Environment of Care
Human Resources/Information Management
Leadership
Medication Management
Performance Improvement/POC/Medical Staff
100

Pull Pin, Aim nozzle at the base of the fire, squeeze handle, sweep nozzle from side to side 

What is PASS? 

100

These computers are checked daily.

What is the BCA computers? 

100

The % of Infusion Requests signed at time of appointment. 

What is the (QAPI) program ?  Quality Assessment and Performance Improvement Program 

100

The process for managing high-alert and hazardous medications.

What is the High Alert Medication Policy? 

100

POC daily quality checks are performed. 

What is Glucometer?  which falls under Point of Care POC testing or WT waive testing

200

Rescue, Alert/Alarm, Contain, Evacuate/Extinguish  

What is RACE?

200

All these documents must be shredded immediately and need to be stored in a secure area. 

What is PHI? 

200

Process that allows staff, patients and families to address ethical or issues prone to conflict?

What is institutional Compliance ? Hotline number 800-789-4448
200

 Tall Man Lettering

What is Look-Alike Sound Alike (LASA) Medications? located under clinical tools on the intranet

200

Light sensitivity Bags for chemo, needle length guidelines for sub q injection, ATC template optimization and Room utilization. 

What are Performance Improvement projects?

300

When a foreign substance lands in your eye. 

What is the eyewash station? Located in pharmacy 

300

Ongoing education and yearly institutional training on hospital wide and unit specific policy and procedures. 

What is EEE (Employee Education Event) and ELPT (Employee Law and Practices Training)? 

300

Blame-free internal reporting of a system process failure or proactive risk assessment? 

What is Safety Reporting? 

300

This system monitors the medication Refrigerators and blanket warmers.

What is AreoScout? 

300

National Patient Safety Goals (NPSG)

What is Name and DOB? the two patient unique identifiers.

400

MSDS icon on desktop

what is the data base where safety data sheets are located related to hazardous chemicals?

400

Staff Participate in ongoing education to maintain and increase competencies. 

What are Annual competencies specific to job description and area worked?  

400

Employee Survey offered annually 

What is the Culture of Safety survey? 

400

Items that must always be stored in locked area/cart

What are needles, medications, flushes, etc.?

400

Provider Privileged Search under Clinical Tools on INSIDE MD Anderson. 

What is a tool to determine if a medical professional is credentialed and privileged to perform a procedure? 

500

held quarterly by EH&S

What is a Fire drill?

500

A binder that contains instructions for use and cleaning for every piece of equipment on floor.

What is an IFU (Information for Use) binder?

500

Psychological Safety modules 

What is the action plan for culture of safety reports? 

500

labeled whenever prepared but not immediately administered.

What are BUD labels? This includes medication that is put on a bedside table in an infusion room. Must hang and start administration or injection immediately in order to not have a BUD label.

500
Must be separated full from empty. Partially full is considered empty.

What is an oxygen tank? Full are in clean utility and empty are in dirty utility. Dirty are able to be used if they are wiped down with a Sani wipe prior to use.