The JC Process
The mission is to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.
What is the mission of the Joint Commission?
A patient insists on having a sibling translate who is clearly fluent in both languages. This form must be signed.
What is interpreter declination form? (MGH RI-32)
MG does provide free interpreting to patients.
(MGH RI-31)
The Biohazard symbols are labeled on these.
What is Waste storage areas, Red biohazard bags, storage containers, sharps containers.
What does HIPAA stand for?
Health insurance portability and accountability act!
The name of moving laterally to the nearest safe fire protection area normally beyond the smoke and fire wall/doors on that floor.
What is horizontal relocation?
What is the EOC?
What is Environment of care
The online system for accessing policies and procedures.
What is Compliance 360.
Gloves, gowns, masks, eye shields and face shields are all examples of this.
What is Personal Protective Equipment (PPE)?
The method we use to monitor the temperature in our refriderators.
What is temp track.
Name and DOB.
What are our 2 patient identifiers?
The evaluation method in which surveyors select a patient and us that individuals record as a roadmap to move through an organization to assess and evaluate the organizations compliance with selected standards.
What is the tracer methodology?
Stroke, Venous Thromboembolism, Sepsis, Immunizations are examples of this.
What are MGMC's Core Measures?
The telemetry electrodes must be used or discarded if opened within this time frame.
What is 30 days
A living will or document that a patient can use to decide on how he/she would like to handle health decisions in the even of a life threatening condition or terminal illness.
What is an advance directive?
What is the 5th vital sign?
Pain assessment or scale.
SDS
What is Safety data sheets
The scale used to assist in the assessment of self harm of the patient.
What is the Harm scale? (PC-61)
This is the process of securing controlled substances.
What is Pyxis machine?
What is DNR?
DO NOT RESUSCITATE
The classification of an event that did not reach the patient, but for which a recurrence carries a significant chance of serious adverse outcome.
What is a near miss?
The SDS replaced this?
What is MSDS= Material safety data sheet
The nurse must assess the need for this at least every 2 hours. A skin check and offering of food, fluids and toileting must be offered every 2 hours s well to patient.
What is Restraints. ( PC36and 37)
The outlet color to use during a power failure to have power.
What is the red outlets?
What is a PSR?
Patient safety report
The 5 pillars of the MGMC Strategic Plan
What is service, quality, people, finance and growth.