Basics
During the GACH survey the surveyors will talk primarily to:
What is Everyone
Initiate 1:1 monitoring, and remove all objects that pose a risk for self-harm
What is Suicide Prevention or reduce the risk of self-harm
Code Green
What is missing high safety risk adult?
Standard Precautions
What is the use of gloves, masks, gowns, or eye protection when caring for All Patients if there is a potential for contact with blood or bodily fluids
What should be done after pouring a chemical from a primary container into a second container
What is labeling
Accountability, Integrity, Courtesy, and Safety
What are HPMC's Core Values?
The Universal Protocol
What is Pre-Procedure Verification, Site Marking, Time Out
RACE and PASS
What is
R-remove, A- alarm/911, C-close/contain, E-extinguish/evacuate. P-pull pin, A-aim, S-squeeze trigger, S-sweep side to side.
Hand Hygiene
What is to minimize risk for transmission of infectious organisms from the hands of healthcare providers. This is the number one way to prevent the spread of infection
Where should your hospital ID badge be worn?
Above the waist
Situation
Background
Assessment
Recommendation
What is the standard we use for hand-off communication?
The corridors and hallways need to be clear of clutter. Nothing is to be left in the hallways for more than ____
What is 30 minutes?
Per Life Safety Standards there needs to be ____ Inches or more of open space maintained below the sprinkler deflector to the top of storage
What is 18"
The dwell (Contact) time for the Purple Top PDI wipes?
What is the 2 minute contact time to ensure proper disinfection for equipment
The expiration date for an opened multi-dose vial.
What is 28 days?
How we protect patient privacy and confidentiality
What is log out of computers when not in use or unattended. Medical records are only accessed when required by job duties. Do not leave papers with patient information unattended. Provide information only to those permitted by the patient. Do not discuss patient information in common areas.
Name two actions to help with fall reduction
What is placing the bed in low position, setting the bed alarm, placement of a yellow arm band on the patient's wrist, yellow socks placed on patient and placing fall risk sign on the outside of the patients room?
Safety Data Sheet (SDS)
What is the standard information source for hazardous chemicals
I should do this before and after the use of equipment.
What is ensure it is clean. If in doubt, consider it dirty and clean again before using it. After using it clean it the equipment. Know the appropriate cleaning product to be used.
Only use if hands are not visibly soiled and for routinely decontaminating hands.
What is when is ok to use alcohol-based hand rub?
If you don't know the answer to a question from a surveyor, what is your response?
What is I would ask my supervisor or I would look at the policy?
For patient safety, oxygen must be stored this way.
What is segregated --- full vs empty?
Code Pink?
What is baby or child abduction
This is the number one way to prevent the spread of infection
What is Hand Hygiene?
These are documented on consents?
What is Patients signature, date, and time.
LIP signature, date, and time.
If used, translators signature, date, and time.