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?
Active shooter in facility
What is a code silver?
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?
Evacuation
What is a code yellow
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?
Code NEO
What is the resuscitative need of any newborn infant that is an inpatient at WBH.
“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?
Condition Orange-External Phase II
All disasters and response teams are called to action?
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?
Code AMBER
What is an abduction of any infant or child on hospital property?
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?