JC Basics
Patient Safety
Work Place Safety
Documentation
Environmental Safety
100
How are patients informed of their rights?
-Behavioral Health rights are posted on the unit. -General patient rights posted in registration areas, admitting, emergency department and main lobby -Brochures in admission packet, ED, Fast track, outpt areas •-Anna Online > Clinical Forms > Clinical Information"
100
This is the most important thing you can do to prevent the spread of infections.
What is handwashing?
100
This is the location of safety information for chemicals in your unit including cleaning supplies.
What is MSDS system on AnnaOnline? (This will change soon to be called "SDS")
100
These are 3 required elements for any entry in the medical record.
What are: 1. Date 2. *TIME* 3. Signature
100
This is the location of your primary vertical evacuation spot.
What is: Playground?
200
The name for the JC process of analyzing a hospital's systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
What is "Tracer Methodology" or "Tracer"?
200
This is the term used for a value outside of the normal range can cause harm to the patient if not treated in a timely manner.
What is a Critical Value or Critical Test Result?
200
These are the three components of activating the fire alarm system at Pedi Psych.
What are: 1. Announce code red & location 3 times overhead 2. pull alarm 3. dial 911
200
"QD" is an example of this.
What is Do Not Use Abbreviation or Prohibited Abbreviation?
200
This is where you find emergency operations plans for emergency situations like bomb threats, patient surges, and weather events.
What is: Anna Online "EOP" link.
300
This is one way protected health information is kept private in your department.
(1) Dispose of patient information in confidential shredding (2) don't discuss patient information in the hallway or elevators, (3) keep doors closed, (4) close computer screens and charts when not in use. (5) consult "authorization to disclose" form
300
This is the required time frame for reporting Critical Test Results to a provider.
What is 30 minutes?
300
This is the correct procedure for operating a fire extinguisher.
What is: P- Pull the pin A-Aim the nozzle at the base of the fire, S-Squeeze the handle S-Sweep the nozzle from side to side
300
In order to ensure clear communication to other providers, this must be ensured when using paper documentation systems.
What is legibility?
300
These are the steps used in response to fires.
What is: RACE? R-rescue A-alarm (3 steps-announce, pull, dial 911) C-confine E-extinguish, evacuate
400
This is the location of Performance Improvement data in your department.
What is, the bulletin board
400
This is the required "wet time" for Cavicide-1, the hospital approved disinfectant most commonly used for patient care equipment.
What is one minute?
400
This term refers to evacuation to a different area, but remaining on the same floor.
What is "horizontal evacuation"?
400
This is the process of comparing medication orders at transitions of care.
What is Medication Reconciliation?
400
This behavior is not allowed in secured, access controlled areas such as a locked unit
What is: "piggybacking" or allowing others to enter or exit through access controlled doors behind you
500
Keeping hallways clear of equipment, fire extinguisher inspections, and removing implements with potential for self-harm are examples of this:
What is maintaining a safe Environment of Care (EOC)?
500
These are examples of how we decrease the risk of infections from therapeutic objects on the unit.
What is: 1. stuffed animals and porous items (books, wooden items, non-cleanable) are single patient use only and sent home with patient or disposed of after discharge. 2. non porous items are cleaned after each use. 3. frequent hand washing 4. anything else?
500
Any electrical equipment brought to the unit for staff use must contain this.
Facilities electrical safety inspection sticker.
500
This must be documented in the medical record for a nurse to legally perform the associated action.
What is a Physician, PA, or NP order? This includes verbal orders given during an emergency situation.
500
These pieces of fire safety equipment must remain free of obstructions at all times
What is: fire extinguishers, fire alarms, sprinkler heads
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