Policies & Procedures
Medications
Infection Control
Administrative + Communication
Laboratory
100

Process for Refill Medication

What is make sure patient is active and seen within the last 6 months and follow refill medication protocol 

100

Rocephin injection process

Verify order in eCW, 1 needle draw lidocaine, 1 needle push lidocaine in Rocephin, 1 need to draw up, 1 needle to give injection to patient

100

Explain donning/doffing process for PPE

Don: wash hands, mask, gown, gloves

Doff: Gloves & gown, wash hands, unmask

100

Company's policies and procedures are found where

What is WellConnect/Sharepoint, Enterprise Clinical Operations, Policies and Procedures

100

T/F
Should specimen containers be labeled in front of the patient? 

What is True

200

How should a patient be approached at the start of a visit?

Good morning/afternoon, my name is _______ and I will be assisting with your care today. Can you please confirm your name and date of birth for me?

200

Medication errors and adverse medication reactions reporting process

Notify provider and clinic supervisor, report in RLDatix

200

Explain cleaning process (including PPE) for a possible C-Diff diagnosis

What is use bleach wipes & PPE: gloves & gown

200

Administrators role in PHSA

What is having the competency binder up to date (per calendar year), Color Blind Test for every clinical employee, latest Medical Emergency Drill available for review, SDOs up to date

200

What are acceptable forms to order for labs/test/etc.

What is a Clinician order documented in eCW

SDO

Lab order from Specialist

300

When is a "Time Out" needed?

-Before beginning procedures, ensure correct patient, correct site and correct procedure
-Marking (if procedure requires)

-Document time out 

300

What do you use to clean the rubber septum of a medication vial prior to needle insertion?

Alcohol

300

Process for proper surface disinfection procedure & what is the wet/kill time? 

What is plop a wipe on every surface (bed, counter, chair, and door handle)

Must remain wait for 1 full Minute (depending on Cavi-Wipe)

300

Ideal Lobby Wait Time

What is less than 15 minutes

300

What do you do in case of a failed QC for each waived test in use in the clinic?

Follow WellMed and Manufacturers written guidance for failed QC until pass or discontinue use of test, call manufacturer's  technical support if QC continues to fail

400

Where are drinks/food allowed in the clinic?

Break room/offices/conference room/closed drink containers allowed in work stations except for Lab

400

Do staff administer patient specific medication?

What is Yes, but medication has to be on the exception list.
Example: Prolia

400

Clean and sterile supplies stored appropriately

What is sterile above clean, clean above liquids 

400
Reporting process for Patient/Employee Incidents

RLDatix, found in WellConnect/Sharepoint, Enterprise Clinical Operations, RLDatix (& report to clinic supervisor)

400

What is required in the chain of custody log

What is the date the specimen was sent, test ordered, the ordering provider, 2 patient identifiers, courier signature, date of results

500

Process to verify expiration date for syringe

What is if not on the package of the syringe, call manufacturer and ask for expiration date 

500
6 Patient Rights

What is

1. Right Patient

2. Right Medication

3. Right Dose

4. Right Route

5. Right Time

6. Right Documentation

500

Hand Hygiene process and when is it performed

Hand wash with scrubbing at least 20 seconds
Hand sanitizer- rub until dry

Before patient contact, before aseptic tasks, after ungloving, following bodily fluid exposure, after patient contact

500

Reporting process of possible cases of abuse to external agencies 

What is... Any suspicion, let provider know to report to APS and contact Social Worker

500

What do you do when a med fridge thermometer is out of range?

Document temperature excursion, run 60-day Senso report to identify temp ranges and any excursions, call manufacturer for items in the fridge and notify manager

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