Joint Commission 1
When do you perform hand hygiene?
What is Before or after contact with patient or items in the patient's environment, before or after removing gloves.
How can you bring forward a quality or safety concern?
What is complete a be safe event, notify unit leadership escalating through the chain as necessary, participate in unit and organizational committees, make anonymous report the the compliance hotline.
Where can Advanced Directives forms be found in Epic?
What is Epic - Chart Review - Media Tab - apply the advance Directive filter. This should be verified annually with patient.
How many Fire Extinguishers do we have at SBK, and where are they located?
What is 6, acute hall by provider nook, well hall by lab, by janitorial closet, in break room, by admin hall ( back offices), in file room?
If you are speaking with a surveyor and don't know the answer (which is ok) what do you say?
What is I would ask my supervisor or look at the Intranet. If needed, ask the surveyor to repeat the question and really listen to what they are asking for.
When should Vital Stems be cleaned and other equipment used on patients?
What is Before and after patient use, if you are not sure if it has been cleaned, please clean before use.
What actions can you take if a patient care error occurs?
What is take immediate steps to ensure the safety of the patient, notify the physician, notify supervisior and complete a be safe report, as appropriate participate in notification of the patient/family, participate in detailed review; anaylze critical factors, participate in developing correction action plan and monitor the effectiveness of the plan.
What are two patient identifiers and when should they be used?
What is name, date of birth. Verify whenever administering medications, collecting blood specimens or other specimens for testing, rooming patients or providing treatment or procedures.
Where can you find your Site Specific Fire Plan?
On your unit, if posted, or on the Intranet.
If you need to pull a SDS on a chemical where would you find this?
On OneSource on the Intranet.
Who is responsible for assuring that the patient's rights are respected and maintained at all times?
What is every team member?
How can we protect patient's privacy and confidentiality?
What is Log out of computers when not in use or when unattended, medical records only accessed when required by job duties, do not leave papers with patient information unattended, provide information only to those permitted by the patient and do not discuss patient information in common areas.
True/False: Are you able to leave any type of containers and/or supplies in the hallway?
False: Only items with wheels and items that are currently in use can be in the hallway. Nothing else should be stored in the hallway.
What do you do in case of a bomb threat?
What is Code Black , alert supervisor to go to the location, identify the threat, inform appropriate authorities, and evacuate the building?
When should sharp containers be emptied and who do you contact if they need emptied?
What is when 2/3 full and EVS.
How do UMMC employees ensure competency?
What is thought orientation and competency evaluations - all employees attend medication center orientation. Semi - Annual and/or Annual Competencies are done.
Separation of clean and dirty items is critical to preventing the spread of infection. How do you maintain this at UMMC?
Units should have clean and dirty areas clearly separated with signage to indicate CLEAN or DIRTY.
What is the wait time on a Cavi Wipe?
What is 2 minutes?
True or False: I go into a isolation room gowned up and then realize I forgot a item, I should go back out with my gown and gloves on to the supply room to get the forgotten item.
What is False, Even if clean should not be worn outside a pteints room.
How often does UMMC conduct performance evaluations?
What is evaluations are completed on an annual basis. During this time, performance and set goals and expectations for the next year.
Where can you find UMMC policies and/or procedures?
Intranet. PolicyStat.