Accreditation 101
Medication Administration
Patient Related Topics
Staff Safety Topics
Policies and IPAC
100

The organization responsible for conducting accreditation surveys.

What is Accreditation Canada?

100

These Ambulatory Care healthcare professionals can administer medication in the clinic.

Who are RNs, RPNs, NPs, PAs, and physicians?

100

These four patient-specific identifiers need to be checked at point of entry (check in) to the FHT clinic.

What is name, DOB, health card, address & telephone number? 

100

The eye wash station is located in this hallway in the Riv FHT.

What is the North Hallway?

100

Use this to access TOH policies and procedures.

TOH Policy and Procedure System (PPS)

200

The day and time for the accreditation survey at the Riverside Campus.

What is Tuesday, January 23rd 13:00-15:00?

200

Use these rights to safely administer medications.

What is TOH's 9 Rights of Medication Administration.

200

This is required by patients for all acts and procedures administered by TOHAFHT health care practitioners.

Consent to Treatment.

200

This needs to be added to a patient's Epic chart when a patient has been verbally or physically aggressive/violent during a phone or in-person visit. 

What is a Violence Flag?

200

Use this to access TOHAFHT specific policies and procedures.

TOHAFHT sharepoint site

300

The main reason and rationale of health care accreditation.

What is improve quality and safety?

300

Use this in Epic to document medication administration.

What is the Medication Administration Record (MAR)?

300

This electronic reporting system on each TOH computer workstation is used to report a patient safety incident.

What is the Safety Learning System (SLS)?

300
This should be activated when you feel a patient or family member is threatening your safety or that of our co-workers.

What is a Code White?

300

What all TOHAFT staff observe to protect themselves and prevent the spread of infection.

What is observe the Four Moments of Hand Hygiene?
400

This organization requires Canadian teaching hospitals to be accredited with Accreditation Canada.

What is the Royal College of Physicians and Surgeons of Canada. 

400

Lidocaine multi-dose vials must have this applied to it after it is opened.

What is the label with expiry date?

400

Nurses working at TOH require this annual certification to deal with patient medical emergencies. 

What is BLS CPR certification?

400

These can be used to call a Code White.

Press the panic button or call 8-5555 and activate a Code White.

400

You must always have these on when handling sharps.

What are gloves?

500

This is how frequent Accreditation Canada conducts surveys for hospitals. 

What is every four years?

500

These three medications administered in the FHT clinics require an independent double check to be performed and documented prior to administration.

What are Epinephrine, Leuprolide(Lupron) and Gosrelin(Zoladex)?

500

This TOH department can be contacted to manage a difficult patient encounter or patient complaint.

What is Patient Relations?

500

This TOH program ensures medical devices and medical equipment are safe and functional.

What is TOH Biomedical Engineering Department Preventative Maintenance Program. 

500

This system is used to manage all Hazardous materials used in the workplace.

What is Workplace Hazardous Material Information System (WHMIS)?

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