Joint Commission Knowledge
An example of what NOT to say to a surveyor
What is "I don't know", "I think", "Sometimes", "Usually"
PASS and RACE
What is
Pull Aim Squeeze Sweep
Rescue Alarm Contain Extinguish
Where do patient labels get placed at?
What is all forms in the paper chart, upper right corner, front and back (if applicable).
A patient scores high on the CSSR q shift on admission or after, what is the next step?
What is document in the note, notify provider to either continue or discontinue the Crisis Care Monitor.
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 an immediate level deficiency is identified, the Joint Commission will return in this many days to re-survey and verify deficiencies have been corrected.
What is 23 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
When giving Haldol, Ativan, and Benadryl IM, what medications can be drawn up in the same syringe?
What is Haldol and Ativan
When a patient is admitted to BHU, scores high risk on the CSSR Q shift assessment, what should the RN do? (2)
What is the RN notifying the psych provider via vocera of the risk level, requests if the provider wants to continue the crisis care monitor order or discontinue the order. Then document all of this in admission note.
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.
What is immediately remove that item from the patient care area and email NM
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
Where should medication be stored at? (2)
What is in the pyxis and in the cows.
Where can caregivers' drinks be stored at in the nursing station area?
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
Following a meal, snack, group, what needs to be completed?
What is remove all items that are contraband, utensil count, dispose of any food items, and sanitize tables/counters/chairs.
Where can you find information on what is needed to complete all elements of a violent, chemical, physical hold, or seclusion at, to ensure 100% accuracy with documentation?
What is the Restraint/Seclusion job aid found on BHU sharepoint or in restraint file folders.
The RN pulls a controlled substance, and patient refuses, how do you proceed?
What is the RN should return/waste medication with a witness, within one hour.
During the first hour of seclusion, where should the 1:1 caregiver be located?
What is at the seclusion room door.
How do you clean used velcro restraints?
What is wash removable pad by placing it in a pillowcase and wipe velcro restraints with disinfectant wipes.
How do you complete Q shift safety rounds? Identify 4/6
1-What is complete at the beginning of each shift by a caregiver. 2-What is sign off on daily safety rounds. 3-What is forcefully attempt to open each cabinet and door. 4-What is remove all expired items from patient fridge. 5-What is ensure all 4 velcro restraints are loosened and secured on the non-moveable part of stretcher. 6-What is report negative findings to charge nurse immediately.
Documentation needed to complete a restraint or seclusion order.
What is an order with indication, a FTF within 1 hour, a 1:1 Q15 minute sheet, all iview documentation, inclusive progress note including all elements, audit sheet
If any medication is drawn up in a syringe, and you walk away from it, what needs to be identified on it?
What is the name of the medication and dose with a sticker (ordered today).