Environmentally Speaking
Infection
Prevention
Prevention
Patient
Rights
Rights
Safety First
TJC 101
Other
100
This is a structured approach to fire emergencies that helps ensure a coordinated response.
What is R.A.C.E.?
R- Rescue
A- Alarm
C- Confine
E- Extinguish/ Evacuate
100
What is the number ONE way to prevent transmission of infection to our patients, ourselves, and our families?
What is HANDWASHING!
100
This is offered to patients that prefer a language other than English when discussing healthcare
What is Interpreter Services
100
Where is the nearest eyewash station
what is frozen lab on the 6th floor
100
What should you do if TJC surveyor asks you a question that you do not know the answer to?
Ask a supervisor/ manager and/ or look it up on Ellucid?
100
What happens to the patient right to DNR status when he goes to surgery?
A discussion similar to informed consent occurs between the anesthesiologist and the patient as to what interventions will be done in the OR & PACU should there be need of resuscitation. It is documented on the MEEI form found in paper in the patient record.
200
These steps need to be performed when you encounter a damaged piece of equipment.
What is remove the piece of equipment from service, Place a red DEFECTIVE/Do Not Use tag, and place a work order
200
Your patient is on contact plus precautions, what best practices need to be followed to prevent the spread or contamination of the infection
2 Step hand-hygiene, Contact Plus Precautions sign on door, and follow the instructions
200
Prior to administering a blood product, the RN must ensure that this was obtained.
Informed Consent
200
How do you verify the correct IOL?
what is The lens box, the lens order sheet and the IOL calculation sheet is checked by the circulator and MD together to verify the correct lens; the MD circles the correct lens and both initial the circled lens.
200
Clinical staff keep their emergency response skills sharp through these exercises offered monthly from Nursing Education.
What are Short Bursts of Education?
200
What must be done after immediately removing and disposing of gloves?
Wash your hands!!!
300
When storing items in your area, they must be at least this many inches from the sprinkler head?
What is...
18 inches
300
The dwell time for Cavi wipes.
What is:
Cavi Wipes = 1 minutes
300
How long can blood be held once received from the blood bank?
It must be given within 30 minutes after arrival to the unit. The OR can hold it in the cooler for up to 8 hours.
300
What is the term used by the Joint Commission to describe an unexpected occurrence of death or physical injury to a patient?
What is a sentinel event
300
These are the two hospital-approved patient identifiers when confirming you have the right patient.
What is name and date of birth?
300
How long can lumened flexible scopes be stored after being disinfected?
7 days
400
These inspections are conducted by the Facilities Department to identify and list repairs that need to be performed.
What are Environmental Rounds?
400
This will need to be followed when performing low-level disinfection for cleaning all multi-use equipment (vital sign machines, POC/glucometers, etc.).
What is IFU (Instructions for Use), from manufacturer
400
Describe your process for delivering medications onto the sterile field.
All fluids and medications are checked for correct name and expiration date concurrently by the scrub and circulator and labeled at that time. All syringes are labeled as well.
400
In our outpatient clinics, when are Multidose ophthalmic medications disposed of?
14 days after opening unless the manufacturer/compounder expiration or beyond use date is less.
400
During a medical emergency, when is it okay to enter the MRI suite?
What is never?
All codes are performed outside of the MRI (scanner/magnet) room.
Specifically in MRI - "Zone 2"
400
Where is your negative pressure room?
S-Floor Room Pacu Bay 24
Pre-op Bay 6
Main OR None
500
This color bag is used for disposal of infectious, bio-hazardous or labeled chemo waste.
What is a RED bag?
500
What are the three "I's" in the second line of defense in the spread of Infection?
1. Identify
2. Isolate
3. Inform
500
What safety practice is done upon admission of a patient to prevent him from receiving a medication that interacts adversely with another medication?
Med Reconciliation
500
MEE has 4 approved locations where medication can be stored securely on your unit.
Name any 2.
What is....
- Automated dispensing machines (ADM’s)
- Code carts
- Locked medication closets/storage areas
- Locked refrigerators or freezers.
500
This process is used to verify the correct procedure, the correct patient, and the correct site.
What is Universal Protocol?
The Universal Protocol consists of three required components:
• Conducting a pre-procedure verification
• Marking the procedure site
• Performing a time-out before the procedure
500
How long can a multidose vial be used after opening?
28 days
600
Where is the command center located in a code amber?
what is the Sloane teaching room on the 3rd floor
600
What does the Contact Precautions Plus sign indicate?
Indicates that “CDiff “is the reason for the precaution and that bleach must be used to clean the room. Handwashing with soap and water must be used instead of a alcohol based handwash.
600
How do you know if the patient has an advanced directive?
There is the advanced directive form located on paper in the patient record.
600
Who can determine that the O2 must be shut off?
The anesthesia provider, the fire marshall or the charge nurse
600
Where can you find Joint Commission information on the hospital Vitals source?
The “Source” has a blue box button for Joint Commission Information
600
How do we get information on our patient satisfaction?
NRC Pickers (National Research corporation)