The Basics
Acronyms/Code
Infection Prevention
Policy & Procedure
Misc.
100

You would find the Safety Data Sheets here

What is the Backbone?

(Applications)

100

R.A.C.E

Rescue, Alarm, Contain, Evacuate

100

Name the Sani Wipe Contact time

2 minutes

100

Name an employee COVID-19 Protocol

Wear a mask, practice 6 feet social distancing, hand hygiene, avoid gatherings, do not share food, follow max. capacity in elevators, self assessment of symptoms

100

Name the program used to report events and its location.

MIDAS (Located on Backbone) 

200

Name HOI’s accreditation

What is DNV GL Healthcare

200

P.A.S.S.

Pull, Aim, Squeeze, Sweep

200

Bleach contact time

4 minutes

200

Name the place where you would locate P&P

Backbone (Patient related) Wave (HR/Employee related)

Program = Policy Stat

200

Name an organizational goal

Virtual Reality implementation, SSI, Opioid Stewardship, HCAHPS, OASCAHPS, Signature Experience

Where: Process Improvement Board/Education Board (Outside lounge) 

300

You would find the Mission/Vision statement here 

What is The Backbone?

300

PPE

Personal Protective Equipment

300

Name an occasion when to perform hand hygiene

before donning/after removing gloves, 

before/after direct patient contact, 

before/after leaving patient bay/ department

before/after performing procedure

300

Name one way to provide interpreter services for your patient

Stratus in Demand (App or via cart)

Phone Interpreter 

On-site Interpreter


300

Name the hotline you would report a privacy breach to

Corporate Compliance Hotline

400

Name a HOI Core Value (Hint: there's 4) 

Relentless Clinical Excellence, Patient First, Teamwork, Integrity

400

Code Yellow

Bomb threat 

What to do? 

Keep caller on line, note voices/noises, suspicious package- do not touch & notify

400

Name when you MUST use soap and water for hand hygiene

C-Difficile

400

A patient's friend/family member can be designated as an interpreter. 

Yes- must be documented in patient chart. 

 Policy: Interpreter must be called and patient in proficient language states declination of interpreter prior to using family/friend to interpret 

400

Identify the purpose of ISO 9001 (Hint: second part to DNV Accreditation) 

Requirements on how a hospital/business meets patient/consumer needs. 

500

Name the committee that frames the strategic direction of HOI

(Hint: PIC) 

What is Performance Improvement Committee?

500

Code Maroon

Evacuation of part or all of the hospital/building

What to do: activate disaster plan, turn on disaster radios, manpower forms to Hospital Command Center

Command Center= HHI Classrooms

500

Name two COVID Guideline for visitors/patients

Wear a mask, practice 6 feet social distancing, hand hygiene, one visitor in pre-op, patient testing protocol



500

Name the document items needed for an observer to be present in the OR suite

TB, Photo ID, Patient Consent, Privacy Agreement, Flu vaccine or declination PRN

500

Identify the ISO 9001 saying/motto?

"Say what you do, do what you say, prove it, and improve it"