Joint Commission Basics
Patient Safety
Fire Safety
Medication Management
Joint Commission Etiquette
100
Which staff could be questioned by the Joint Commission surveyors?
Providers, nurses, medical assistants, community health workers, front desk, secretaries, maintenance.
100
What happens in the Dirty Utility Room?
Used instruments are prepared for sterilization.
100
How often is each site required to perform an evacuation drill?
Occurs at least four times a year.
100
How must a multidose medication be labeled once it has been opened?
With the date it was opened and the expiration date - 28 days later
100
How to answer Joint Commission surveyors if they ask you any questions?
With a friendly, welcoming tone; confidently, succinctly.
200
What is "tracer methodology"?
Surveyors analyze a clinic's systems by following individual patients through every step of their visit: check in, rooming, visit, check out etc.
200
How long should you vigorously wash your hands with soap and water in order to practice good hand hygiene?
At least 20 seconds.
200
What does R.A.C.E. - the acronym used to help you remember what to do if you come across a fire in the clinic stand for?
Rescue
Alarm
Contain
Extinguish
200
What is the most important thing to remember about medication rooms or medication cabinets?
They are to remain locked at all times.
200
What are things that are OK to say to the surveyors?
When I'm not sure, I ask my supervisor.
Excuse me, I need to address the needs of a patient
Can you tell me more about that?
Do you have a suggestion?
300
What is the correct acronym for the Health Insurance Portability and Accountability Act.
A. HIPPA
B. HIPAA
C. HIPA
D. HIPAH
300
What are patient identifiers used at Kennedy Community Health?
Full name
Date of Birth
300
What does PASS, the acronym for how to use a fire extinguisher, stand for?
300
What should you do if you discover a medication or other supply that has expired?
Discard it immediately. 
300
What are examples of what not to do when speaking to a representative of the Joint Commission?
Arguing with a surveyor, interrupting them as they are speaking, referring to being 'dinged'.
400
Why are corrugated cardboard shipping boxes not allowed in clinical areas?
They are known as a habitable substrate for insects, vermin, mice, pests, and dirt with pathogenic organisms, as well as a safety and fire hazard.
(AKA They can be dirty and have bugs.)
400
What is the first thing to be done after a sharps exposure?
Perform first aid.
400
Why is it important that ceiling tiles not be damaged in any way?
(It's not because it looks better!)
If damaged, this item can cause fire or smoke to spread more quickly between rooms or floors.
400
What is the Look-Alike Sound-Alike list?
Medications/immunizations whose names look alike or sound alike should not be stored next to each other in order to help prevent accidentally grabbing the wrong medication/immunization based on its proximity to the correct one.
400
Give an example of how to greet the Joint Commission surveyors when they first arrive at the Health Center.
"Hello! May I see your identification? Here is a Visitor's Badge that you should keep with you during your time with us. Please make yourself comfortable and someone will be right down for you. Welcome to Kennedy Community Health."
500
How often does the Joint Commission conduct on site surveys of accredited organizations?
Every 36 months
500
What is the wet time for the Cavi-Wipes used for surface disinfecting of EXAM ROOMS?
THREE minutes
500
What is the closest that items on the top of a shelving unit can be to the ceiling?
Per Life Safety Standards there needs to be ___inches or more of open space maintained below the sprinkler deflector to the top of storage.
18"
500
What does this symbol mean?
Product Expiration Date/Use by
This symbol will be next to the date (year/month) on which a product must be used by.
No products should be used after their expiry date.
500
What do you do if you get flustered?
Pause, take a breath, and relax.
