Infection Control
Length of time is takes Sani wipes to disinfect a surface
What is 2 minutes for the purple top and 4 minutes for bleach
An indicator that room is cleaned and ready for next patient
What is no paper on exam table
The place were we keep medication samples for our patients
WE DO NOT ACCEPT DRUG SAMPLES.
This is what the word PASS stands for
What is Pull, Aim, Squeeze and Sweep
Pull -Once the proper extinguisher has been selected, pull the safety pin on the handle to break the plastic tie.
Aim -Place the extinguisher as close to the base of the flame as you feel safe and aim the nozzle at the base of the fire.
Squeeze- Press the handle together to discharge the extinguisher ensuring the material is expelled into the direction of the fire.
Sweep- Move the nozzle in a sweeping motion across the base of the fire to cover the entire area.
Where staff can locate data on Performance Improvement Initiatives
Magnet Board
•CAUTI
•CLABSI
Performance Improvement Dashboard
•Intranet Homepage -> Top Stories -> NYU Winthrop Performance Improvement Dashboard -> Enter Winthrop login credentials -> Unit Dashboard
•HAC -> CAUTI, CLABSI, MRSA, C.Dif, Falls
•Quality -> Hand Hygiene, Restraints
Storing clean and dirty equipment separately. Bagging cleaned items to denote they are clean and ready for patient use.
How do you prevent the transmission of infection as it relates to equipment?
•Instructions for Use
•Manufacturer Instructions for Use
•Operator or Service Manual
All equipment has one and the Joint Commission recommends referencing them for all maintenance, upkeep and cleaning of
What are IFU’s or MIFU’s?
At what age and how often is a patient offered HIV testing
All patients ages 13 year or older and at their annual exam
The process of reporting an incident involving hazardous materials or waste
Notify manager. Call 516-663-2520 (external) to report a Code Orange.
What are the five rights of medication admistration
The place where PPE doffed and disposed of?
What is the exam room, lab room or nurses room. The room where the PPE was used
The Process do you follow to report issues with medical equipment (missing, needing repair, etc.)?
• Notify your supervisor or department manager
• Remove it from service
• Place a “CAUTION-DO NOT USE” tag on it. This will prevent anyone from placing it back in service before it is repaired
• Notify Biomedical Engineering at: extension 2664 – 8am-5pm business hours 1-800-554-2152 – after hours, weekends and Holidays
Questionnaire given to screen for depression
PHQ9 given to all new patients and annually. Provider will calculate the results and if the patient comes up positive a referral will be made to our social worker and then S.W. can determine the next course of action
What is Regulated Medical Waste (RMW)
biohazardous” waste or “infectious medical” waste, is the portion of the waste stream generated by healthcare facilities that may be contaminated by blood, body fluids or other potentially infectious materials.
Reported within 5 minutes and documented
What is the time frame for reporting critical results to a provider
If you observe a coworker/staff member not washing their hands between patient rooms, you should do this
Just Culture. You are empowered to stop the coworker/staff member from entering the room and provide a reminder/education. Notify a supervisor.
The max length of time equipment can be parked in hall
30 minutes
How often does staff receive training on abuse, neglect and exploitation
Initial hiring and annually.
How do you dispose of Regulated Medical Waste (RMW)
All non sharp RMW should be placed in a red garbage bag, Dispose of all needles and other sharps in a sharps container.
Hospital intimated program to address the prevalence of MDROs and the overprescription of antibiotics
What is the Antimicrobial Stewardship Program
This is the protocol followed when a needle stick occurs or you are splashed with an unknown substance
What is immediately wash area and notify unit leadership, complete Incident Report, and report to Employee health or if after hours, the ED.
The proper way to discard infectious waste, such as used syringe or soiled gauze
Used syringe must be disposed of in a sharps container. Soiled gauze must be disposed of in red bag waste and stored in soiled utility room for pick up.
How can a patient/family make a complaint
Patients, family members, friends, etc. can report their concerns and/or complaints to the Department of Patient Relations, ext. 2058. Complaints can be made in person, in writing or by telephone.
A patient/ family member may also make a complaint to the New York State Department of Health by calling (631) 851-4300.
The Joint Commission also has a toll free number for reporting concerns. The telephone number is 1-800-994-6610.
What is the R.A.C.E. procedure
Rescue. Patients in immediate danger must be tended to first. If you are busy in the rescue effort, call out “NOTIFY DOCTOR WATER” so other employees can pull the alarm.
Alarm. Sound the alarm by activating the nearest fire alarm pull station and then dial extension 2222. Tell the hospital operator your name and exact location of the fire.
Contain. Close the windows and doors. This will help to confine the fire/smoke to one area until the fire department arrives.
Extinguish/Evacuate. Extinguish the fire if possible with an appropriate extinguisher. If the fire appears too large close off the area and evacuate. Direct the fire response team and fire department.
Multidisciplinary medical staff committee providing oversight of medication management such as selection and use. Approved and removes medications from hospital formulary. Involved in quality assurance, drug utilization review, adverse drug reporting and medication error reporting.
What is the Pharmacy and Therapeutics Committee