EOC
EOC level 2
Staff Knowledge
Medication Management
Staff Knowledge
100

When does EOC checks have to be completed

Within 1 hour of the beginning of each shift

100

What are ILSMs?

For Life safety deficiencies that cannot be immediately corrected, Interim Life Safety Measures (ILSM) are put into place. What are our active ILSM?


100

What is the criteria for storing medical equipment?

Disinfection prior to storage is important to prevent spread of harmful bacteria.

Once cleaned, tag should be placed on item if applicable to indicate state of device. 

All equipment in storage room are clean to prevent contamination of other clean equipment in same room.

100

What is our silent knight?

The ward pill crusher, it should be free of residue and weekly rinsing is documented. 

100

Critical tests/results have to be communicated to providers within what time frame?

60 minutes of receving results! and it must be documented with the provider you contacted (FIRST AND LAST NAME) and the subsequent actions taken!

200

How many O2 Tanks can be in the oxygen room?

What is, no more than 12; this is to ensure we do not exceed 300 cubic feet of gas in a smoke compartment

Did you know unsecured tanks increase the potential to create a "missile" hazard should the cylinder fall? This why it is important to put away unsecured O2 cylinders

200

What are the specific details about the eye wash station? Temp of water? Where its positioned?

caps should be in the closed position

water should be tepid (60-100F)

pressure should not overspray onto the ground

200

How do you activate a code?

if you are outside the hospital tower (911)

if you are in the hospital tower (code Blue)

200

How often are access rosters updated outside the Medication rooms?

Monthly

200

the pharmacy RX destroyer is full! What do you do?

Call pharmacy to have the disposal RX destroyer replaced

300

How do we identify if patient nutritional items are not expired?

They are either stored in plastic bags brought up by nutrition with the expiration date on them, or have expiration dates clearly labeled on the item.

300

Why can we not prop doors open or tape strike plates to prevent proper latching?

Propped doors jeopardize the smoke compartment by allowing smoke to pass. Taping strike plates are security access and fire safety violation.

300

Where do we access translation services and hearing impared services?

Language Line Desktop icon!

300

When are insulin vials discarded?

28 days after opening

300

Who can turn off a clinical alarm?

Clinical alarms systems should not be turned off without a written order by a LIP with clearly defined reasons for turning off the alarm. Patient care staff shall NOT disable/silence an alarm without first assessing the patient. 

400

Can we have corrugated boxes with outside shipping labels on the floor?

No! Outside shipping boxes are reservoirs for dust, vermin, and bacteria. Storing these next to clean and sterile supplies puts patients and staff at risk.

400

You opened an EKG electrode pack, but did not use up all the stickers-- what do you do?

You must fold over the bag with the unused electrodes, and label the bag with a 30 day expiration date-- This insures the electrodes will not dry out.
400

Water Infection Control Risk Assessment? (WIRCA)

This is the water management plan to identify any water stagnation points within all buildings and mandates water testing for bacteria. (done annually; and identified high risk stagnation points require weekly flushing)

The water advisory flushing is a separate policy set by command to mitigate the issues of sediment in the water system. (done weekly/reported monthly)

400

Can we have pill cutters on the floor?

Yes! Only if assigned to a specific patient. 

400

What is IPASS?

I- ILLNESS SEVERITY

P-PATIENT SUMMARY

A-ACTION LIST

S-SITUATION AWARENESS AND CONTINGENCY PLANNING

S-SYSTENSIS BY RECIEVER

500

How far off the ground and the ceiling do supplies have to be?

20 inches from the ceiling ( nothing may be stored closer than 20 inches from the ceiling to allow unobstructed water spray from sprinklers when triggered to extinguish fires)

8-10 inches from the floor, and the bottom shelf must have a plastic barrier ( supplies can become contaminated from dirty mops; the plastic barrier protects against splashes)

500

What logs are required for glucometers? how do you label QC vials?

They require temperature and humidity logs, QC vials need to be labeled (initials, open date, exp date (90 days after opening) and there should be no loose lancets outside the original box. Additionally-- Alcohol swabs cannot be left outside boxes, expiration dates are not printed on individual alcohol swabs.

500

What are the procedures when you have an SI patient visitor?

SI binder at charge nurse station; visitors have to be screened by security prior to visiting the patient. 

500

Which labels do we use for medications?

The hospital approved yellow syringe labels; this is because it has the template with all the TJC requirements

500

What is the difference between Code Green and Code Violet?

Green is violence from the patient

Violet is Staff/Employee workplace violence situation