Joint Commission Basics
How do you identify a hospital employee?
Their hospital issued identification badge (p.10).
Where are our unit Standard Operating Procedures (SOP)s found?
SharePoint: DAD-SS→Operating Room→ OR SOP's
Where is the chemical spill kit located?
Under the yellow hazard cabinet in the specimen decon room on the even side.
Where is the OR Rally point?
"H2" Hospital parking lot
What should occur just prior to the patient being anesthetized?
An anesthesia pause (anesthesia time-out)
How would one locate the contact time for cleaner/disinfectant?
The label on the cleaner/ disinfectant being used. (p.34)
Does a "near miss" need to be reported?
Yes, it can prevent the error from occuring in the future.
Before using medical equipment, you should check for the Medical equipment verification certification. WHAT COLOR IS THIS?
Yellow (p.12)
How do you report a security incident?
Main hospital:553-1111
Off campus: 911(p.14)
What is the NEW password for OneSource?
Darnall*110
How often should staff and patient refrigerators be cleaned?
Both must be cleaned weekly.
Where are the crash cart and MH cart located?
Center (Sterile) Core
How do you report an adverse drug reaction?
1. Patient Safety Report (located on Sharepoint)
2. Call the pharmacy for help 288-8820/8830
Where is the Red Emergency Activation Plan (EAP), SDS and Safety binders kept?
At the front desk
Where are hospital policies located?
CRDAMC Sharepoint, on the right-hand side, under Polices and Publications
Who is responsible for obtaining informed consent?
Licensed independent provider (p. 87)
What is the number one way to prevent the spread of Hospital Aquired Infections?
Handwashing
Where would one find how to operate and clean equipment?
How many fire pull stations are on the unit and where?
2 pull stations.
1 by each stairway located on both the odd and even hallways
Who is required to have a Competency Assessment Folder (CAF)?
ALL employees (all personnel assigned/ attached, volunteers, housekeepers, students, and contractors). (p. 27)
How are visitors and staff made aware of what precautions to take before entering a patient's room?
Signs are posted on the patient's room door that identifies the type of isolation and the personal protective Equipment (PPE) required. (p.29)
What are CRDAMCs two patient identifiers?
1. Name
2. Date of Birth
Where is the eyewash station located?
APU Soiled Utility Room #42-287
Who can implement an evacuation?
The Hospital Commander (Incident Commander)or the authority having jurisdiction (p.24)
If a patient has an unresolved issue, who do you refer them to?
Unresolved issues are forwarded to the department director and/ or the Patient Advocate. (P. 86)