JC Basics
How are patients informed of their rights?
Brochures are available in the waiting room/check in area in all practices. Also, patients sign consent to treat at intake.
Patients receive a copy patient rights at Intake
Name two of the National Safety Patient Goals
What is (1) Improve accuracy of patient identification (2) Improve effectiveness of communication among caregivers (3) Improve safety of using medications (3) Accurately and completely reconcile medications across the continuum of care (7) Reduce risk of health-care associated infections (15)Identify safety risks inherent to population - suicide (16) Improve Health Care Equity
Where are the Fire Extinguishers and Pull Stations located
What are Vertical Hallways Group/Nursing/Classroom have fire Extinguishers as well as the lobby
What are areas of Egress- The vestibules near stairwells have the pull stations so that you can alarm as you evacuate.
When you document a patient or collateral interaction what three elements must always be present?
What are:
1) Name of the person(s) seen
2) Modality (in person/phone/telehealth)
3) Time Spent
What compliance, quality, and performance data is collected? How are you involved?
What is Quarterly Chart Audits - If there are any deficiencies than a plan is developed on how to improve that outcome.
Change Scores on Patient Self-reported Symptom Scales (PROMIS/RedCap)
Patient satisfaction/ Parent Satisfaction
What is "tracer methodology"?
Surveyors analyze a hospital's systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
Name the most important way to reduce the risk of health-care associated infections in your department.
What is Handwashing with soap and water before and after each patient contact: Even if you used gloves wash vigorously for 15 seconds. Alcohol-based hand rubs may be used if there is no visible soiling.
What do you do if you are concerned about a perceived threat or acts of hostility?
What is seek safety (run)
Hide (in a locked room- preferably without door window)
Fight (as a last resort)
Call 911.
When is the Behavioral Health Treatment Plan initiated and due for completion?
What is Started with Problem List in Intake and Completed by the end of the 3rd treatment day?
Dr. X is starting his shift on 3 South. He walks down the hall. Starbucks in hand, and waves "hi" to the nurses and clerk. He rounds the corner, going through the propped open fire door and enters the nurses station . He takes out his breakfast sandwich and dumps his empty coffee cup in the trash. Where's the TJC violation?
What is fire doors may not be propped open and no food in patient care area .
What is HIPAA? Name one way protected health information is kept private in your department.
HIPAA: Health Insurance Portability and Accountability ACT. HIPAA States, PHI may only be used for purposes of treatment, payment, healthcare operations. Other ways to protect PHI (1) Dispose of PHI per policy (2) don't discuss patient information in the hallway, (3) keep office doors closed, (4) lock computer screens.
How do you improve the accuracy of patient identification in your department?
What is TWO (2) identifiers when providing treatment, administering medications, collecting specimens, assessing patient.
Patient's First and Last Name
Patient's DOB
What do RACE and PASS mnemonics stand for when there is a fire?
What is R - Rescue patients and others, A- Alarm, C- Contain the fire (close doors), E- Extinguish the fire when it is safe to do so or E - Evacuate
P- Pull the pin, A-Aim the nozzle at the base of the fire, S-Squeeze the handle, S-Sweep the nozzle from side to side
True or False- You can use Google Translate for Interpreting a latter sent home to a family.
False: Interpreter Services will Translate letters for you. Please provide some lead time and alert them to your timeline.
JC and OMH Require that we utilize standardized measures to guide our treatment. We administer our patient self reports on Admission, Every 5 days thereafter, and on DC. Name 1 of the standardized measures that we use.
What is:
PHQ9-(Patient Health Questionnaire-9) is a widely used tool for screening, diagnosing, and monitoring depression.
SIQ-JR- (Suicidal Ideation Questioner-Junior)
YOQ-SR- (Youth Outcome Questioner-self report)
PROMIS- (Patient-Reported Outcomes Measurement Information System)
How can you respond if you do not know the answer to a surveyor's question
I would be happy to get that answer for you right away.
What tool do we use to assess potential substance use. When is this conducted?
What is the CRAFFT- at the time of Intake and can be repeated as needed.
The CRAFFT is an efficient and effective health screening tool designed to identify substance use, substance-related riding/driving risk, and substance use disorder among youth ages 12-21.
In a patient emergency who must be alerted -right away
Who is:
1) an administrator who can take charge (help coordinate a response),
2) the primary clinician's,
3) additional staff to assist in maintaining safety (step into group, stand at exits, call public safety)
How do you access an interpreter and...
True or false Can a minor sibling translate for a parent if the minor is 13 years old, clearly fluent in both languages and both the minor and the parent consent to using the minor as the interpreter.
What is Live Interpretation Can be requested via Interpreter Services. Ask a BSW for assistance in initiating this, or when necessary use Language Line.
What is False! You need qualified Interpreter
Where is our Emergency Equipment located and what do we have?
In our nurses office behind the door is:
AED (ANY STAFF)
Ambu Resuscitator bag (NURSING)
NARCAN *in AED box (ANY STAFF)
How often are fire drills conducted?
What are fire drills 2x per year.
What tool is used to assess Suicide Risk? When is this conducted.
Columbia Suicide Severity Risk Scale - CSSRS
At the time of Intake and anytime that a change in risk is suspected/reported.
When patients on Transport are departing for the day how do we prevent "wrong patient/ wrong vehicle"?
1) Use patient list with name of patient and transport.
2) Confirm with patient their full name
3) Approach vehicle with patient and ask the driver who they are picking up.
If a patient becomes agitated and bolts out of a group what do the 2 staff do to respond?
1 staff stays with the remaining patients
1 staff follows
Either/both press their distress button
I have no idea how to answer that question, please don't bother me I am busy and that is a stupid policy anyway.
What is something you would never say to a surveyor!