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1. Top News
2. Misc.
3. Pardon our Dust
4. Keeping Score
(Using tracer methodology to assess and improve EC compliance)
5. Upon Project Completion
100
The Joint Commission has updated the business rules that determine the number of days the Life Safety Code®* surveyor will be part of a hospital’s survey. This change, which takes effect January 1, ______, is expected to enhance The Joint Commission’s work as an improvement organization that helps its customers identify and mitigate risks.
What is 2018?
100
The periodicity after install you have to inspect a new fire damper.
What is 1 year?
100
Many health care organizations struggle to safeguard their facilities from IPC risks before, during, and after demolition. Fortunately, strategies for mitigating the risks are available. What is IPC?
What is infection prevention and control?
100
A tracer typically begins with a look at the existing written policy or procedure. The policy or procedure will help you determine the impact on staff, which controls are in place, what individuals are r___________ for certain roles, and what questions to ask.
What is responsible?
100
Terminally clean the construction zone before the construction b_______ are removed.
What are barriers?
200
The current business rules consider square footage as well as the number of inpatient buildings to determine survey length for Life Safety Code surveyors. Because the number of inpatient buildings can be a misleading metric, however, the revised business rules will consider _____ ______only. This should more accurately indicate how many days the Life Safety Code surveyors are needed on site.
What is square footage?
200
The periodicity required for backflow certification?
What is typically 1 year. (6 months is acceptable as that is required in some high risk locations such as hazardous chemicals).
200
Elements of Performance for EC.02.06.05. 3. The hospital takes action based on its assessment to minimize risks during demolition, construction, or r_________.
What is renovation?
200
A tracer follows a process from start to finish,” says Sukhjit Singh, MHA, MPH, CHSP, environment of care (EC) consultant for Joint Commission Resources. “We ask a lot of questions: Are you following every step? Are you in compliance? What risk points exist in the process? This determines a policy or procedure’s effectiveness across the organization and also identifies opportunities for i__________.”
What is improvement?
200
Check for visible mold and mildew and eliminate it (that is, decontaminate and r______ it), if present.
What is remove?
300
Another business rule change ensures that there will be a minimum of two days of Life Safety Code survey time allotted for any additional hospitals. Consider the example of an organization that has a main hospital with 1.2 million square feet (which generates a three-day Life Safety Code survey) as well as a second hospital a mile away with 750,000 square feet. Under the current business rules, the additional site would have a one-day survey; however, the revised business rules will generate a ___-day Life Safety Code survey for this location.
What is two?
300
The last page of the Oct. 17 EOC Newsletter is an advertisement for an upcoming Environment of Care Base Camp. In what state is this training?
What is Florida?
300
Infection Prevention and Control Strategies for Internal Construction and Repair Projects. 2. Educate staff and construction workers about the importance of adhering to infection control measures during the project. • Provide educational materials in the language of the workers. • Include language in the construction c_______ requiring construction workers and subcontractors to participate in infection control training.
What is contract?
300
Health care organizations can use tracer methodology to assess any of the six components of EC management: security, safety, life safety, medical equipment, u________, and hazardous materials and waste.
What is utilities?
300
Verify appropriate ventilation p__________ for the new area, as needed.
What is parameters?
400
All ligature and self-harm risks identified during survey must be corrected within __ days from the last day of survey.
What is 60?
400
How often must eyewashes be checked?
What is weekly?
400
Infection Prevention and Control Strategies for Internal Construction and Repair Projects. 3. Issue hazard and warning notices. • Post signs to identify construction areas and potential hazards. • Mark d_______ requiring pedestrians to avoid the work area.
What is detours?
400
As you talk to staff members, ask questions relevant to their role in the issue being traced. These questions may address an individual’s understanding of the issue and the policy that governs it. You may also ask about specific steps taken, how a system or program works, what reports or alarms are triggered and when, who is responsible for interpreting information and taking necessary a_____, and other topics.
What is action?
400
Do not a________ ventilation deficiencies, especially in special care areas.
What is accept?
500
All ligature and self-harm risks must be eliminated. While risks are in the process of being eliminated, policies and procedures must be developed and implemented to m______ the harm posed by such risks.
What is mitigate?
500
To participate in and receive payment from the Medicare or Medicaid programs, you must comply with additional requirements, typically referred to as "Deemed Status". True or false?
What is True?
500
Making safety contagious. The health and safety of patients, staff, and visitors in a health care facility should never be taken for granted— especially when facility upgrades and/or spatial expansion are planned. Hospitals and construction crews take great precautions in protecting occupants and passersby from threats posed by debris, dust, fumes, and equipment, but they need to be as diligent in their IPC efforts during this period of i________ risk and exposure.
What is increased?
500
What is a tracer? A tracer is a methodology that tracks a s________ procedure in an organization, from its origin in policy through its execution in the real-world course of providing care.
What is specific?
500
Clean or replace _____ filters using proper dust-containment procedures.
What is HVAC?