Environment of Care
Clean items can be stored in Dirty Utility rooms
What is FALSE
These should never be worn in the hall unless actively providing patient care
What are: gloves
What is: take them to the QI/PI boards
What is: how to participate in a Time Out
30 days or less
What is: How long an H&P is valid for
This type of dusting should be done at the beginning of each day
What is: High Level Dusting
Personal drinks should be stored here
What is: the designated hydration station
If the surveyors ask about Sentinel Events...
What is: state "Our Risk Mangement department handles Sentinel Events"
Where the Time Out is read from
What is the Informed Consent for the procedure
Good only for the current procedure, others are good for current admission
What are: procedure and moderate sedation consents
These areas must never be blocked by stretchers, wheelchairs, beds, carts, etc.
What are egresses, fire extinguishers, fire alarm pulls, gas shutoff valves, and electrical panels
This is where PPE worn in isolation rooms should be removed
What is: before exiting the room
How to answer surveyor's questions
What is: directly and concisely
BEFORE the patient is taken to the procedure room
When is: Sedation Assessment/H&P update completed
Screening performed on EVERY patient at admission
What is: suicide and abuse
This is how glucometers are cleaned
What is: using bleach only, squeeze out excess fluid and wipe front and back of meter, dry, then using new wipe with excess fluid squeezed out, 3 vertical/3 horizontal swipes on front, then same process for the back, allow to air dry
1 minute for Hydrogen Peroxide, 3 minutes for Bleach
What is: WET time for disinfectant wipes
Phrases to avoid when talking to surveyors
What are: "I usually", "I almost always", "What we try to do is", etc.
Immediately after being added to the field and/or after drawing up whole dose, but only administering a partial dose
When is: medication labeled
Must be included if an interpreter is used for consent
What is: Interpreter name and ID number, whether in person or iPad
What is FRESHA, and what does each letter stand for?
What is: Fire, Respiratory, Engineering, Security, House Coordinator, Anesthesia - authority to turn off medical gases
This is done before instruments are taken to SPD for processing
What is: Pre clean instruments and saturate with Pre-Klenz
Joint Commission surveyors expect you to know all the answers
What is: False - know your resources
3 minutes
What is: dry time for Chlorprep
Proper completion of Patient Transfer to Outside Facility form
What is: Part I completed and signed by MD, Part III completed and signed by RN and EMS. Part II signed by patient if able to sign