is responsible for training on use of restraints during staff orientation and at a minimum annually thereafter. On-going in-services education programs customizable to individuals' roles and responsibilities.
Competency of staff must be demonstrated and documented annually in their personnel records.
The amount of time it takes to scrub your hands when washing your hands over a sink.
20 seconds