Policies and Procedures
Fire Response
Refresher
Important numbers
Cleaning procedures
100

Where do you find policies and procedures? 

The Intranet 
100

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

Rescue Alarm Contain Evacuate 

100

When to perform hand hygiene?

Before and after patient interaction 

100

How many patient identifiers do you need? 

2

100

Super sani wipes take___ to disinfect

2 minutes 

200

What do you do if a patient has a complaint?

Provide the number to patient family relations

200

Where is your meeting place if you must evacuate?

Front left parking lot

(facing away from building)

200

Where should DFCI photo ID be located on employee?

Above waist 

200

CA's and RN's can only stick a patient ___ times total.

4

200

Bleach wipes take ___ to disinfect.

4 minutes

300

Where is patient rights information located? 

Outside side lab door  

intranet

new patient folder

300

P.A.S.S stands for: 

Pull Aim Squeeze Sweep 

300

what is PHI?

Personal heath information

300

No patient supplies within ____ inches of sink. 

18 inches 

300

What is the proper cleaning protocol for patient areas with chemotherapy?

Wiping down surface with baby wipes and continue with super sani wipes.

400

Critical value vital sign reporting procedure 

volate/ page provider and document in chart with provider name that was notified.

400

Who can shutoff an oxygen/gas valve?

Nurse Director or someone delegated by ND

400

How does staff ensure PHI is secure?

Lock screens when away from computer, PHI is facing down, PHI is discarded in secure medical record bin. 

400

What is the max number of oxygen tanks per space?

12

400

Where are the precaution signs kept?

the ante room 

500

What is the culture of safety?

Safety reporting system 

500

Where are the oxygen/gas shutoff valves located?

Back hall exam (near Rachel) and outside bay 1 infusion 

500

Process for labeling specimens

labeled in the presence of the patient with 2 patient identifiers used. 

500

When to dispose sharps containers

No more than 3/4 full 
500

What is the difference between decontamination and disinfection?


Decontamination: Baby wipes 

Disinfection: Super sani wipes 

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