POLICIES & PROCEDURES
FIRE RESPONSE
INFECTION CONTROL
REFRESHERS
MISC
100

Where can you locate DFCI policies and procedures?

The intranet/ellucid policy manager 

100

What does R.A.C.E stand for?

Rescue, Alarm, Contain, Evacuate 

100

What is the dry time for Sani wipes and bleach wipes?

Sani Wipes: 2 mins, Bleach Wipes: 4 mins 

100

When do you perform hand hygiene?

Before and after patient interactions and before and after gloving 

100

How many patient identifiers do you need?

2

200

Where is the Patient's Rights information located?

At the check in desks and patient welcome packet 

200

What does P.A.S.S. stand for?

Pull, Aim, Squeeze, Sweep 

200

How do you know when a room/bay is clean?

RTLS screen showing green room or the white board for back up 

200

Where should you DFCI badge be located?

Above your waist 

200

What number do you call for a code?

2-3232 (it is on the back of your badge)

300

What do you do if a patient has a complaint?

Provide the number to Patient Family Relations 

300

Where is our meeting place if we have to evacuate?

The pink cow on the corner of Florence and Brookline 

300

What PPE is required for the use of PreKlenz? 

Goggles/Faceshield and gloves 

300

How to do protect PHI?

Locking your computer screen, shredding patient information, flipping patient information papers over 

300

What is the proper cleaning procedure for areas with chemotherapy?

Wipe down surface with baby wipes and then sani wipes 

400

What is the critical value vital sign reporting procedure?

Notify the provider and triage nurse of the critical value 

400

Who can shut off oxygen/gas valve?

Nurse Director or someone delegated by the Nurse Director

400

What is the COVID-19 check in process for a patient with symptoms?

A mask is given to the patient and the charge nurse is alerted of the symptoms and patient is brought up to a private room 

400

What is the process for labeling specimens?

Labeled in the presence of the patient with 2 patient identifiers used 

400

Patient supplies cannot be within ____ inches of the sink

18

500

What is the culture of safety?

The DFCI Safety Reporting System 

500

Where are the shut off valves located?

N: Outside Gwen's office, S: Next to room 67, E: Next to pevco station, W: Next to nourishment center (kingston hallway)

500

What is the proper order for donning and doffing PPE?

Donning: gown, mask, goggles/faceshield,gloves 

Doffing: gloves, gown. goggles/faceshield, mask 

500

How are qualified interpreters utilized?

Calling our interpreter services number. Minors are not allowed to be interpreters, if a patient declines an interpreter they must sign a waiver 

500

What is the max number of oxygen tanks per space?

12

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