Joint Commission Basics
Patient Saftey
Infection Prevention
Environment of Care
Potpourri
100
Under normal conditions, a Joint Commission Accreditation is current for how many years?
Three (3)
100
Name one of the 2018 National Patient Safety Goals

NPSG 1- Identify Patients Correctly NPSG 2- Improve staff communication NPSG 3- Improve safety of using medications NPSG 6- Use medicines safely NPSG 6- Use alarms safely  NPSG 7- Prevent infection NPSG 15- Identify patient safety Risks Universal Protocol-Prevent mistakes in surgery

100
What is the single, most important practice within the hospital in infection control? 
Hand Hygiene
100
The corridors and hallways need to be clear of clutter.  Unless approved by Safety, nothing is to be left in the hallways for more than _____ minutes.
30
100
Name one Patient Right.

-communicate in their preferred language

-be involved in the planning of their care

-ask questions

-refuse care

-voice complaints

-choose thewir provider within the limits of TRICARE

200
What does the acronym RFI stand for?
Requirement for Improvement
200
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 20 seconds. Alcohol-based hand rubs may be used if there is no visible soiling and C. Diff is not suspected. Use of artificial or long fingernails is prohibited.
200
To proper disinfect a piece of equipment with CAVIWipes, how long should the piece of equipment remain totally wet? 
3 minutes
200
If you wanted to know what your role is during a code silver, where would you go to look?
Either the Emergency tri-fold (RED) or the Emergency Operations Plan located on the BAMC intranet.
200
When you need translation services, what is the number to call?
916-2500
300
BAMC is currently accredited under what two types of accreditation programs.

Hospital

Behavioral Health

300
How do you improve the accuracy of patient identification in your area?
Use the organization's TWO (2) patient identifiers used at BAMC when providing treatment, administering medications, collecting specimens. Patient's FULL name and date of birth (DOB).
300
What is the name of the product that staff use to spray reusable instruments at the point of use to keep them moist? 
Prepzyme
300
What does RACE and PASS stand for when there is a fire?

R-Rescue; A-Alarm; C-Contain; E-Extinguish

P-Pull; A-Aim; S-Squeeze; S-Sweep

300
What does SBAR stand for?

Situation

Background

Assessment

Recommendation

400

Evidence of Standards Compliance (ESC) is due how long after receiving the organization's post-survey final report?

a) 45 days

b) 60 days

c) 90 day

b) 60 days
400
What was the last Patient Safety Report (PSR) you submitted?
Answers vary.  Credit for submitting one.
400
What is the name of the monthly newsletter published by our IP&IC staff? 
A "Bug's" Life
400
Per Life Safety Standards, there needs to be ____ inches or more of open space maintained below the sprinkler head to top of storage.
18
400
What is one of the first steps you take before using a piece of medical equipment on a patient? 
Ensure its operational and maintenance is not expired.
500
What does the acronym SAFER stand for?
Survey Analysis for Evaluating Risk
500
Name 3 of the unapproved abbreviations.
(1) .U or u (unit) (2) IU (international unit) (3) Q.D., QD, q.d. (daily) or Q.O.D., QOD, q.o.d. (every other day) (4) 1.0 (no terminal zeros) .5 (always use a leading zero - "always lead never follow" (5) MS, MSO4,MgSO4 (morphine sulfate or magnesium sulfate)
500
What does the acronym IFU stand for?

Instructions for Use

500
What does the acronym ILSM stand for?
Interim Life Safety Measures
500
What could you provide a surveyor to prove you are competent to perfrom a task?
Your CAF folder or credentialing file.
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