TJC Basics
This must be on your person at all times, and above your waist
What is your ID badge?
This is the single most effective way to prevent transmission of infection
What is hand washing?
This is required to be done prior to all procedure
What is a time-out 2?
Appropriate response for a fire emergency
What is (RACE) Rescue, Alarm, Confine, and Extinguish or Evacuate?
An event reporting tool designed for capturing and analyzing safety concerns reported by any workforce member.
What is Risk Master?
What motion/activity is permitted during the “Time Out”
What is none?
What is Personal Protective Equipment (PPE)?
Best practices for patient identification
What is "use two patient identifiers"?
How to safely operate a fire extinguisher in the event of a fire
What is (PASS) Pull, Aim, Squeeze, Sweep?
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?
Who do The Joint commission surveyors want to speak to?
What is the frontline staff?
This infection control practice considers all patients to be possible carriers of blood-borne pathogens, and requires PPE to be used when coming into contact with ALL patients blood, urine, or other body fluids.
What is universal precautions?
Includes pre-procedure verification process, site marking and time out
What is Universal Protocol?
The location of the Safety Data Sheets (SDS).
What is the Infonet?
OR 6,7,8,22, & 25. Hallway locations: outside OR 4, outside OR 9, between OR 22 & 21 and by SPD outside OR 17
What are defibrillator locations?
An occurrence that results in serious patient harm, often loss of limb or life
What is a sentinel event?
Must always be worn while handling scopes
What are gloves?
The presence of this, located on routinely serviced medical equipment ensures that they are safe for patient use
What is a Bio-Med sticker?
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 will be called prior to final closure for any unresolved count issue (noting patient stability) and the procedure will not proceed until the discrepancy has been resolved.
What is a Condition Stop?
Surveyors analyze a hospital systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
What is the tracer methodology?
Where & how we begin the decontamination process
What is at the back table by removing bioburden and using pre-klenz?
The RN and ST verify together the correct medication, dose, and expiration dates. Then the medication is added to the field, and then labeled.
What is the appropriate process for adding medication to the sterile field?
The minimum distance that an item or storage should be placed from the ceiling.
What is 18 inches?
Between OR 1-2, Between OR 5-6,OR 11, OR 16, OR 21,SPD/surgical decontam area
What are eyewash stations?