Joint Commission Basics
Under the sink, in the hallway, less than 18 inches from the ceiling or on the bare floor.
What is don't store anything in this space?
28 Days!
How many days are Multi-Dose Vials good for after opening?
Length of time necessary to let surfaces wiped with the Purple top Sani/Cavi wipes dry, before they become disinfected.
What is 2 Minutes?
We use these 2 patient indentifiers to ensure we have the correct patient and/or the correct record.
What are the patient's name and date of birth
How do you wear your hospital badge?
What is Easily visible, above the waist, facing out, Not flipped over
The process by which a surveyor follows the patient from the start to the finish of their hospital stay.
What is a tracer
Locked Cabinet
What is the place that medication must be stored
Hand Hygiene, disinfecting patient care equipment between patients, and thorough cleaning of patient exam rooms
What is how to reduce the spread of infection?
MSDS and where you find it?
What is Material Safety Data Sheets
Located in ZenWorks Box
What is Falls
These items are essential for carrying out a successful Downtime protocol.
What is the Yellow Binder and downtime computer designated by the Red Keyboard and BCA application in the Zen box!
Used to identify medication discrepancies.
What is medication reconciliation process? This should be done at admission, discharge and All outpatient visits
15 seconds
What is the length of time handwashing should take place?
Good Catch if I never leave a patient alone should they present with this criteria.
What is suicidal ideation?
Code Black
Code Brown
Code Strong
Bomb Threat
Hurricane
Out of Control Behavior
"I do not know that answer off the top of my head, but I do know who to ask and where to find that information for you".
What is how to respond to a surveyor question when you do not know the answer
Oh no 3/4 full!!
What is when is it time to empty the Red Sharps container. (It should be sealed and placed in the large red container in the Biohazard room for pick up.)
The length of time you must flush your eyes at an eyewash station after contamination
What is 15 minutes?
REMOVE
ALERT
CONFINE
EXTINGUISH
Length of time you must flush your eyes at the eyewash station after contamination
What is 15 minutes
The general length of time between Joint Commission Surveys
What is 3 years?
What are the requirements needed for Vaccine administration?
1.Hand washing 2. Gown 3. Mask 4. Goggles 5. Gloves
What is the proper sequence of putting on Personal Protective Equipment (P.P.E)
Electronic document that allows hospital staff to report off on patient safety issues and allows for risk event data collection.
Medical Information Data Analysis System
MIDAS
How are Critical Lab Values handled?
Critical test results are documented in Teams Critical Values log. A read-back of the information is required. The patient’s physician then is called with the results within 20 minutes of the report. Provider acts on the results and documents findings and plan in EPIC.