Infection Control
Images
Resident Care
Personnel
Miscellaneous
100

The frequency that hands should be washed (with either soap and water or hand sanitizer).

What is prior to room entry, upon room exit, between resident care, after toileting (self or resident), before feeding/eating, when soiled, etc. 

100

The issue(s) with Image 1

What are lift on the wrong side of hallway (in fire lane), UV box not stocked with paper bag, wipes, and hand sanitizer. Laundry cart should also not be stagnant >5 minutes (but cannot tell from this picture).

100

What you would do if you saw a resident being abused

What is ensure resident safety (remove resident from the situation) and immediately report to your supervisor/chain of command. 

100

What should be done when you notice a call bell not working. 

Enter worxhub order for engineering and give the resident the ability to call for assistance in the meantime (bell, rounding Q 15 min, etc.)

100

The frequency that QAPI meetings are held 

What is monthly

200

PPE should be applied in this order (include gown, mask, gloves, and eye protection)

What is Gown, Mask, Eye Protection, Gloves
200

The issue(s) with Image 2

What are clean supplies being stored, blood pressure cuff not disinfected and just left on the counter, signage on the cabinet that belongs in the file cabinet on the floors (after being disinfected). 

200

Where you would find information about what a resident is able to do for themselves

What is care-card and/or careplan

200

The person that should be notified of a resident complaint/grievance

What is the social worker

200

The name and explanation of the facility's current performance improvement project

What is the Falling Leaves and a project to assist in decreasing falls in the most at high-risk residents. A falling leaf symbol is placed on the doors of the residents on the program, a list is placed at the nursing station, and an email is sent biweekly regarding the project. We then know which residents should have more frequent checks for safety. 

300

PPE should be removed in this order (include gown, gloves, mask, eye protection)

What is Gloves->Gown->Mask->Eye Protection

(Eye protection should be doffed at doffing station)

300

The issue(s) with Image 3


What is supplies on the floor

300

The frequency if repositioning residents who are confined in a bed or wheelchair.

What is at least every 2 hours for a resident who is in the bed and at least every 15 minutes for a resident who cannot move themselves in a wheelchair. 

300

The person who is able to order emergent restraints for resident safety. 

What is the Director of Nursing
300
The location of the policies and procedures manuals

What is the intranet

400

How you should distribute laundry on your unit

What is by using a cart and ensuring the cart stays covered. DO NOT hold laundry close to your body. 

400

The issue(s) with Image 4

What are resident information on the cart (HIPAA violation) and an open container of pudding not dated.

400

What you would do if your resident refused a bath

CNA-What is reapproach at a later time and notify nurse. 

Nurse-What is educate the resident on risks associated, attempt to find a better schedule to fit their needs, and document refusal and education given

400

The chain of command involves these individuals in this order.

What is CNA->Charge Nurse->Nurse Manager/Supervisor->ADON->DON->Administrator->Vice President->CEO

400

3 of the things you should first do when you are notified the surveyors are in the building

CNAs: What is round on rooms to ensure beds are locked, ice and water is available, unit and rooms are clean and tidy, spa room is compliant, etc. 

Nurse: Check fridge temp logs for missing entries, check med cart for expired meds and ensure open containers are dated, check treatment boxes for compliance, round unit to ensure cleanliness and compliance, etc. 

500

The location of the blood spill kit

What is in the supply room

500

The issue(s) with Image 5

What are linen out, chemicals out, and dirty clothes bagged on hamper

500

The requirements for staff prior to performing any care for a resident

What is knock on the door and wait for permission to enter, introduce self if needed, and explain to the resident what is being done during the care so the resident will be at ease. This is due to a resident's right to know what is going on and privacy. 

500

The compliance Officer

Who is Russell Gardner

500

3 members who must participate in the QAPI Committee

Who are the Infection Preventionist, Medical Director, DON, Administrator, CNA. Representatives from other departments are also recommended. 

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