Infection Control
Wash your hands, before and after each patient contact, before and after treating a cut or a wound, before preparing or eating food, after going to the bathroom and after handling garbage.
What is the best way to prevent the spread of infection?
Number used when calling in an emergency while in the hospital.
What is 321#
The hospital conducts the patient’s initial assessment within the written time frames. A medical history and physical examination is completed and documented no more than 30 days prior to, or within 24 hours after, registration or inpatient admission
What is, the hospital assesses and reassesses the patient and the patient's condition according to defined time frames. PC 11.02.02
Never discuss patient information in public areas.
Discard info with patient names/ PHI in locked bins for shredding
What is, ways to protect patient confidentiality?
A process that is in place to correctly identify patients when providing care treatment and services.
What is the use of at least two patient Identifiers?
To dispose of hazardous waste.
What is the purpose for using the red bags?
Black Telephones currently on each nursing station.
What are telephones with individual phone numbers that work in an emergency when the main hospital phone lines goes down?
The hospital has an effective discharge planning process that focuses on, and is consistent with, the patient’s goals and treatment preferences; makes certain there is an effective transition of the patient from the hospital to post discharge care. The hospital begins the discharge planning process early in the patient’s episode of care, treatment, and services.
What is, the hospital following its process for discharging or transferring patients? PC 14.01.0
If you are able to address the issue immediately, do it! Or refer the patient/family to the appropriate person and follow up by communicating the complaint and referral to that person. If investigation is needed, explain the hospital complaint process, provide a complaint form and offer to assist them in completing the form if needed
What is, how to handle a complaint from a patient or family member?
This process is demonstrated between the giver and receiver of information such as in Shift Report and the electronic data base used by the Medical Providers, Psychiatric Providers and the Doctors on Call
What is the process for Hand Off communication?
These can be found in the Janitors’ closets, where chemicals are stored, on nursing unit when patient(s) are on precautions and in property management.
Where can you find Personal Protective Equipment (PPE)?
You should exit immediately, close fire doors and proceed to your muster location to await further instructions
What do you do when the fire alarm sounds in your work area?
The hospital trains staff on the use of restraint and seclusion and assesses their competence at the following intervals:
- At orientation
- Before participating in the use of restraint or seclusion
- On a periodic basis thereafter, by hospital policy
What is the hospital trains staff to safely implement the use of restraint or seclusion? PC 13.02.17
Posted on nursing units and in the patient handbook.
What are places you will find patients’ right and responsibilities information posted?
The hospital complies with current Centers for Disease Control and Prevention hand Hygiene guidelines or the World Health Organization Hand Hygiene guidelines.
What are goals for improving hand hygiene compliance?
After caring for or giving meds to a patient. when the gloves become damaged or suspected to be damage, when there is contact with blood, body fluid, nonintact skin and mucus membrane, after touching trash or dealing with soil things, when there is an indication for hang hygiene.
What is, when to change your gloves?
R – rescue anyone in immediate danger, remove from scene, do not use elevators, check all rooms for remaining persons, evacuate them, and account for all persons
A – Alarm – activate the fire alarm (use B key to access pull station fire box), dial 321#, give exact location and info re. fire
C – confine – keep the fire from spreading by closing windows and doors
E - extinguish fire if it is small – use E key to access extinguisher; evacuate floors above and below fire
What does R.A.C.E mean?
The dietitian and medical staff approve a therapeutic diet manual that is current and available to all medical, nursing, and food service staff.
What is the hospital makes food and nutrition products available to its patients? PC 12.01.09
What does the letters P.H.I stand for?
What is Protected Health Information?
Aleader or leadership that is responsible for Pain management including nonpharmacologic pain treatment modalities and safe opioid prescribing.
What is, Pain assessment and Pain management including safe opioid prescribing identified as an organization priority. NPG 06.01.01
Wet hands with clean, warm running water and apply soap, rub hands together to make a lather and scrub all surfaces for 20 seconds, rinse hands under running water and dry.
What is proper hand-washing technique?
Pull the pin
Aim at the base of the fire
Squeeze the handle
Sweep the extinguisher back and forth
What is, how do you use the fire extinguisher?
The hospital trains staff on the use of restraint and seclusion and assesses their competence at the following intervals:
- At orientation
- Before participating in the use of restraint or seclusion
- On a periodic basis thereafter, as determined by hospital policy
What is, the hospital trains staff to safely implement the use of restraint or seclusion.
Decision letters are sent to all parties to the complaint.
What is, how are the patients informed of the resolution of complaints?
The Hospital respects the patient's right to and need for effective communication. provides interpreting and translation services as necessary.
What is, patient right to receive information in a manner the patient understands? NPG 07.01.01