Leadership / TJC Basics
These are in place to guide and instruct personnel regarding patient care, treatment and services.
What are our Policies and Procedures ?
Most important task to prevent spreading of infections.
What is Handwashing?
Document that contains detailed information about a specific chemicals.
What is Safety Data Sheet (SDS)?
How do we identify a patient prior to medication administration?
What is 2 patient identifiers? Name & Date of Birth.
What is the appropriate response when you don't know an answer for a surveyor?
What is "I will find that answer for you" - then seek answer from leadership - Never say "I don't know".
Aggressive / Acting-out patient.
What is Dr. Strong?
The process by which surveyor follows the patient from the start to finish during their stay at Burke.
What is Tracer?
Surface stays wet for required time to kill germs.
What is Contact Time?
These must never be blocked (name at least one).
What are: Fire Door, Fire extinguisher, Exits, Oxygen shut off valves?
Processes such as Tallman / Shortman lettering to avoid errors.
What is Look-alike, Sound-alike medications?
Examples of Patient Health Information (PHI).
What is Name, Address, Age, DOB, Phone Number, SSN, Diagnosis, Insurance Information?
Criteria includes Acute change in Respiratory rate, Heart rate, BP and Acute change in mental status.
What is Rapid response?
An independent, non-profit group that administers voluntary accreditation program for hospitals and other healthcare organizations.
What is the Joint Commission (TJC)?
An approach to infection control that treats all body fluids as if they were infectious.
What is Universal Precautions?
Acronym used when extinguishing a fire.
What is PASS - Pull, Aim, Squeeze, and Sweep.
The process used to ensure the health care team is aware of the medications that the patient is taking prior to admission.
What is Medication Reconcillation.
Hand off tool.
What is SBAR ?
Situation, Background, Assessment, Recommendation.
Medical emergency / Cardiac arrest.
What is Code 4?
Patients and families are given surveys to evaluate their healthcare experience at Burke.
What is patient satisfaction/Press ganey?
Gloves, gowns, and masks.
What is Personal Protective Equipment (PPE)?
The four steps to follow in a fire emergency include removing individuals from the room, calling for help, closing doors, and getting away from the area.
What is RACE - Rescue, Activate alarms, Contain the fire, and Evacuate?
“U”, “IU” and “QD” all appear on this list.
What is the “Do not Use” Abbreviation List?
This is a way for patients to formally communicate what type of healthcare they want if they are no longer able to make decisions due to illness or incapacity, and to appoint a person to make such decisions on their behalf.
What is an Advance Directive?
Individual actively engaged in killing or attempting to kill people.
What is Active shooter?
To provide the highest quality medical care and rehabilitation services to ensure that each patient achieves the maximum functional recovery from illness, injury or disability.
What is our Mission Statement?
Available signs in every nursing unit or infection control office.
What is Isolation signs?
Brian Swift.
What is Life Safety Officer?
If medications on this list are given to a patient, specific precautions must be taken, because they have a higher possibility of causing harm.
What is the "high alert medication list?"
A process that allows the patient or the legal representative, full participation in decisions regarding patient's care, treatment, and services.
What is Informed Consent?
Fire emergency.
What is Code Red?