Regulatory 101
This organization accredits and certifies health care organizations. This certification is recognized as a symbol of quality for a health care organization.
What is The Joint Commission (TJC)
R.A.C.E stands for this
What is:
Rescue Alarm Confine and Evacuate
This is how we know the vaginal ultrasound probe is clean
What is:
-Probe cover with CLEAN sticker
-trophon sterilization sticker with time and date
Examples of policies include:
What is: Infection control, nursing, point of care testing, work place safety, human resources
This is a process where all care is stopped and a patient's name, date of birth, type of procedure, allergies and if antibiotics are being administered are reviewed with the patient and care team.
What is a "Time Out for Safety"
This document explains how to operate and correctly clean a piece of equipment
What is Instructions for Use (IFU)
P.A.S.S. is an acronym to guide someone using a fire extinguisher. It stands for this:
What is
Pull Aim Squeeze Sweep (side to side)
Instruments are sprayed this many times before putting them in the dirty red bin?
What is 5-10 times
This is how to find a policy on the Intranet
What is: Type "policies" in the search box or click on Policies
If the score of the ___ is 3 or higher, the person performing intake should notify the provider immediately to perform the PHQ9
What is the PHQ2?
When a patient expresses concern that occurs outside of the patient visit (in a telephone call, message or survey) and must be reported to a manager
What is a grievance
When using the eyewash, flush your eyes for ___ minutes
What is 15
This is how we know a red instrument carrier is clean
What is
the lid is upside down
If a patient reports this, you should stay with the patient (even in the bathroom), until patient has been evaluated by provider, call for help and be within one arm's length of patient at all time,
What is potential for self-harm (suicide)
MARTI, In-person, Quantel telephone service, Switchboard
How do we access interpreter services for patients?
What is: To prevent theft, to prevent tampering, to prevent misuse
This is where to find the fire extinguishers in the RSF
Waiting room within 5 feet of stairwell exit
Next to OR2
This is the dwell time for hydrogen peroxide wipes (how long we must wait for them to dry before the surface is clean)
What is 1 minute?
These are all elements of Universal protocol in the RSF
What is verifying the correct patient (name and DOB), correct procedure, allergies and if antibiotics will be administered. Timeout for Safety is performed with the entire team and documented in EMR prior to procedure start.
Door Handle, phone cord, cord from the blinds, call bell cord, picture frames, mirrors, blood pressure cuffs, oxygen saturation cables, electric cables, computer cords/cables
What are examples of things that can be used to as a ligature/attach to a ligature (any material that can be used for strangulation) ?
First Case Start Times
Instrument Processing and EOC
Hand Hygiene and PPE
What are some of the Quality Projects our department is working on?
This is how much space must be between a sprinkler and any storage boxes
What is 18 inches
When spraying (pre-cleaning) instruments, the appropriate PPE Is this
What is gloves, eye protection, a yellow gown and face mask?
For our practice, we follow the HR policies for this entity ___ and the Infection control policies for this entity__
What is CPUP and HUP RSF
This is how long you should wash your hands with soap and water
What is 15-20 seconds?