Infection Prevention
EOC and Life Safety
Policies and Procedures
Survey Prep
100

When is it okay to have food or drink in patient care areas?

NEVER!

Covered beverages are only permitted in non-patient care areas that have been designated by infection control. A risk assessment must be filled out and the appropriate signage needs to be on display.

100

Fill in the blank: clean and dirty supplies must be stored __________.

Separately! Clean and dirty supplies cannot comingle.

100

What is the system Tufts MC uses to house our hospital policies?

PolicyTech

100

When a surveyor asks you a question that you don't know, who can you ask for clarification?

Your Manager!

Never try to guess an answer. Misinformation provided to a surveyor can create more harm than good. 

200

Where do you find the dwell time (aka "wet time") for a disinfectant?

On the bottle. 

Purple top wipes have a 2 minute dwell time, meaning that surfaces must remain wet for a full 2 minutes to be effective. Be sure you time how long a surface remains wet as surveyors may watch.

200

What is the number you can you use to submit an EVS request (i.e. the Hospitality Call Center)

6-HELP

200

Where on your person should your ID badge be worn?

Above the waist

200

Which acronym do we use as a reminder of survey etiquette when answering questions? 

ALERT

A: Answer only what is asked

L: Locate the correct information

E: Emphasize the positive

R: Report to the command center with any questions asked of you

T: Take a breath

300

For medical equipment used on multiple patients (e.g. blood pressure cuffs), how often does equipment need to be disinfected?

After every use!

300

Where can you find a list of codes used for emergencies (e.g. Code Blue, Code Red)

The back of your ID badge

300

Fill in the blank: any procedure that requires a ________ also requires a time-out. 

Consent

300

How many identifiers do we use when confirming the identity of a patient?

2

We use name and DOB

400

Signage in patient care areas must be ________ or kept in a plastic sleeve. 

Laminated

Signage must be cleanable! (paper will not work)

400

Name one thing that can never be obstructed

Emergency equipment (e.g. defibrillators)

Egresses

Exits

Medical Gas Outlets

Fire Alarms/Pull Stations

400

How soon after admission must a history and physical be completed on a patient?

Within 24 hours

400

If a physician appears in your department to perform a procedure, how can you verify they are credentialed to perform that specific procedure?

Attending: EVA

(Credential Verification)

Residents/Fellows:

House Officer Privileges

500

Name one time when hand hygiene must be performed

1. Before Touching a patient

2. Before clean/aseptic procedures

3. After body fluid exposure risk

4. After touching a patient

5. After touching patient surroundings

500

If you notice a stained, broken, or missing ceiling tile, what should you do?

Place a Facilities request (available through EVA)

500

Which process do we use to ensure that high-alert medications are administered safely?

The independent double check

500

Name one location where a patient can find his/her/their rights.

-New employee orientation

-Initial and annual competency assessment

-Net Learning

-In service training of new products