TJC Basics
TJC Surveyors will primarily talk to: A) Administrators, B) Patients, C) Nurses, D) Providers, or E) All of the above
What is E) All of the above
How do we track high risk BH patients at MACH?
What is the weekly ARCT meeting
One of the best ways to decrease the spread of infections and minimum length of time it is performed.
What is washing your hands and 30 seconds?
What is the difference between a code purple, code violet, and code indigo?
What is Code Purple is an OB emergency
Code Violet is to activate decon team
Code Indigo is non-existent at MACH
These are two unique patient identifiers used for EVERY patient.
What is NAME and DATE OF BIRTH?
If a surveyor asks you a question that you are unsure of the answer, you should respond with...
What is "I'm not sure, but I will find that out by... (insert how you would find correct answer)"
When is it appropriate to apply violent/behavioral restraints? And how often must the patient be reassessed once applied?
What is for emergency use or when a patient is an immediate risk for harming themselves and others and every 15 minutes.
The number of covered drinks allowed in patient care areas.
What is one.
This code can be activated by any staff for early recognition and rapid intervention before cardiac arrest occurs
What is an RRT (Rapid Response Team)?
The organization's tool that's used to self-report potential events, near misses, and actual events.
What is Joint Patient Safety Reporting (JPSR)?
How do we reach translation services or an interpreter?
What is the resource listed on MACH homepage OR
"Latitude Prime"
These tools are used to collect data and help drive care. They are NOT intended to diagnose.
What are: Screening forms (PHQ-9, GAD7, PCL-5, CSSRS)
Which CaviWipe is authorized for use on computers?
What is none of the CaviWipes?
What do you do in a code pink within the hospital?
What is report to assigned code pink station/exit and if you see a suspicious individual, try to detain them (without putting self in harms way)?
A stand-up, checklist-driven planning meeting; less than 20 minutes. It is a routine, planned event to communicate, collaborate and coordinate on the medical or operational plan.
What is Unit-Based Huddle (UBH)?
This evidence-based bundle of interventions is used to reduce miscommunication errors during patient care handoffs or transitions of care
What is: I-PASS
As identified in the MACH REG 40-007, this person is the "first line of defense" for detecting and maintaining a safe environment for a patient.
What is the Patient Safety Attendant
Instructions on how equipment must be cleaned, high level disinfected, reprocessed or sterilized.
What is manufactures instructions for use (IFU)?
What are the 3 consecutive actions you should perform (in order) during a code white?
What is (1) Run (2) Hide (3) Fight?
A quality and patient safety improvement program established by The Joint Commission in 2003, to help accredited organizations address specific areas of concern in regards to patient safety.
What are the National Patient Safety Goals?
DHA's approach to increasing high reliability across the MHS.
What is: Ready Reliable Care
Essential to tracking patient progression, these must be developed in a timely manner and reflect assessment needs and goals with re-evaluations.
What are treatment plans
The proper sequence for donning full PPE.
What is gown, mask, eye protection, and then gloves?
During a code red where evacuation is deemed necessary, what is the rally point for BH staff at 1- the main hospital, 2- IOP (must know both)
What is at the stop sign directly outside of the ED patient entrance for the main hospital and the gazebo for IOP staff?
Name at least 2 national patient safety goals that pertain to BH? (number and/or title)
What is #15 Reduce the risk for suicide, #1 Improve accuracy of patient identification, or #2 Improve effectiveness of communication