General 1
Environment of Care
Patient Safety
Infection Control
General 2
100

Every 3 years

What is frequency of a CMS survey when you are in good standing

100

Fire Response

What is Rescue    Alarm   Contain   Extinguish

100

F - I - F - O

What is hand hygeine  -foam in, foam out of a patient's room?

100

20 Seconds

What is how long you was your hands?

100

60 minutes or less

What is the goal for patient throughput a visit?

200

Document describing all the rights of a patient 

What is the Patient Bill of Rights?

200

Fire Extinguisher Response

Use PASS:   Pull  Aim  Squeeze   Sweep

200

Patient Name and Date of Birth

What are required 2 patient identifiers

200

Legionella

What is a waterborne organism that can be found in ice machines and water fountains in a hospital

200

Improve communication between staff and physicians

What is documenting calls with a patient in Expanse?

300

18 inches from the ceiling

What is the minimum space required to store items from the ceiling.  The purpose is to assure that all items can be impacted by the sprinkler system.

300

x1234

What is the number to call for an overhead page to be made

300

Something that could be used to hang or strangulate

What is a ligature risk?  We must assure that there are no ligature risks available to patients.

300

Videx

What is the hospital disinfectant?  Videx has a dwell time of 10 minutes

300

Annual employee training system

What is Health.edu

400

CMS Survey Parts

What is Clinical Survey and Life Safety Survey?

400

Upright and in a rack

What is How oxygen should be stored

400

Unapproved abreviations

What are abbreviations that can cause medication errors and/or patient harm

400

Individually fit mask to protect hospital staff

What is an N95 mask.  If you forget your size, contact Infection Control

400

Communication method for people with limited English proficiency, deaf or hard of hearing

What is the language line?

500

Reporting a safety event

What is an incident report entered into Meditech Expanse for review and action by leadership?

Can also be used to report complaints and compliments

500

Chemical spill clean up guide

What is consult the SDS sheets found on the hospital website

500

Denise McMahan

Who is the hospital safety officer and the compliance offier?

500

28 days

What is when a multi-dose vial expires?

500

Patient Privacy

What is Health Information Portability Accountability Act?  HIPAA