Joint Commission 1
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100

How often are employees educated on PHI?

What is annual and new employee orientation?

100
How do you wear your hospital badge?
What is Easily visible, above the waist, face out, not flipped over.
100

When do you perform hand hygiene? 

What is :Before or after contact with patient or items in the patient's environment, when using the bathroom, or after body fluid exposure?

100

How are staff deemed culturally competent?

What is Mandatory New-Hire Cultural Competency Training, and Annual Training. 

100

How does BBHH ensure that staff feel safe speaking up about an error or a concern, which is a cornerstone of our Plan for Patient Safety?

What is a Just Culture?

200

Where are our fire extinguishers located? (Name 3 places)

What is each hall of unit, near kitchen, near front entrance, within outpatient, near emergency room. 

200
If you are speaking with a surveyor and don't know the answer (which is ok) what do you say?
What is I would ask my supervisor or look at the policy manual. If needed ask the surveyor to repeat the question and really listen to what they are asking for.
200

What are fall preventative measures offered in the facility? (Name at least 2)

Fall Risk Special Precautions

Non-skid socks


200

What do you do if a patient care error occurs?

What is ensure the patient is safe and report to the Charge Nurse, Nursing Leadership, Quality Director and complete an incident report. 

200

What is used facility wide to promote engagement and communication with staff?

What are :email, text messages, communication boards, staff meetings, and Town Halls?

300

What is the BBHH  mission Statement?

What is: To be committed to the wellness of individuals, their families, and the community through prevention, intervention, treatment, and education. 

300

DAILY DOUBLE!

What is our fire plan?

What does PASS stands for?

What is Rescue, Alarm, Confine, Extinguish?

What is Pull, aim, squeeze and sweep

300

There is a chemical spill in your office, what do you do?

What is review the SDS manual, ensure the area is secure, and seek assistance from EVS and/or Plant Ops? 

300

Who is responsible for assuring that the patient's rights are respected and maintained at all times?

What is every team member?

300

How can we protect patient's privacy and confidentiality?

What is Log out of computers when not in use or when unattended, medical records only accessed when required by job duties, do not leave papers with patient information unattended, provide information only to those permitted by the patient and do not discuss patient information in common areas.

400

DAILY DOUBLE!!

How do we communicate with non-English patients?


We use the translation service called Propio

400

If a patient wants to report concerns over patient safety and quality care, where do you refer them to?

What is refer them to the patient advocate - Cornelio or refer to Compliance Hotline.

400

When should sharp containers be replaced?

What is when 2/3 full?

400

Who is the Facility Safety Officer?

Who is Trin West-Moore

400

How do BBHH employees remain competent?

What is by attending and completing Skills Fair, Healthstreams, Coaching, and required CEUs for their specialties?

500

How does BBHH follow National Patient Safety Goal, NPSG.01.01.01, "Identify Patient Correctly"?

What is verify 2 forms of ID; Name & DOB. ?

500

What are the two main, easy to use chemicals used to clean the facility at this time?

What is Bleach based blue topped wipes, and Peroxide based white topped wipes? (Clorox/Oxcivir)

500

What is the code called for an active shooter situation?

What is Code Silver. 

What is use plain language and offer specifics if able. 

500

DAILY DOUBLE!

What are two things you can do to keep patient's safe?

What is hand hygiene, wear PPE, observe for unauthorized personnel, report suspicious behavior or activities....?

500

Where are the Human Resource policies and/or procedures maintained? 

Where is the ShareDrive?