Patient Safety
Infection Control
5 Star
TJC EOC
TJC Clinical
100

To be completed when there is an unusual event, deviation from policy, or harm to a patient.

What is an Event Report

100

Not performing this task is the leading cause of HAI’s.

Hand Hygiene

100

The name of the site to find star ratings for hospitals.

Hospital Compare

100

The color of the emergency outlet covers

What is red

100

You are required to prove this prior to performing tasks in your job description.

What is competence

200

Should occur in each department, at each shift, every day with a focus on patient safety.

What is a Safety Huddle

200

The purple Sani-cloth wipes have a kill time of ______ minutes.

What is 2 minutes

200
Name 3 Healthcare Associated infections listed in the 5 star report. 

CLABSI, CAUTI, Colon surgeries, TAH, MRSA, C. diff

200

The distance (in inches) from the sprinkler head in the ceiling to storage.

What is 18 inches

200

You should look here to learn where to clean a piece of equipment.

What are the Manufacturers Instructions / Recommendations

300

Guidelines that help prevent patient harm or deviations from the standard of care.

What are policies and procedures

300

The proper hand hygiene method after caring for a patient with C. diff.

What is soap & water

300

Name the 4 measure groups with a weight of 22% each in the star rating report.

Safety of Care, Mortality, Readmission, Patient Experience

300

The MSDS or chemical inventory should be updated...

What is 12 months
300

When TJC arrives you should immediately pull this for reference.

What are task cards

400

This number indicates a “high risk for falls patient” based on the Morse Fall Scale, triggering all high risk for falling interventions, REGARDLESS of the patients mental status.

What is a 45?

400

The correct sequence for donning PPE.

What are gloves, gown, mask

400

Our internal star measures report identifies the star rating group that has 3 of the 4 priorities for improvement, which is..

Patient Experience

400

This person / department is authorized to cut off the oxygen during a fire after verifying all oxygen dependent patients have been provided with portable oxygen, or relocated to areas where they can be served.

Who is Respiratory Therapy

400

The method used by TJC to alert hospitals of high risk conditions, describe underlying causes, and recommendations on how to reduce risk / prevent future occurrences.

What is a Sentinel Event Alert

500

A best practice for sharing clinical information about patients and their safety (occurs during shift change and interdepartmental transfers).

What is handoff communication / SBAR

500

Long term care residents, patients from other acute care facilities, dialysis patients, patients with a history of drug injection use, open wounds, HIV infection, and a diagnosis of skin or soft-tissue infection should be screened for what multi-drug resistant organism on admission?

What is MRSA

500

The following are what type of indicators in the 5 star report: Pressure ulcer, Pneumothorax, fall with fracture, post op kidney injury, etc.

PATIENT SAFETY indicators

500

The number of E-02 tanks that can be in one room or smoke compartment.

What is 12 oxygen tanks

500

This is done within 30 days of surgery and updated after registration, but prior to any procedure requiring anesthesia.

What is a H&P