Pt Privacy
How much information you need?
Minimum amount to complete your job.
At a minimum, staff should have their competencies assessed
What is new equipment introduced into their jobs, significant change or addition to their job responsibilities or evidence of untoward events?
A written or verbal complaint (when the verbal complaint about patient care is not resolved at the time of the complaint by staff present?
What is a Patient Grievance?
This is who you notify when a surveyor or regulatory agency arrives.
Who is supervisor/ administration /quality? Operator
How do we maintain and promote cultural health component in our care?
What are :
smoking
dancing
eating
praying or spiritual practices
Tools used to maintain pt. privacy, (name 2)?
What are:
computer privacy screens
low voices
no hallway discussions about pt care
file folder...
How Competency is validated.
What is Observation, demonstration, online learning, etc?
These complaints are always considered a grievance, whether from an inpatient, outpatient, released/discharged patient or their representative regarding patient care
What is a "Written Complaint"?
The place that keeps track of surveyor activity, document requests, deficiencies, etc.
What is the command center?
What do you do if there is a conflict of interest with provider or business practice that does not seem to be legitimate?
Contact the Compliance Officer
The first "A" in HIPAA stands for this
What is Accountability?
These shall be documented in the employees file.
What is Orientation and Competency Validation documentation?
This is where the notice to patient of the complaint/grievance process is and how to file a grievance with the state agency that has licensure survey responsibility for the hospital.
What is the Patient Handbook?
The surveyors will be set up in this conference room.
What is First Administration Conf Room
Patients/families with limited English-speaking skills, deaf or hearing impaired is entitled to this service.
What is Interpreter Services?
What does CMS say our functions are related to healthcare information?
What are:
provide care
collect payment for care
and quality / risk management issues
This person is responsible for seeing that all nursing staff receive mandated education.
What is the CNO?
This is when a patient is requesting another provider to rand make recommendations.
What is a second opinion
You call this person if a sentinel event occurs.
Who is Supervisor, Risk Management, CEO?
This physician must document this in the patient's medical record prior to a procedure.
What is "Informed Consent"?
What is unsecured information?
What is information laying openly on desk top in plain view or information easily accessible by general public.
A record of the title, length of course in hours, and objectives of an education program.
What is documented on an In-service?
The timeframe the organization must review, investigate, and resolve each patient's grievance.
What is an average of 7 days?
You determine a patient's family may have ethical concerns?
Who is Bio Ethics - Supervisor, Risk Management/Quality, CEO, Area Ethics - Robbin Williams, Dr. Woittee
1989 Spike Lee Movie
What is do the right Thing