Survey 101
Where would you locate Policies and Procedures?
Methodist Pulse
What is the best way to prevent and decrease the spreading of infections?
Handwashing!
How can you tell equipment is approved to use?
Biomed places a sticker on approved items - check sticker's expiration date
How would you activate an emergency response? Example: "Code MERT?"
Call 8888 - Code MERT
Call 8899 - Police
911 - Code Blue or per physician guidance
Ensuring laptops are closed, papers turned over, communication in private areas, privacy screens.
What is the MHS Platform for reporting a safety event or concern?
VERGE
How many minutes does it take for a purple top wipe to dry?
2 minutes - please allow area to fully drive before using
How can you tell a room is clean?
Clean sign is on the door (all areas wiped down, new paper, sani-wipe container closed, no pens in room, no items on the counter near sink, change pillowcase (if applicable).
What are the two patient identifiers?
Name and DOB
(Never use room numbers)
Label specimens in the presence of the patient, ask them to verify if information is correct on the specimen or paperwork
What would you tell a surveyor if you don't know the answer?
Tell them you can help find the answer - never say "I think..."
How can you tell a reusable blood pressure cuff is clean?
Ensure they are laying out to dry, no visible deodorant stains
A surveyor asks: "Show me where your emergency supplies are located?" Where would you take them?
Our clinic AED is located next to Supply Closet to the left of Hall C, our oxygen is stored in Supply Closet, and Ambu Bags are stored in the cabinets next to AED.
A surveyor asks: "Do you take verbal orders?"
No, we don't take verbal orders from providers. Orders are placed by physicians only.
A patient's family member calls for information about the patient - how do you proceed?
Ensure the family member is listed on the Contact Permission Form under Media Tab
What are the 3 Red Rules?
1. Hand Hygiene
2. Universal Protocol/ Time-Out
3. Two Patient-Identifiers
What do you do with used instruments?
Ensure instruments are placed in an appropriate biohazard bin, bring to Soiled Utility Room, use eye protection and spray instruments, ensure they are in the open position, bring to Sterile Processing promptly.
What do you do if a patient is locked in a bathroom?
Locate the bathroom emergency key located at the Front Office, Nurse Station, & Manager's Office
Paper clip can also be used
Where would you locate the fire extinguishers in the clinic?
There are 3 fire extinguishers located in Administrative Office (by Patrice), Across from Check-Out Window, Back Hall (by Lab).
Do you have to ask for patient's name and date of birth before performing a task if you have known them for years?
Yes, even if you know the patient, the standard is always asking for patient identifiers every time
Where is our downtime computer located?
Middle computer at Main Nurse Station (labeled)
When would you use Orange Wipes, and how long does it need to dry?
Bleach wipes used for C. Diff & disinfection
4 minutes
What is the clinic's current performance improvement projects?
Quality Metrics: BP Control, DM Control, Mammogram %, Colon Cancer Screening, Depression Screening, etc.
Patient Experience Goals
Age-Friendly Designation
You notice a fire occurring in the clinic, what do you do?
Activate the emergency response process, call 8888, 911, and...
RACE: Rescue, Alarm, Contain, Extinguish/Evacuate
PASS: Pull, Aim, Squeeze, Sweep
Designated person shuts off med-gas oxygen shut-off valve (located on wall in front of Nurse Station)
Am I able to access my own chart?
No, you are not able to access your own chart unless paperwork completed with HIM documented.