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JCAHO Basics 101
Patient Safety
Infection Control
Environment of Care
Potpourri
100
Joint Commission on Accreditation of Healthcare Organizations
What does JCAHO stand for?
100
I wash my hands with soap and water only! Hand gel is unacceptable.
What do I clean my hands with if my patient has C-diff?
100
-Wear gloves when direct contact with body fluids -Wear a gown when soiled clothing by body fluids is anticipated. -Wear masks and goggles when potential exists for spattering of body fluids. -Wipe down equipment
What are Standard Precautions?
100
Preventive Maintenance Sticker with unexpired date
How do you identify safe medical equipment?
100
-Physical signs -Personality changes -overly shy or aggressive -poor coping skills with desire to die -poor personal hygiene -malnourished
What are some reportable criteria for suspected abuse of a patient?
200
1)Hallway outside Starlas office 2)Fire Pull Alarm PACU Family Waiting Room 3)PACU and wall in hallway outside ladies locker room.
Where is the fire extinguisher and pull alarm located for PACU? BONUS: Where are the oxygen shutoff valves in case of a fire located in or the vicinity of PACU?
200
Informed consent End of life decisions Good pain management Right to refuse care or treatment Address complaints Respect for privacy and confidentialitly
What are Patient Rights and Responsibilities?
200
TB, measles, varicella zoster...wear your N-95 respirator that you have been fitted for.
What is Airborne Isolation?
200
-press panic alarm -call hospital supervisor and 911 -hospital supervisor will page 3 times ____ ____ ____ -escape route in mind -silence all noise making devices -as last resort F _ _ _ _
How to activate an ACTIVE SHOOTER EMERGENCY PROCEDURE and how does Staff respond?
200
-labeling occurs when any medication or solution is transferred from the original packaging to another container. -labels include: Medication name, strength, diluent, volume, and expiration time.
How do you label medications on and off the sterile field?
300
1)Computer screens not visible to public 2)Grey recycle bins for paper 3)Patients paper work kept face down in work area
How is patient information kept private and confidential
300
U or u .5 (always use a leading zero--"always lead never follow" qd or qod MS,MS04,MgS04
What are unapproved abbreviations?
300
-use as a virucide MRSA, HIV-1,Staphylococcus aureus wait 2 minutes. -as disinfectant use second towelette to surface and remains wet for 3 minutes.
How long does a disinfectant wipe need to make contact in order to kill bacteria and other microorganisms?
300
Family Waiting Area, walk through fire doors off of PACU unit.
Where is the safe place to evacuate patients because of a fire on the unit.
300
-morning hospital wide huddles and safety meetings -unit communication book -unit staff meetings -department morning huddles
How do your peers and your management communicate with you about hospital objectives and improvements?
400
1)Continuing Education classes 2)Skills reviews that include age-specific information 3)Experience and competency validation.
What makes you competent to care for the age groups assigned to you?
400
-Improve Accuracy of Patient Identification -Improve Effective Communication among Caregivers -Improve Safety of Using Medications -Universal Protocol to assure correct patient had correct surgery/procedure -Reduce risk of Health-Care associated infections -Identify Individuals at risk of suicide.
What are National Patient Safety Goals?
400
-Hang sign on entry to room -gather correct equipment and place at entry of patients room -educate patient and family on need for isolation and the expectation of them to maintain isolation.
What are the steps to placing a patient in isolation?
400
Staff on the unit who receive the verbal order from the AOC, Incident Commander, or Fire Department.
Who has the authority to "shut off " the medical gas valve?
400
-"The Source" go to apps section, scroll to MDS
Where do you find MDS regulations and information?
500
-Following individual patients through hospitalization evaluation, multiple care units, department services rendered to the patients.
What is the Tracer Methodology?
500
TO or VO and READ it back do not repeat it back.
What is reading back a Doctors Order?
500
Influenza and pertussis, wear a surgical mask.
What is Droplet Isolation?
500
-pre procedure verification site process -mark procedure site -time-out just prior to procedure
How is "Wrong site and wrong procedure prevented?
500
Transform the delivery of community healthcare in America - Treat everyone with dignity, kindness and respect - Exceed the patient's expectations - Give back to the community
What is our Mission/ Vision/ and Value Statement at Broomfield Hospital UC Health?