Life Safety and Environment
TJC Priorities
Safety
Random Part 1
Random Part 2
100

In areas that have sprinklers installed we need this many inches of clearance below the sprinkler head. 

What is 18?

100

This priority includes standards for antimicrobial stewardship, catheter-associated UTI, and central-line infections. 

What is Infection Prevention?

100
What is the expiration date on bags of fluid placed in the fluid warmer? 

What is 2 weeks?

100

The hospital must undergo an on-site survey at least every ____ year(s).

What is 3?

100

PI stands for this when naming standards.

What is Performance Improvement?

200

All staff should be wearing ID badges above what level of their person? 

What is the waist?

200

The Joint Commission standards overall focus is on this.

What is patient safety and/or quality?

200

What should you do if you find expired supplies? 

What is place in nonconformity bin in the stock room?

200

For fire safety, what actions does RACE stand for?

Rescue, alarm, contain, evacuate or extinguish 

200

What is the correct way to adhere a flyer or announcement? 

Any paper needs to be in plastic, and adhered to the wall with 3M adhesive (tape is not allowed) 

300
How many medical gas shut off valves are located within our ED? 

6

300

__________ preparedness is defined as "a continuous cycle of planning, organizing, training, exercising, evaluating, and taking corrective action in an effort to ensure coordination during incident response".

What is emergency?

300

What is required to be done before starting a procedure to make sure a mistake is not being made?

What is pause or time-out?

300

The Joint Commission site visit is called this.

What is a survey?

300

What is proper storage for linen? 

Linen storage devices need to be covered or closed 
400

Where are these valves located? 

Three are in the hallway behind the trauma rooms. 

One by bed 8, one by bed 15, and the last infront of H32. 

400

This is an act or threat occurring at the workplace that can include verbal, nonverbal, written, or physical aggression.

What is workplace violence?

400
What is the process to ensure refrigerators and freezers are being maintained at the appropriate temperature? 

Daily check on temperature logs 

400

During a survey, surveyors select patient at _______, and use their medical records as a roadmap to evaluate standard compliance. 

What is random?

400

What should be done with broken equipment? 

Equipment should be taken out of service and a ticket placed for repair 

500

EC.02.03.01 requires a written fire response plan and must include how to use a fire extinguisher.  PASS stands for this. 

What is Pull, Aim, Squeeze, Sweep?

500

Are food and drink allowed to be in the clinical areas (nurse's station)? 

No 

500

This many identifiers are needed at minimum to verify patient identity. 

What is two?

500

Joint Commission can take up to two _____ to render their decision after a survey.

What is months?

500

What is proper storage for oxygen tanks?

Tanks are be placed in their proper holder, off the floor