TJC Basics
All hospital employees must be wearing this in patient care areas.
What is an employee ID badge?
Best practices for patient identification
What is "use two patient identifiers"?
The best way to reduce the risk of health-care associated infections.
What is hand washing?
Appropriate response for a fire emergency
What is (RACE) Rescue, Alarm, Confine, and Extinguish or Evacuate? or (PASS) Pull, Aim, Squeeze, Sweep
This request is initiated by any member of the health care team when a potential risk to patient safety is perceived and requires clarification or interruption of the process.
What is the "Stop the Line"?
The frequency of Joint Commission Site visits.
What is every 3 years?
This should be performed before any procedure.
What is a "time out"?
Scrubs, jackets, gowns, hats, masks, gloves and shoe covers.
What is personal protective equipment (PPE)?
The resource that contains information about all chemicals and hazardous substances that we have on site, such as cleaning solutions.
Safety Data Sheets (SDS)
An accident, disturbance, unfavorable circumstance, unsafe condition, or event not consistent with usual patient care and institutional operations that affects a patient, visitor or environment of the institution.
What is a reportable event?
An occurrence that results in serious patient harm, often loss of limb or life
What is a sentinel event?
Includes pre-procedure verification process, site marking and time out
What is Universal Protocol?
Inner voice that warns us something might be contaminated.
What is a surgical conscience?
The location of the Safety Data Sheets (SDS).
What is the desktop of every computer in the work area?
An event reporting tool designed for capturing and analyzing safety concerns reported by any workforce member.
What is IRIS
Surveyors analyze a hospital's systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient
What is a tracer?
Document that outlines what surgeries and procedures can be performed for the patient.
What is surgical consent?
Three areas that designate what is appropriate hospital attire.
What is unrestricted, semi-restricted, and restricted?
The minimum distance that an item or storage should be placed from the ceiling.
What is 18 inches?
This education requirement gives employees knowledge of new procedures, awareness of new laws and information regarding safety an health regulations and MD Anderson's requirements.
What is the EEE (Employee Education Event)?