MISC
Who Am I
Quality and Risk Mgmt
ENVIRONMENT OF CARE
NAME THAT CODE
100
Bed Alarms Chair Alarms Wet floor signage Night lights Hourly Rounding
What are some Standard Fall Precautions?
100
If an incapacitated person does not have an advance directive or has designated a surrogate, healthcare decisions are made by a representative:____________. The law lists the order of priority.
What is a proxy?
100
What do the following have in common: Falls Medication-related occurences Allergic reaction to a food No written informed consent
What is 'Occurences that should be reported'?
100
The most important factor in protecting yourself from Radiation exposure
What is distance? 1-3 feet away 89% reduction 6 feet away - 97% reduction
100
Bomb threats should never be taken lightly. Even a false threat is a serious crime. All threats are treated as actual situations. Do not touch anything suspicious. Instead, look at any unusual package in your areas from a reasonable distance.
What is a CODE BLACK?
200
To be a leader in cutting edge, collaborative and caring healthcare. Committed to being the best community hospital, strives to promote effective and efficient services tailored to meet the healthcare needs of the community in a skillful, caring and professional manner.
What is South Bay's Vision and Mission statement?
200
An independent not-for-profit national organization that surveys and accredits health care organizations and uses standards and participation requirements regarding hospital practices and processes to improve the safety and quality of care provided to the public.
What is The Joint Commission?
200
An unexpected occurence involving death or a serious injury (loss of limb or function) or psychological injury
What is a Sentinel Event?
200
Good hand hygiene
What is the most important thing you can do to protect patients, yourself and others?
200
This can be any situation in which you feel your safety or the safety of a patient, family member, visitor or anyone in the area is threatened.
What is a CODE GREY?
300
Improve the accuracy of patient identification. Use at least two patient identifiers when providing care, treatment or services. Eliminate transfusion errors related to patient misidentification
What are some of the NATIONAL PATIENT SAFETY GOALS?
300
An agency of the U.S. Department of Labor that assures the safety and health of employees by setting and enforcing standards. Requires training, outreach and education regarding blood borne pathogens and other potentially infectious materials.
What is OSHA?
300
Patients must be assessed every 2 hours An MD order is required
What are Restraints?
300
Name two areas of vulnerability concerning life safety that are continuously monitored (physical environmental requirements such as "clear access to fire exits".
What is: Proper storage / securing of GAS Cylinders, i.e. O2, Co2, Nitrogen, Nitrous Oxide, etc… Clearance of 18” or more below sprinkler heads No general corridor clutter / no medical equipment plugged in or charging in corridors. All equipment in a corridor should be kept on the same side of the corridor. Proper door closure, i.e. no propped open doors
300
Hazardous Material / Bio Terrorism: In the event of an external situation involving contamination of victims with hazardous materials such as biological agents, chemicals, radioactive material or toxic waste, our facility will prepare to receive victims and set up a decontamination area.
What is a Code Orange?
400
A written complaint about patient care sent by fax. A phone call after discharge reporting neglect of a patient. An unresolved verbal complaint from the family about hospital non-compliance.
What is a grievance?
400
_________precautions include placing a patient in a negative pressure room, keeping the door shut when the patient is in the room and wearing an N-95 mask upon entering the room.
What is Airborne?
400
Evidence based studies have shown that patients with select diagnoses have better outcomes when proven medical treatments are consistently used. Hospitals across the country participate in monitoring the care of these patients to ensure they get the best care. This monitoring is known as:
What is Core Measures?
400
All staff members must know that in the event of power loss, the Hospital’s Emergency Generator will start within 10 seconds. While operating on Emergency Power, this is considered a life safety branch and is only to be used for critical medical equipment.
What is a RED OUTLET?
400
Hostage / Weapon Situation: Any situation where an individual is being held against his/her will by a perpetrator with a weapon
What is a Code White?
500
Discharge Planning + Social Services + Utilization Review
What is Case Management?
500
Establishes standards for the use and disclosure of protected health information. Defines ways that patient health information is used and disclosed. Allows a patient to have control over the patient’s protected health information.
What is The Health Insurance Portability & Accountability Act (HIPAA)?
500
Loiterers Suspicious package Vandalism Unaccounted for patients
What are some reportable security incidents?
500
When any individual comes upon or within 250 yards of the property of our campus property and a request is made by the individual or on the individual’s behalf for medical treatment, hospital personnel will respond to the individual’s request with a prompt assessment of the patient’s need for health care. In all circumstances, common sense and human judgment must prevail.
What is EMTALA ((Access to Emergency Care, Medical Screening, Medical Stabilization, Transfer and Administrative procedures)?
500
Almost always female 12-50 yrs old Visits nursery Usually impersonates a health care worker May escape using stairwell
What are some characteristics of a typical infant abductor?