Safety and Sterilization
True or False: All clinical supplies are OK to be stored underneath exam tables in drawers for easy access regardless of material
FALSE: only non-hazardous items (placed in individual bags) are ok
-wet preps are to be stored in upper cabinet out of reach of children
Who is the current Medical Director?
Who is the Practice Manager?
Who is the Clinic Supervisor?
Who owns our clinic?
**Bonus Question for +100 points: Does GVH own the clinic building?
Dr. Stephanie Porter
Jessica Peterson
Mary Riddle, LPN
Gunnison Valley Health
**Bonus Answer- YES!
The cleaning solution used for most general purpose needs within the clinic is required to dry for _______ in order to be effective.
3 minutes
Name three things we do to secure our building and/or uphold HIPPA guidelines
-locked side entrances (FMC and Urgent Care Side doors), exam room windows, locked door to clinical hallway, glass at front desk windows for sound barrier, mic volume low/comfortable, background music throughout clinic to buffer noise, flip papers face down on desks and in scan bins, lock computer when away from station
Name three Emergency Situations that could occur that we should be prepared for
ACTIVE SHOOTER BOMB THREAT CIVIL UNREST
EARTHQUAKE EXPLOSION FIRE EMERGENCY
WINTER WEATHER HAZMAT SPILL LOCKDOWN
POWER OUTAGE SHELTER IN PLACE WILDFIRES
MEDICAL EVERGENCY WORKPLACE VIOLANCE
RADIOLOGICAL HAZARD SEVERE WEATHER/ TORNADO
EVACUALITION PROCEDURES
All potential chemical and physical hazards are listed in a book called our _____________ located in the ____________
(Hint: If you want to look up information about the cleaning solution we use, you would refer to this binder for reference)
All potential chemical and physical hazards are listed in a book called our MSDS located in the Lab
Lines of Authority- we designated a backup plan for each role listed below. Assign staff/providers in our clinic:
Dr. Porter: (______) then (_______) then (________)
Jess: (______) then (_______) then (________)
Dr. Porter- Dr. Sullenberger, Dr. Hill, Erica
Jess- Mary, Amanda, Olivia (clerical)/Andrea/Alison (clinical)
**Admin on call is a resource depending on situation, how do you get ahold of them?
_________ is the number of days a multi-uses medication vial can be used before expiration.
**Bonus Question for +100 points: Explain the difference between SDV and MDV
28 days
**Bonus Answer- SDV (Single Dose Vial)- single use, MDV (Multi Dose Vial)- used for multiple doses within 28 days
If a 16 year old patient came to the clinic without an adult would we be able to see them for care?
-explain your reasoning why/why not
-what resources could you reference as a guide
Discuss Answer
Guide- COPIC recommendations
What would you do if a patient presented to the clinic for an appointment, and either told you about a symptom or you observe a symptom they are having. Think about our Infection Control Policy and explain what actions you would take
Discuss process
Name 3 safety features we have at the clinic to keep all patients safe and out of hazardous materials or clinic supplies
(think about what we have in place if you were a patient trying to get into a place you shouldn't)
-ALL accessible outlets have covers at all times
-no cleaning solution stored under sink
-sharps containers attached to wall
-EVS closet locked
-lab cabinets locked
-lab door locked when no staff in there
-supply closet locked
Where are the following located?
state and federal posters, OSHA Right to Know, State Labor Law
FMC Trailer Space
The AED is located _____________ ?
In the hall between FMC and Urgent Care
True or False: We can bring patients into the clinical area of the clinic without having a provider in the building, as long as they are at GVH across the street at a meeting
FALSE: A FMC provider needs to be onsite at the clinic for us to bring patients back for their appointment. You cannot bring patient back for their intake without at least one provider who can treat the patient- i.e. adult vs. peds
(think liability if patient collapses while doing a BP reading)
In case of an Emergency Event, all staff must be contacted to relay the status of the event and the expectation of each employee. The list of the FMC employee contact numbers is located where?
**Bonus Question for +100 points: How often are staff required to be trained on Emergency Situations?
The RHC Survey Readiness Binder
**Bonus Answer- Annually, or whenever a Live Event (ex. COVID) has not occurred
Fire Safety!
What does RACE and PASS stand for?
**Bonus Question for +100 points- does the clinic have a sprinkler system?
RACE- Rescue, Alarm, Contain, Extinguish
Pass- Pull the pin, Aim at base of fire, Squeeze handle, Sweep side to side
**Bonus Answer- NO
What is the most common area that clinics fail the RHC survey?
A. Signage and appropriate forms
B. Medications
C. Providers unaware of answers to surveyor questions
D. Expired Supplies
B. Medications...let's talk about that :-)
If a piece of equipment you are using is not functional, what would be your next steps?
I would pull the piece of equipment out of rotation, place an "Out of Order" tag on it, and notify Mary/contact ISS for repair.
Infection Control- clean and dirty workflow areas on the lab
1. Name a clean station test
2. Name a dirty station test
1. Clean- POC testing counter
2. Dirty- Urine testing counter
If all internal communication options fail or is not available, (ie. phone, email, fax, personal cell), ______ will be used as a final option, which are held and maintained by the _______?
**Bonus Question for +100 points: who would you notify if the phones lines are down across Gunnison (not just FMC)?
Radios or walkie talkie / ED
**Bonus Answer: Reference the Line of Authority
1. Describe where soiled instruments are held and the process of sterilizing instruments for the clinic
2. What is required to be present on the instrument packaging in order for it to be accepted. (Hint: what would you look for to "reject" the instrument?)
1. All soiled instruments are placed in a clearly marker Biohazard - Soiled Instrument Container. Instruments are taken to GVH for sterile processing and transported via the Soiled Instrument Container, coordinating drop-off with Sterile Processing or ED. Sterile processed items are picked up at the surgery currently.
2. All items are inspected for:
- Broken seals of packaging
- Sticker with expiration date
- Sterilized indicator with ACCEPT status
- Any items found to have broken seals, no expiration sticker, or the sterile indicator read REJECTED - place the instrument in the soiled instrument container for re-processing.
*Remember- any disposable kit items can not be sterilized and must be placed in the sharps container, even if unused.
True or False- The date listed on medical supply indicates that that item will expire 30 days after the printed date?
FALSE: The date listed on the supply is the expiration date and needs to be discarded from clinic use by that date
- items scheduled to expire at the end of the present month will be marked with a YELLOW sticker, discarding that item at the end of the month.
In the event of a patient emergency within the clinic, an emergency crash cart (which contains medications and equipment to perform life saving measures) is located in the clinic hallway. Where is the key located that unlocks the crash cart?
In the lab, just inside the doorway to the right, hanging from an overhead hook, labeled - CRASH CART KEY
Name at least two of the three reasons a chart could be "closed/inactive"
**Bonus Question for +100 points, how do you inactivate a patient chart in Athena?
1. patient deceased
2. patient has not been seen in 3 years
3. patient has moved away and it is known they would not come back
**Bonus Answer- under quickview, change patient status
If services are not able to be provided at FMC due to evacuation, staff/patients/visitors will relocate to _____________ for continuation of clinic services
GVH Visiting Physicians Clinic area; second floor above PT