During the Joing Commission come, the surveyors will talk primarily to:
EVERYONE
100
What 2 ways do we use to identify patients?
Patient's full name & MRN or date of birth
100
What does R.A.C.E. stand for?
Rescue
Alarm
Contain or Confine
Extinguish
100
How do you remove a patient with non-GI VRE from isolation?
Cultures should be collected at least 3 days after completing antibiotic therapy and/or completion of chemotherapy regimen.
100
How often is the C-Arm serviced?
every 6 months
200
The Joint Commission survey is conducted:
Every 3 years
200
What is the length of time you should vigorously wash your hands with soap & water or hand sanitizer?
15 seconds
200
What is your horizontal & vertical evacuation route in SL?
Outside between building and parking garage
200
How do you remove a patient with MRSA from isolation?
Body site is culture "negative" for MRSA at least 3 days after antibiotic therapy and anterior nares culture is negative for MRSA.
200
What standardized tool does MDA use in communication hand-off patient care?
SBAR
300
How often is a fire drill conducted in the Houston Local Areas?
At least one per year
300
Effective hand hygiene is achieved through either:
•Hand washing with soap and water
•Antiseptic Rubbing Agent (i.e. alcohol hand gel)
300
What is the process when a patient codes in SL?
Bring crash cart for defibrillator or AED
Call 911
Notify SL emergency team and leadership
300
How do you remove a patient with Gram Negative Rod from isolation?
Original body site is culture "negative" for the gram negative rod at least 3 days after completing antibiotic therapy.
300
Name two ways patient privacy is protected in the clinic?
A) Log of computer when leaving station
B) Do not discuss patient care in hallway or elevator
C) Shred patient information
D) Talk to patient in an private area
400
Who should you contact to request a fire extinguisher training?
EH&S at (713)792-2888
400
Who should be notified of a patient's critical lab or test result?
Ordering License Provider
400
What do you do for chemo spills greater than 500 mL? Less than 500 mL?
Greater than 500 mL: call EH&S at (713)792-2888
Less than 500 mL: use chemo spill kit
400
How do you remove a patient with Clostridium difficile from isolation?
No diarrhea for at least 24-hrs
400
How do we identify patients who are at risk for falls?
A) Yellow "Fall Risk" armband
B) Fall Risk Assessment
C) Stop Light Signs outside exam room
500
What are:
1) Use alarm safely
2) Identify patient safety risk
3) Use medication safely in patient care areas
4) Prevent mistakes in surgery & procedure
5) Prevent Infection
6) Identify patient correctly
7) Improve staff communication
2016 National Safety Goals
500
This is used to prevent mistakes in all surgical and nonsurgical invasive procedure.
Universal Protocol
500
Who is MDA's Chief Safety Office?
Matthew Berkheiser, DrPH, CIH, CSP
(Environmental Health and Safety)
500
What PPE is required for employees caring for a patient on "strict isolation"?
Surgical Mask, isolation gown & gloves
500
Insulin, chemotherapy, anticoagulation, investigational drugs are all example of __________?