Regulatory 101
This organization accredits and certifies health care organizations. ____accreditation/certification is recognized as a national symbol of healthcare quality.
What is The Joint Commission (TJC)
Rescue, Alarm, Confine, & Evacuate/Extinguish
What is the acronym R.A.C.E?
Not allowed in clinical areas from being in dirty warehouse or trucks and can carry insect eggs
What is corrugated shipping box
Reassess to evaluate the patient's perceptions of the effectiveness of ___interventions, including progress toward ___ management goals and functional ability; administrative policy
What are the expectations for pain reassessment?
If a patient reports this, you should stay with the patient (even in the bathroom), call for help and be within one arm's length of patient at all times
What is potential for self-harm (suicide)
This document explains how to operate and correctly clean a piece of equipment
What are the 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 the pin
Aim (at the base of the fire)
Squeeze
Sweep (side to side)
This should be completed upon entering and exiting patient rooms, before and after donning gloves
What is hand hygiene
Staff can either search this quick key word or click on the intranet to find these; organized by alphabetical or categorical
What are policies
Unattended label specimens, open EMR, open work phones, patient sign-in sheets/logs, printed PennChart documents are examples of
What is unprotected patient health information?
When a patient expresses a concern that occurs outside of the patient visit (such as in a telephone call, message or survey). This type of concern must be shared with a practice manager/supervisor. The manager will work with Patient & Guest Relations to resolve.
What is a grievance
When using the eyewash, flush your eyes for ___ minutes
What is 15 minutes?
bonus: or per the amount of time stated in the Material Safety Data Sheet (MSDS), located on the Intranet
Found on bladder scanners, EKG, VS machines, and scales with the QR code for referencing the IFU and which hospital approved wipes to use
What are the WCW Equipment Tags
Once ordered, these are good for one calendar according to the HUP policy.
What is an order for restraints
Cyracom and DHCC are examples of
What are Interpreter Services?
HIPPA, Health System Safety Essentials, Infection Prevention, Point of Care testing, Restraints, are all examples of these
What are annual mandatory education requirements
Located on the unit with the evacuation management plan
What is the Red Flip Chart Binder (Department Specific Emergency Management Plan)
Term for time that a disinfectant needs to stay on a surface to ensure efficacy with cleaning with the hospital approved wipes
What is the wet time
In the EHR, these are individualized, relevant to the patient, and have end dates for each of them
What are care plans
Door Handle, phone cord, cord from the blinds, call bell cord, picture frames, mirrors
What are examples of ligature risk?
These projects use data to improve the quality and safety of healthcare. Healthcare organizations are required by CMS/TJC to complete these projects as part of ongoing process improvement.
What are Quality Assurance and Performance Improvement projects (QAPI)?
This is how much space must be between the ceiling and any object (for example, in storage rooms).
What is 18 inches?
This equipment is cleaned with bleach for 1 minute, with 2 wipes, and 3 times vertically and horizontally
What is the Novameter glucometer
Medication must be stored in locked rooms, drawers or cabinets to prevent this.
What is tampering, misuse and theft?
When washing hands with soap and water, they need to be washed for ______ seconds
What are 15-20