TJC Basics
The frequency of Joint Commission Site visits.
What is every 3 years?
Best practices for patient identification
What is "use two patient identifiers"? or What is "ask patient name and birth date"?
The best way to reduce the risk of health-care associated infections.
What is hand washing?
Appropriate response for a fire emergency
What is (RACE) Rescue, Alarm, Confine, and Extinguish or Evacuate?
An accident, disturbance, unfavorable circumstance, unsafe condition, or event not consistent with usual patient care and institutional operations that affects a patient, visitor or environment of the institution.
What is a reportable event?
All hospital employees must be wearing this in patient care areas.
What is an employee ID badge?
This should be performed before any procedure.
What is a "time out"?
Scrubs, jackets, gowns, hats, masks, gloves and shoe covers.
What is personal protective equipment (PPE)?
The resource that contains information about all chemicals and hazardous substances that we have on site, such as cleaning solutions.
Material Safety Data Sheets (MSDS)
This type of door should be closed at all times.
What is a Procedure Door?
An occurrence that results in serious patient harm, often loss of limb or life
What is a sentinel event?
Includes pre-procedure verification process, site marking and time out
What is Universal Protocol?
These carts should be zipped up when not in use.
What is a Linen Cart?
The location of the Safety Data Sheets (SDS).
What is a every phone in each work area?
This education is delivered electronically and provides updates and refreshers regard best practices around patient safety, infection control, life safety, e.t.c.
What is a Healthstream course?
Surveyors analyze a hospital's systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient
What is a tracer?
Document that outlines what surgeries and procedures can be performed for the patient.
What is surgical consent?
This cannot be stored in the hallways.
Oxygen Tanks
The minimum distance that an item or storage should be placed from the ceiling.
What is 18 inches?
What is a staff meeting?