Show:
Joint Commission Basics
Patient Saftey
Work Place
Potpourri
True or False
100
During the JC survey, the surveyors will talk primarily to: A. The Hospital Administrators B. The doctors, nurses and staff C. The patients D. The Portland Press Herald
B. YOU! The surveyor's are interested in talking with all staff!
100
What code color indicates Bomb Threat?
Code Yellow
100
What does PASS stand for?
PASS - P- Pull the pin, A-Aim the nozzle at the base of the fire, S-Squeeze the handle, S-Sweep the nozzle form side to side
100
All sharp containers must be changed out when they reach ____ full.
What is 3/4.
100
Hallway doors can be propped open for no longer than 30 minutes.
FALSE. Doors should NEVER be propped open with a door stop.
200
What is "tracer methodology"?
Surveyors analyze a hospital's systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
200
Name one way you reduce the risk of health-care associated infections in your department.
Handwashing with soap and water before and after each patient contact: Even if you used gloves wash vigorously for 15 seconds. Use of artificial or long fingernails is prohibited. LATHER UP!
200
What code color indicates active violence; weapon/hostage?
Code Silver
200
When should employee ID badges be worn?
At all times when at work
200
The medication cabinet must be locked at all times even when the office is open.
TRUE
300
What is HIPPA? Name one way protected health information is kept private in your department?
Health Insurance Portability and Accountability ACT. States the PHI may only be used for purposes of treatment, payment, healthcare operations. 1. Don't discuss patient information in the hallway or elevators, 2. Keep doors to exam rooms closed, 3. close computer screens when away from PC and lock screen.
300
How do you improve the accuracy of patient identification in your area?
Use TWO (2) of the 3 identifiers when providing treatment, administering medications, collecting specimens. Patient's FULL name, patient's FULL Social Security Number and/or patient's FULL birthdate.
300
What does RACE stand for when there is a fire in the practice?
RACE - R - Remove patients and others, A- Alarm, C- Contain the fire (close doors), E- Evactuate
300
How many eye wash stations do we have? and how often are they tested?
2, weekly
300
Purple top wipes are used to clean all clinical equipment including computers.
False. Green top wipes are used for the computer screens.
400
What does the acronym "TJC" stand for?
TJC = The Joint Commission
400
How long is the dry time for the purple wipes?
What is 2 minutes
400
1) Where do you locate instructions for a Minor hazardous material spill?
1) Check the MSDS online and follow instructions
400
How often are exam rooms and exam tables cleaned throughout the day?
In between every patient
400
Code Purple indicates child abduction.
TRUE
500
The Joint Commission survey is conducted: a) Annually b) Every 2 Years c) Every 3 Years d) Every 4 Years
c) Every 3 Years
500
Name location of 2 fire extinguishers inside this practice.
Front hallway by Exam room 2 and back hallway past exam room 6
500
Per Life Safety Standards there needs to be ___inches or more of open space maintained below the sprinkler deflector to the top of storage.
18"
500
Where is the downtime procedure box located? and what is kept inside?
Hall cabinet "meat locker". Superbills and paper forms used to document patient information in the event EPIC goes down.
500
Code Pink indicates child abduction.
False. Code pink indicates infant abduction.