AAAHC Basics
During the AAAHC survey, the surveyors will talk primarily to: A. The administrator B. The doctors, nurses and staff C. The patients D. The Chattanooga Times
B. YOU! That's why you are playing this game, right?
Name something important for patient safety
Keep stretcher in low position, rails up, help patient dress
Supplies have to be stored ____________from the ceiling.
18 inches
If you have symptoms of COVID 19 or are exposed to somebody with COVID 19 what should you do?
Call in and report
If the weather is bad how do you get information about CEDC open status?
Group me text, text Laura or Bridget
What is "tracer methodology"?
Surveyors analyze a facilities systems by following individual patients through their experience, evaluating each departments and all services rendered to the patient.
Name one way you reduce the risk of health-care associated infections in your department.
Handwashing with soap and water before and after each patient contact: Even if you used gloves wash vigorously for 15 seconds. Alcohol-based hand rubs may be used if there is no visible soiling and C. Diff is not suspected. LATHER UP!
Why do you mark your name off the schedule by the door each day when you clock out?
in case of emergency we know who is in the building
Patients having EGD are required to have a negative COVID test ______ hours prior to their procedure
48-72 hours
Where is the evacuation point in the event of a fire?
Parking lot outside patient DC door
What is HIPPA? Name one way protected health information is kept private in your department?
Health Insurance Portability and Accountability ACT. States the PHI may only be used for purposes of treatment, payment, healthcare operations. Examples of how to protect PHI: 1. Don't discuss patient information in the hall 2. Keep curtains closed, 3. close computer screens when away from PC and lock screen 4. Do not leave patient chart unattended
How do you improve the accuracy of patient identification in your area? What are two patient identifiers used at CEC?
Patient's FULL name, patient's FULL birthdate.
What do RACE mnemonics stand for when there is a fire?
RACE - R - Remove patients and others, A- Alarm, C- Contain the fire (close doors), E- Extinguish the fire
What have we done at CEC to protect ourselves and others from COVID?
Wear a mask, socially distance, symptom screening for patients and staff, good hand hygiene
Where do employees park?
Back lot
What do the acronyms AAAHC stand for?
Accreditation Association for Ambulatory Healthcare
What is the most common patient safety issue?
Falls
1) How many spill kits do we have? What type?
Chemical spill, bodily fluids
Where can you find current information and communication about Covid 19?
center connect, CDC, Hamilton Co Health Dept
After your procedure room is finished what should you do?
Check with coordinator, give lunches, stock rooms, pathology, ensure everything is ready for the next day.
The AAAHC is conducted: a) Annually b) Every 2 Years c) Every 3 Years d) Every 4 Years
c) Every 3 Years
Who initiates the time out?
doctor
Where is the spill kit?
scope room middle top cabinet
What guidelines is Amsurg following for COVID 19?
CDC
Describe the quality program at CEC? Do you have a quality committee? Name one QI study within the last 12 months.
Yes, yes, Time out audits and Physician Temp Log Audits