What is a Code Pink
Infant or Child Abduction
(Answers can be found on badge buddy given when you received your badges. It is absolutely OKAY to refer to this badge buddy when speaking to JCO auditor)
Where are the fire alarm pull stations?
Pull stations are located near exits, stairwells, main corridor doors, and in major corridors, make sure to know where they all are on your unit or department.
What can be kept under the sink in patient care areas?
Nothing
What is Quality Assurance (QA)?
Quality Assurance is defined as a program that guarantees quality patient care, by tracking the outcomes through scheduled audits. QA included appropriateness, applicability and timeliness of patient care.
What is Performance Improvement (PI)?
The continuous study and adaptation of the functions and processes of a healthcare organization to increase the probability of achieving desired outcomes and to better meet the needs of patients.
What is a sentinel event?
is a patient safety event that results in death, permanent harm, or severe temporary harm.
What are some examples of a sentinel event?
unexpected death, abduction of an infant, rape while in the facility, hemolytic transfusion reaction, surgery on the wrong body part or patient. And many many more.
True or False:
It is critical to maintain/set aside/ save any equipment or tubing involved in a sentinel event.
True
How are Patients/ Families informed of their rights and responsibilities?
Patient registration gives them a copy, Patient Rights and Responsibilities are posted throughout patient care areas.
How do we protect private health information?
We do not discuss patient information in the hallways ,cafeteria or other public areas.
We lock our computers when we step away.
We secure an authorization to release Information before sending out records.
What are some phrases to avoid when you are answering a surveyor’s question?
Avoid saying things like “I think we mostly do it this way “We’re supposed to” “On my shift” “I usually do”
What should you do if you do not know a question the surveyor asks?
STAY CALM, say something like I know where to find the answer (please be able to find it) or Ask a friend other staff can help, phone a friend (don’t literally phone a friend)
Why is TJC accreditation important?
Because TJC surveys us on behalf of the federal government, Centers for Medicare and Medicaid.
Accreditation allows us to recieve Medicare and Medicaid reimbursment form our patients.
Also accreditation means we are working towards a goal of zero harm
What does R.A.C.E stand for?
Rescue, Alarm, Contain, Extinguish
(Answers can be found on badge buddy given when you received your badges. It is absolutely OKAY to refer to this badge buddy when speaking to JCO auditor)
Is it ever acceptable for fire doors to be held open with, ties, wedges, or other objects or to tape a door or latch?
NO
How can you identify emergency power outlets?
They are RED
What is elopement?
It is when a patient is observed leaving an inpatient unit without having been discharged and has no intention of returning.
Why is it mandatory that we keep hallways clear?
So that we can safely and quickly evacuate patients and personnel in the event of a fire or other emergency requiring evacuation
What are some examples of internal systems that directly impact the quality and safety of patient care?
- medication usage
- Infection control
- Surgery and anesthesia
- Transfusions
- Restraints and seclusion
- Staffing and staff compliance
- Fire safety
- Medical equipment
- Emergency management- Security
Hospital Consumer Assessment of healthcare providers and systems (HCAHPS)
Provides a standardize survey for measuring patient’s perspective on hospital care
Three goals of HCAHPS
- Meaningful comparison between hospitals
- Public reporting to provide hospitals incentives to improve patient care
- Public reporting to enhance public accountability and investment
Single use supplies must be?
ALL single use supplies must be thrown away after one use.
Clean supply room
Should remain free from soiled linen, have nothing on the floor, and bottom shelves of racks must have solid plastic liners.
Sprinkler heads need to have a clearance of ________?
Why?
Nothing should be stored within 18 inches of sprinkler heads. 18 inches lets the sprinkler head work correctly.
