Health & Safety
This would contain all safety related activities documentation thru out the year that would include meeting minutes, drills completed
Health & Safety Binder - located where?
A Symbol of quality that reflects an organizations commitment to meeting certain performance standards
What is ; Joint Commission Accreditation
Who owns Sea Mar
The community
Purpose of wearying your ID Badge
3 things you should do at a JCAHO visit
Think before you speak
Only answer specific questions don't elaborate
ask for clarification
show enthusiasm and interest mention practices and procedures that support your answer
Binder with all the materials and chemicals that are used at our site
SDS Binder
This is a quarterly survey to produce information about perceptions of patient's experiences
Patient Satisfaction Survey; how often is this administered?
Policy and Procedures; Sharepoint; BH ; Policies
Grievance process; can you go thru the process; direct patients to manager / supervisor grievance form, admin phone number, email, in person
The methodology that JCAHO uses thru out the survey process
Tracer Methodology; overall ensuring the organization follows it's own policy strategy;
What form is used to report Incidents;
Form C ; where would you locate it
Where would you find everything related to JCAHO
Sharepoint; QI -
unanticipated death, or major permanent loss fo function that is not related to the natural course of their illness; loss of function could be physical, mental or emotional.
Sentinel Event; Policy located where
How do you insure patient information confidentiality?
Patient identifiers ; name & dob, lock computers, shred PHI,
Notice that describes how medical information about you may be used or disclosed
Notice of Privacy Practices and where can you locate
Name 3 Infection Control Procedures
Hand Hygiene, masking when sick, disinfection procedures ; employee health screening protocol
Strategy to address the overall health of our systems such as ; auditing charts, monthly review of environment of care ; submitted to Administration and Board of Directors
Quality Improvement ; QI
Located in the new patient packet obtained during screening; also posted in the lobby and on our website
Patient Rights and Responsibilities
Systematic Approach to services; Exceptional Services every person every time
AIDET ; Acknowledge, Introduce, Duration, Explanation, Thank you,
Where can you find important information quickly
Sharepoint
The approved cleaning / disinfection chemical and how what is the contact time;
Germ Swipe/ 3 minutes extra credit ; allow to remain on the service then wipe off. WEAR GLOVES
Do you get In-Service Training and how often;
Relias; monthly covers many different topics specific to job role
Process for functioning / operating when EHR Systems are unavailable
System Down and where is it located
At risk or confronted by person with weapon
Hostage situration
Cody Silver
Hazardous Material spill or release
Unsafe exposure to spill
Code Orange