Patient Safety
Policy & Procedures
Survey Etiquette
Respectable Responsibilities
That's Gross
I Don't Want No Scrub
100

True or false.  The patient's room number or physical location can be used as an identifier.

What is..FALSE

100

True or false.  Any Doctor's Hospital employee has access to any of our hospital policies.

What is... TRUE!

100

True or false.  Chewing gum and having your Britney Spears phone ring tone on loud while speaking to surveyors is acceptable. 

What is.... FALSE!

Be respectful, smile, and be confident when speaking to surveyors.

100

This is the number we dial for any code activation.

What is ....*2000

100

True or false.  Anything can be thrown in the regular trash, different containers are unnecessary and *extra*.

What is... FALSE.  (Not separating trash, sharps and medication waste can be a danger to ourselves and our patients.)

100

True or False.  Everyone must change into a new, clean pair of hospital laundered and provided scrubs at the beginning of each shift before entering the O.R. 

What is.... TRUE!  
200

These are three examples of appropriate patient identifiers.

What is....Patient name, medical record number, and date of birth.

200

Doctor's Hospital policies are easily found in this convenient location.

What is ...our Doctor's Hospital homepage "Quick Links" under "Policy Stat", where you can search any of of our hospital policies using the search bar.

200

When answering surveyor questions the most appropriate option is to 1. Respond to the question asked specifically or 2. Add additional information, including lots of fun jokey jokes.

What is... Respond to the question asked specifically....PERIOD.

200

This is the action expected from the acronym R.A.C.E. 

What is - R - Rescue, A - Alarm, C- Contain, E - Extinguish.  


200

Biohazard containers and labels can be easily identified by this universal biohazard color.

What is ..RED.

200
True or False.  Setting up a back table without a gown on is totally acceptable and not a write-up offense.  

What is... FALSE.  According to standards, back tables should *never* be set up without a gown and gloves, no matter what the procedure is.

300

This number is how many patient identifiers are needed when providing care, treatment, and/or services.

What is...At least two!
300

Appropriate references for policy questions can be which 3 of the following options:


1. Lindsay Sikes, VP Quality

2. Google 

3. Kasey Torrey, Patient Safety Director

4.  Department Director

5. Influencer Nurse Blake's Facebook Page








What is..


Linday Sikes

Department Director

Kasey Torrey

300

When there are survey questions that you do not know the answer to, instead of saying "I don't know".. you can say, let me get you the answer to that and refer to *these specific individuals*...

What is ...your department manager and/or director.

300

This is the action expected from the acronym P.A.S.S. 

What is...P-Pull, A-Aim, S-Squeeze, S-Sweep.

300

Biohazard materials are items that could easily transmit infections diseases..these items could include *these things*...

What is...blood, bodily fluids, tissues/organs, and any items contaminated with blood/infectious material.

300
According to policy, and the IFU's on our scrub brushes, this is the amount of time you should be taking to do your hand scrub.

What is....SIX MINUTES.

400

During the timeout, what things MUST be part of the timeout; while everyone stops and listens before the start of the case.

What is….Patients name, date of birth, allergies and procedure being performed according to the consent. 

400

This is where any Doctor's Hospital employee can verify and know scope of practice for any patient provider.

What is ... "I-Privileges", found on the Doctor's Hospital homepage under "Applications".

400

Two words that should be avoided when responding to surveyors questions are...

What is... "sometimes" and "occasional".  

(Always refer to the policy and operational standards.)

400

The only people that should have access to medication rooms (which must be locked at all times) are these individuals.

What is..... licensed employees who work with medications as their scope of practice and housekeeping/non-clinical staff that must be supervised by the licensed employee, and not given door codes!
400
All reusable patient care equipment should be covered by this after cleaning.

What is ... disposable plastic covering.

400
Fluids on the back table, should be *this*, so anyone walking into the room knows what it is.

What is...LABELED.

500

A surgical consent is good for how many days, as long as the patient remains an inpatient …

What is... 30 days! 

500
The username and password for I-Privileges is this.

What is... 31003.

500

This is the most incorrect answer to any joint commission surveyor...

What is..."but I made a TikTok about it while on the clock and while taking care of patients and got lots of likes!"

500

The operating room humidity levels, monitored by maintenance, should stay between these levels. 

What is…. 30-60%.  Too low humidity, risk is fire. Too high humidity, risk is infection. 

500

Reusable patient care equipment, including, IV pumps, monitors, IV polces, SCD machines, NxStage, etc shoudl be cleaned and disinfected at this specific time frame.

What is... after being used and prior to being placed back into usage for another patient!

500

In the Burn OR, we like to use Sterillium Rub, and *this amount of time* is required to do a proper rub-a-dub scrub with Sterillium Rub.

What is....a full 90 seconds.