Environment of Care (EOC)
TJC requires this to be inspected once per calendar month
What is the requirement for fire extinguisher inspection intervals?
This is done before any invasive procedure that involves more than minimal risk
What is timeout/universal protocol?
What we perform before entering and leaving a room
What is hand hygiene?
We screen our patients on admission for this vaccine year round
What is the pneumococcal vaccine?
RACE?
What is rescue, alarm, contain, evacuate?
TJC requires that KACH identifies individuals entering its facilities. There is also a requirement to control access to and from areas identified as security sensitive. How does KACH accomplish this?
What are the requirements for ID badges?
QD, BID, QID, mg, MSO4
What are "do not use" abbreviations?
This is the single most effective way to prevent transmission of infection
What is handwashing?
Medications left on top of med carts or at bedside
What are unsecured meds?
PASS (pull, aim, squeeze, side to side)
What is, how to use a fire extinguisher?
These machines require regularly scheduled maintenance to minimize waterborne pathogens
What are the requirements for ice machines?
These are KACH 2 patient identifiers
What is name and date of birth?
Gloves, gowns, masks, eye shields and face shields are all examples of this
What is Personal Protective Equipment (PPE)?
This is completed when an unintentional event occurs to a patient or visitor
What is a PSR/Hospital Safety Report?
Ensures it is the correct patient, the correct procedure etc.
What are the five rights? the right patient, the right drug, the right time, the right dose, and the right route.
This is how often a fire drill must be conducted each year at every clinic site
What is quarterly?
To ensure closed communication, you do this when receiving critical lab results from the lab.
What is read back?
This infection control practice considers all patients to be possible carriers of blood borne pathogens, and requires PPE to be used when coming in contact with ALL patients' blood, urine, or other body fluids
What are universal precautions?
When an event is caught before it reaches a patient
What is a near miss?
This team provides staff with assistance when a patient is showing signs of respiratory distress
What is the rapid response team?
These inspections are conducted by the EOC committee to identify and list repairs that need to be performed
What are environmental rounds?
The amount of time you have to report critical lab results
What is 30 minutes?
All of these, with the exception of vaccines must be disposed of after 28 days of opening
What are multi-use vials?
(It is not the practice of KACH to use multi-dose vials)
Falling star, yellow bracelet, bed in low position, call light within reach
What are fall precautions?
SDS
What are the Safety Data Sheets?