Regulatory
Quality Improvement
Risk Management
Infection Prevention 1
Infection Prevention 2
100
What is HCAHPS?
a. Hospital Consumer Assessment of HealthCare Providers and Systems b. Hospital Community Actions to Help People Survive c. Health Care Acquired Headache Post-Surgery
100
What does PDSA stand for?
a. Plan-Do-Study-Act b. Public Display of Affection c. Please Don’t Sing Aloud
100

What is the process used to understand WHY a non-desired event occurred?

a.Sentinel Event Alert b.Rounding c.Root Cause Analysis

100

The primary means to prevent an "exposure" is:

A. Adhering to Standard Precautions

B. Safety devices

C. Engineering Controls such as sharps containers, biohazard red bags and personal protective equipment (PPE)

D. Following hospital policies

E. All of the above

100

Ongoing Hand Hygiene (HH) monitoring is important to ensure:

A. Proper HH is practiced throughout the facility

B. Maintain compliance with regulatory agencies

C. Provide feedback to staff if practices are found lacking

D. To ensure clean hands for every patient encounter

E. All of the above

200
What do all staff wear above their waist that includes their name and picture?
a. ID badge b. BID-Plymouth fleece coat c. Scrubs
200
Who defines the value in any given process?
a. The CEO b. The Patient/Customer c. The Insurance Company
200
Which office do you notify if you receive a summons or subpoena, or if there is a need to disclose an untoward event to a patient/family?
a. Medical Records b. Security c. Risk Management
200

Following immediate first aid after an exposure you must do all of these EXCEPT:

A. Leave work immediately and see your own PCP

B. Notify your manager/supervisor what has happened

C. Go to ED or Employee Health for care and testing

D. Complete necessary paperwork E. Call Employee Health for appointment for follow-up and test results

F. B, C, D, E

200

Disinfectant "Contact time" refers to:

A. The amount of time the disinfectant can remain on your skin

B. The amount of time required for the wet disinfectant to remain in contact with the surface to kill the germs

C. The amount of time a patient needs to remain on Contact Precautions


300
What legislation states that PHI (Protected Health Information) may only be used for purposes of treatment, payment and healthcare operations?
a. Affordable Care Act b. HIPAA c. Mass Health
300
What are the two patient identifiers used for patient care, treatment and services?
a. Name and room number b. Name and cell phone number c. Name and date of birth
300
Which state agency requires notification in the event of a fire, strike or patient injury such as a fall with fracture?
a. Department of Public Health (DPH) b. Food and Drug Administration (FDA) c. Department of Public Safety (DPS)
300

Transmission of disease can be prevented by:

A. Using Standard Precautions

B. Appropriate use of PPE and Safety Devices

C. Following hospital policies and procedures

D. Practicing cough etiquette

E. All of the above

300

It is important to separate soiled from clean items AND identify items that are clean and ready for patient use (true or false)

A. True

B. False

400
What is service recovery?
a. Help offered in the post anesthesia care unit (i.e. Recovery Room) b. A special service offered to patients c. An apology or other action in response to a service failure
400
Who are the greatest experts at delivering care?
a. The New England Patriots b. Your mother c. Front line staff
400
Which type of culture is non-punitive as it relates to adverse events?
a. Organizational culture b. Just culture c. Pop culture
400

We identify patients that require additional precautions (Contact, Contact Plus, Airborne and Droplet) by:

A. Word of mouth

B. Sign posted outside the patient’s door and "Flags" in the patient’s electronic record.

C. Bright orange jumpsuits instead of patient gowns

400

All the following items should be disposed in Red Bag Biohazard Trash EXCEPT:

A. Used blood transfusion bag and tubing

B. Saturated, dripping, bloody dressings

C. Blood soaked chux

D. Used gloves and precaution gowns

500
Who is involved in the Joint Commission Survey?
a. Everyone (staff, physicians, patients etc) b. Jennifer Aniston c. Only managers
500
What is a Hospital Acquired Condition (HAC)?
a. A rough cut b. An undesirable situation or condition that affects a patient in the hospital (falls with injury, catheter associated UTI, surgical site infection ) c. Using a computer to gain unauthorized access to data in a system
500

What is the process to report near misses and actual events in order to help prevent future occurrences?

a.Post on Facebook b.An event report in STARS c.Compliance report

500

The following fingernails are acceptable for healthcare providers

A. Gel nails

B. Acrylic nails

C. Nail jewelry

D. Regular nail polish

500

Avoiding touching this zone on your face helps to prevent transmission of communicable diseases. It includes the eyes, nose, and mouth.

A. The X Zone

B. The Twilight Zone

C. The Crosswalk Zone

D. The T Zone

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