Joint Commission Knowledge
An example of what NOT to say to a surveyor
What is "I don't know", "I think", "Sometimes", "Usually"
Why would a tear in a chair’s fabric be a problem?
What is the chair cannot be properly cleaned if the integrity is compromised.
Name one thing you can do to support safe storage guidelines regarding supply dates
What is
*Before use, identify the expiration date, discard supplies that have passed expiration date
*Use First In First Out method (FIFO) to rotate inventory
*Store items with earliest expiration date in front and use items stored in front first.
A physical hold requires a provider's _____ and a ________ should be completed within _____ hour.
What are order, face to face, 1
This clinical care process involves finding out what medications a patient is taking, comparing them to what has been taken in the past, documenting any changes, and checking for safety issues.
What is Medication Reconciliation
If a conditional level deficiency is identified, the Joint Commission will return in this many days to re-survey and verify deficiencies have been corrected.
What is 45 days
When is an oxygen tank considered empty?
What is when it is out of the green
How do you know a piece of equipment has been cleaned?
What is it is covered with a clear plastic bag or a clear plastic bag is tied around the equipment.
The time when a patient's learning needs and ability to learn should be assessed
What is upon admission
Where the LASA list can be located
What is Policy Manager
The meaning of deemed status
What is deemed status demonstrates that an organization not only meets but exceeds expectations for a particular area of expertise
PASS and RACE
What is
Pull Aim Squeeze Sweep
Rescue Alarm Contain Extinguish
Name two of the five moments of Hand Hygiene
What are before touching a patient, before a procedure, after a procedure or bodily fluid exposure, after touching a patient and after touching a patient's surroundings.
How often does the RN review the plan of care?
What is every 24 hours or more often as needed
“U”, “IU” and “QD” all appear on this list.
What is the Do Not Use Abbreviation List
True or False: The leaders who monitor the contracted services are the governing body
What is True
How often are fire extinguishers inspected?
What is monthly
Following a procedure, what is the first step in pre-cleaning a re-usable instrument at point of use?
What is immediately following the procedure, in the room where the procedure took place, remove bioburden by wiping the instrument(s) with a paper towel or sponge wet with water only. This will help to prevent blood/tissue from drying on the instruments.
When a critical test result is received, these elements are documented in the patient's EMR
What is date, time and name of provider notified
What is an independent double check and name at least three medications that would require an independent double check.
Independent Double Check means a second independent check confirming the medication correctly reflects the original prescribed medication order, and the medication administration is in accordance with the drug monograph and/or hospital policy. Medications that require an independent double-check at UHCC include: Chemotherapy, IV Heparin, Insulin, Parenteral Nutrition, Magnesium Sulfate, PCA
What is a validation survey and what federal agency completes these surveys?
What is a CMS representative or contractor accompanies the accrediting organization surveyor(s) to directly observe and evaluate the accrediting agency's ability to assess the Medicare conditions.
True or False: Ventilation requirements for storage of sterile supplies include maximum relative humidity of 60%.
True
Name the steps in the process of disinfecting the glucometer.
What are 1) place the meter on a level surface, 2) power off the meter, 3) Using a fresh but same type of wipe, disinfect by wiping the outside of the meter three times horizontally and then 3 times vertically, and then carefully around the test strip port, 4) Allow meter surface to remain damp for disinfectant recommended contact time 5) dry mete with a dry cloth or gauze after disinfecting
Name two elements of the Informed Consent document.
What are the diagnosis, nature & purpose of the procedure, benefits/significant risks/side effects/alternatives, an assessment of the likelihood that the procedure will accomplish the desired objective(s), mutual understanding of and agreement for care/treatment or services
If any medication is added to an IV solution, the IV bag must be labeled with these 6 elements
What are patient's full name, DOB or MRN or ECD #, Expiration date and time of one hour after preparation of product, Initials of the person preparing the IV admixture, Medication name, Medication dose/amount added