TJC is Coming
The purpose of the Joint Commission survey
What is to certify health care facilities meet regulatory standards as well as provide education and consultation
EOC is...
What is the Environment of Care
This considers all patients to be possible carriers of blood-borne pathogens, and requires PPE to be used when coming into contact with ALL patients blood, urine, or other body fluids.
What are Universal Precautions?
These are the most common two patient identifiers.
Name and Date of Birth
This list is used by providers to document medications that patients take on an ongoing basis
What is the chronic medication list?
Tracer methodology
What is surveyors select a patient and use the record to move through a hospital to assess and evaluate compliance with selected standards
18 inches
What is nothing can be stored this many inches from a sprinkler head?
Hands are grossly soiled
Open sores
C-Diff
When can Alcohol rub not be used for hand hygiene?
These should be reported to the Provider as soon as available.
What are Critical/Important Lab Test results.
This clinical care process involves finding out what medications a patient is taking, comparing them to what was taken in the past, documenting any changes
What is Medication Reconciliation?
National Patient Safety goals are a list of TJC identified requirements that highlight problematic areas in healthcare. The list for 2019 contains 7 goals. Name at least 2
What are:
1. Identify patient correctly.
2. Improve Staff Communication.
3. Use Medicines Safely.
4. Use Alarms Safely.
5. Prevent Infection
6. Identify Patient Safety Risks
7. Prevent Mistakes in Surgery
These must never be blocked
What are Fire Doors and Exits and shut off valves?
All of these, with the exception of vaccines, must be disposed of after 28 days after opening
What are multi-use vials?
These should be set to be heard and responded to promptly.
What are (equipment) alarms.
“U”, “IU”, “MS” and “QD” all appear on this list
What is the “Do not Use” Abbreviation List?
TJC means
What is The Joint Commission; an independent accrediting body approved by CMS to inspect health care providers
Safety exercises prepare staff to keep employees, patients and visitors safe in the case of loss of power, earthquake, or other unexpected events.
What are emergency or disaster drills?
This type of storage mechanism should never be kept on the floor
What is a Cardboard Box?
We should set goals to improve this important Patient Safety measure.
What is Hand Hygiene.
Insulin, heparin, and Lovenox are considered ______ and need two verifiers
What are High Alert Medications?
"I'm not sure, let me ask my supervisor"
What is the correct response for a question you are unsure of?
The presence of this, located on routinely services pieces of medical equipment ensures that they are safe for patient use
What is a Bio-Med Sticker?
This process should be used to disinfect medical instruments that cannot be passed through an autoclave machine
What is high level chemical disinfection?
Making sure that surgery is done on the correct patient and at the correct place on the patient's body is an example of what?
Universal Protocol/Time Out
Three situations requiring pain assessment/reassessment
What is - upon admission,
immediately prior to administering a pain relieving intervention,
-with status changes, procedures or treatments that may cause pain/discomfort?