Training
Safety
Polices & Procedures
Bonus
100

How were you oriented to your job?

  • Generic/general orientation
  • Unit-specific orientation
100

What is your role in disasters?

  • Protect yourself
  • Assure the safety of your patients
  • Follow the instructions in the Emergency Manual found in the department
100

How do you reduce the risk of infections to patients, staff or visitors?

  • Practice hand hygiene – “5 moments”, Patient and Healthcare Zones
  • Practice respiratory hygiene / use personal protective equipment
  • Use Standard Precautions for body substances for all patients
  • Implement transmission based precautions (contact, special contact, droplet, airborne) when appropriate.
  • Discard all supplies from an isolation room at patient discharge (NS flushes, dressing supplies, etc.)
100

Where do you go with a concern about the safety or quality of care provided at VMC?

  • Report to your supervisor, manager, director, patient safety officer
  • If unresolved, report to HR or Administration

May report to the Joint Commission and DOH – no retaliatory disciplinary action will be taken

200

How was your competency assessed?

Classes     Education    In-service       Licensure

Certification    Orientation and training on employment

200

What is your role in patient safety?

  • Work as a team to find ways to improve patient safety
  • Identify errors and areas where errors could occur
  • Reporting via on-line incident report
  • Use PDCA (Plan / Do / Check / Act) to test ideas that may improve patient safety
  • Know risks in the hospital (spills, distractions, interruptions, clinical risks, patient understanding, etc.)
200

What performance improvement projects have been done in your area?  What was your participation? What were the outcomes?

Outpatient examples:  Flu, BP, and Smoking cessation

200

How do you get help with clinical ethical dilemmas?

Call for an ethics consult

300

What are 3 topics on the back of your badge?

Fire Plan - Grace

Fire Extinguisher use

Emergency Codes

300

What are the two patient identifiers in your area?

Outpatients – name and date of birth

300

How do you protect patient privacy?

  • Time out set for the computer screen and digital imaging monitors
  • Special bins designated for disposal of papers with patient information
  • Patient information is not discussed in public areas (cafeteria, elevators, etc.)
  • Patient information is not visible (minimize use of white boards in nurse stations/hall areas, use of privacy screens).
300

What if you do not understand a question the surveyor asks you?

  • Ask the surveyor for clarification by asking them to repeat or restate the question.
  • What if you do not know the answer to the question the surveyor is asking you?
  • Explain that you do not know the answer and show them how you would get the information
  • Don’t get defensive or impatient
  • Don’t panic, remain CALM – tell them what you DO know!
  • Let your answers by ‘yay or nay’.
400

What is the name of the icon you would use to find workflows?

TIP
400

When do you use the two patient identifiers?

  • Patient transport
  • Phlebotomy, administering blood, medications, contrast agents
  • Procedure/treatment verification
400

What do you do when a patient has a complaint?

  • Listen so that the patient/family feels heard
  • Attempt to resolve issues
  • Document in Feedback (on-line reporting)
  • Notify manager if unable to immediately resolve issues
  • Refer complain to Risk Manager if issues cannot be resolved
  • If issues still cannot be resolved, let patient/family know that they can contact the WA ST DOH and the Joint Commission and provide instruction (numbers posted on huge green posters in public areas and lobbies).
400

How do you file an event

Report event icon


500

What is the name of the list we check off with new employees?

A-C E List

500

What is the tool used for handoff communication?

SBAR:

Situation 

Background

Assessment 

Request

500

How do you access policies

My Valley -> Green icon with white book labeled Policies

500
Where can you find quality measures?

Quality / Huddle Board

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