Tips for talking with TJC
Accreditation Readiness
Safety
Hot topics/recent citations
100

This is what I would do if I did not know the answer to a surveyor’s question.

What is Do Not Guess?

100

This is when sharps containers should be changed.

When is three-fourths full?  

100

In the context of a fire or smoke, this is what the acronym RACE stands for.

What is Relocate, Activate, Contain, Extinguish?

100

This is the maximum distance/time to arrive at an eye wash station location.  

What is within 10 seconds (55 feet) with unobstructed access?  

200

This is the non-verbal way in which I demonstrate that I am relaxed and confident when interacting with surveyors

What is Body Language?  

200

This is the proper way to label a patient’s food.

What is using patient full name and date/time?

200

In the context of using a fire extinguisher, this is what the acronym PASS stands for.

What is Pull the pin, Aim at base, Squeeze handle, and Sweep side to side?  

200

This is the correct way to label medications.

What is the medication name, strength/concentration, date and time prepared, and expiration date?  

300

This is what I will do to assure I do not answer a question until I am certain I understand it.  

What is listening to questions carefully?  

300

This is the proper way to label an expiration date.

What is MM/DD/YYYY format?

300

These are the 5 rights of medication administration.

What is right patient, drug, dose, route, and time?  

300

This is the wet contact time for Sani-Cloth Prime.  

What is 1 min?  

400

This is how I will avoid giving surveyors more than what they are asking for.  

What is sticking to the facts?  

400

This is the limit of oxygen cylinders kept in a single storage area.

What is 12 oxygen cylinders?

400

This is the frequency with which restraint removing/loosening must be documented for non-violent restraints.  

What is every 2hrs?  

400

These are the steps of a procedural time-out.  

What is a short pause, to confirm correct patient and correct site/side/intervention

500

 This is the Mayo Clinic value present when collaboration and coordination occur during patient care activities.  

What is teamwork?

500

This is the time in minutes that you have to remove a cart that isn’t being used from a hallway/passageway.  

What is 30 minutes?  

500

This is the sequence for doffing PPE.

What are Gloves, gown, goggles/face shield, wash hands?

500

These are the socioeconomic risk factors for suicidal ideation and suicide  

BONUS:  This is the screening tool you would use if a patient expressed intent for self-harm or suicidal ideation.

What are access to firearms, financial difficulties, less education, military service, loss of independence, loss of spouse, stressful life event, and social isolation?

The Columbia Suicide Severity Rating Scale.