Joint Commission 1
How often is your competency assessed?
Upon hire and annually (MyPath competency).
How do you wear your hospital badge?
What is Easily visible at all times, above the waist, face out, not flipped over.
When do you perform hand hygiene?
What is upon entering and leaving a patient room; between patient contacts if more than one patient in a room; Before or after contact with patient; before donning and after removing gloves, before handling an invasive device, after body fluid exposure, and as needed such as after sneezing or coughing, and before handling food or oral medications.
Can you store drinks anywhere in the kitchen or Café?
NO! Only in designated locations.
What are the SDS and where do you find them?
What is Safety Data Sheets and 2 in kitchen, 1 in cafe, NICU w/ Lance.
Where are fire alarm pull stations located?
What is near exits.
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 you can refer to the policy and provide the correct information.
If you do not know the answer to a question, tell the surveyor you do not know, but you will find out. You are not expected to know everything, only to know where to go to find the answer.
What is the proper temperature range for a refrigerator and freezer?
Refrigerator - under 45 degrees F
Freezer - under 0 degrees F
What fire extinguisher do you use for a grease fire?
K silver
How far off the floor does anything have to be stored?
6"
What is a QAPI (Quality Assurance and Performance Improvement) project your department is working on?
i.e. test trays, tray delivery, new meal ordering App
Food service answer: Patient Satisfaction and Meal Quality Improvement
Description: Patient satisfaction surveys indicated issues with meal ordering.
Integration: Dietary services partnered with nutrition software vendor to upgrade system to allow for patients to order from an app (Net Menu)
Outcome: Increased meal satisfaction scores and reduced food waste.
What does RACE stand for? What does PASS stand for?
What is Rescue, Alarm, Confine, Extinguish or Evacuate?
What is Pull, Aim, Squeeze and Sweep
Where do you report occurrences and near misses?
What is RL Solutions.
The importance of a non-punitive just culture and reporting these through the automated Event Reporting System
Who is responsible for assuring that the patient's rights are respected and maintained at all times?
What is every team member?
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.
Per URMC Fingernails Policy: Length, Polish, Artificial, what is the acceptable length of fingernails?
1/4 inch or LESS
Nail extenders and jewels (substances applied to the natural fingernail other than nail polish/Gel) are not permitted
Fingernails are to be kept short, must not exceed 1/4-inch in length beyond the tip of the finger
Nail polish should be in good repair and removed when chipped
How do you request an interpreter when working with a patient?
URMC Interpreter Services Department offers qualified staff interpreters for American Sign Language (ASL) and Spanish 24/7/365.
Telephonic New Vendor: Language Line
iPad for spoken and ASL interpreting
Handset
Where can employees store their personal food? And how often is it clean out?
Kitchen - across from supervisor office
Cafe -in the dish room
What is every Sunday.
An Amber Alert has been called. What do you do?
Listen for description of the person of interest, go to the nearest exit and monitor. (Amber alert = infant, child or adolescent abduction)
Where are the departments policies and procedures maintained?
S: Drive
How does the hospital follow National Patient Safety Goal, NPSG.01.01.01, "Identify Patient Correctly"?
Use at least two ways to identify patients. Name and date of birth.
How does the hospital follow National Patient Safety Goal, NPSG.07.01.01, "Prevent infection"?
Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning.
What do you do if there is an active shooter situation?
What Run-Hide-Fight.
The amount of time it takes to scrub your hands when washing your hands over a sink.
What is 20 seconds.
Where are the Hospital's policies and procedures maintained?
On the hospital's intranet site - Policy Stat.