Joint Commission Basics
During the JC survey, the surveyors will talk primarily to:
A. The Hospital Administrators B. The doctors, nurses and staff C. The patients D. The Gallipolis Daily Tribune
B. YOU! That's why you are playing this game, right?
This is the number one way to prevent infection
Hand Hygiene
This number can be called to report an emergency
5333
Guidelines followed for Hand Hygiene
WHO 5 Moments for Hand Hygiene
Multi dose vials expire after opening in
28 days or per manufacturers suggestion
Surveyors analyze a hospital's systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
Tracers or "tracer methodology"
U, IU, Q.D., .5 are all examples of
Unapproved Abbreviations
The distance from the ceiling that items must be stored
18 inches
Airborne, Droplet and Contact are all types of
Isolation
What acronym is used for Hand off communication
SBAR
Examples of this are:Don't discuss patient information in the hallway or elevators, Keep doors to exam rooms closed, close computer screens when away from PC
HIPAA
Protocol used to verify correct patient identity, procedure and surgical consent
Time Out
Mnemonics used when there is a fire
RACE - R - Remove patients and others, A- Alarm, C- Contain the fire (close doors), E- Extinguish the fire when it is safe to do so or E - Evacuate PASS - P- Pull the pin, A-Aim the nozzle at the base of the fire, S-Squeeze the handle, S-Sweep the nozzle form side to side
Items cleaned with Cavi or Bleach wipes must remain wet for a minimum of
3 Minutes
This type of door can never be held open with a wedge, covered with decor or have the integrity compromised.
Fire Door
Preparation list that is followed when TJC arrives onsite
5 Minute Drill
Goals focused on problems in health care safety and how to solve them
National Patient Safety Goals
Nursing supervisor/charge nurse/clinical coordinator on the unit can turn this off in case of an emergency
Oxygen
This vaccine is offered October through March to protect our patients and ourselves.
Flu
What is a code green?
Evacuation plan
The Joint Commission survey is conducted
Every 3 Years
This electronic system stores reported patient safety information
Incident Management System (RL Solutions)
This department monitors and maintains direct patient care equipment that is utilized in the diagnosis and treatment of patients
BioMed
Residue from this substance makes surfaces unable to be cleaned and traps pathogens.
Tape
Unanticipated death or permanent injury to a patient is called
Sentinel Event