Questions & Answers

Questions & Answers Earn A Sundae – January 14, 2007

Booths Theme / Questions Prize 1. What can not be stored under the sink? Environment of - Nothing Spoon - Any items used for patient care. Care 2. What steps would you take if there was a fire in your area? (hint RACE). R – Check the area for persons and Rescue / Remove them to a safe location. A – Activate the fire alarm AND Dial “2”. C – Close doors to Confine the fire. E – Extinguish the fire IF you can. (E also stands for Evacuate if situation merits it)

3. Where are MSDS located? - Each department has MSDS sheets. - RMC – Master copies kept on 4th floor. - SMH – Master copies kept in Security Office by Emergency Room.

4. What procedure would you follow if you were exposed to a chemical exposure? - Check MSDS Sheet - Check the label & follow instructions - Seek treatment if needed.

Clinical Provision of Care 1. Name 2 things patients should be educated on. Bowl Possible answers: ▪ Plan of Care ▪ Basic health & safety ▪ Medications ▪ Nutrition ▪ Diets ▪ Oral Health ▪ Use of Medical Equipment ▪ Pain & its assessment and management ▪ Habilitation or rehabilitation techniques

2. What are some barriers to learning? Any that fall into: ▪ Cultural ▪ Religious ▪ Emotional ▪ Desire & motivation ▪ Physical ▪ Cognitive ▪ Language or other communication

3. Does your organization have an “Access to the Outdoors” policy? SMH: Yes RMC: No

Non-Clinical 1. Where would you find your Scope of Service? SMH: S: Drive & Meditech RMC: IntraNet

2. What does it mean when you see a Daisy on a patient’s room at SMH? High Risk Falls Patient

3. If you find an 8 year old child unconscious, what # would you call and what would you report? Dial “2” and say “Code Blue Jay”. Also report the name of the facility (SMH/RMC), the floor and location.

Hand Washing Test w/ black light Infection Control 1. How long are you suppose to wash your hands? Butterfinger Pieces, 10 – 15 seconds (sing Row Row Row Your Boat) MM’s 2. How often do you need a TB test done in our organization? Once a year (on or around your birthday). Booths Theme / Questions Prize

3. Name one indication for using an alcohol-based hand rub. Possible answers:  Before having direct contact with patients.  Before putting on gloves to insert catheters or perform other invasive procedures  After contact with a patient’s intact skin (taking a blood pressure or lifting a patient).  After contact with body fluids or excretions, mucous membranes, nonintact skin, and wound dressings if hands are not visibly soiled.  During patient care if moving from a contaminated body site to a clean site.  After contact with supplies and medical equipment that have been used on patients.  When caring for patients with antimicrobial resistant organisms (MRSA or VRE).  After removing gloves.

4. Who would you contact for an exposure? Employee Health or the Nursing Supervisor

1. Where are sample meds stored on the campus? Medication RMC: ENT, Family Med, OB, Satellite Family Practice areas, GI & ACC Vanilla Ice-cream SMH: Sample meds are not stored at the hospital. Management 2. How often are medication refrigerators checked? Minimum of once a day. If there are vaccines – twice a day.

3. Where is our organization’s Formulary? RMC: Formulary is located on the IntraNet SMH: Icon on the Nursing Units PCs.

4. What is our policy on Verbal/ Telephone orders? Written in the chart, then repeated back to the physician immediately to confirm accuracy. Documentation include “TOV” or “VOV” to indicate that verification of the order was done. (RMC – also see your policy on how the verbal order is defined.)

1. T or F - - Health Care Advance Directive are kept in medical records? Ethics, Rights & True Carmel topping Responsibilities 2. How do you ensure patient’s personal privacy in your area? Possible Answers:  Shutting the patient’s door.  Not leaving charts out in the open.  Use first name when calling out the patient’s name in the waiting room area (not patient’s full name).  Use privacy screens on computers  Use of screen savers when not at your computer/work station  Do not post provider daily patient schedules in an area patients pass through.

3. How do you educate patients about their rights? Patient’s rights are listed in the Patient’s Rights brochure.

4. Who are SMH / RMC Patient Advocates? SMH: Cathey Hankison RMC: Diane Engelhardt 1. How do you know if you are competent in your current position? Human Resources By completing General & Department Orientation Chocolate Topping By annually assessing your job-specific competencies.

2. T or F - - Staff supervises students when they provide patient care, treatment and services as part of their training? True

3. Are volunteers required to have background checks? Yes

4. T or F - - - Orientation is required only for employees who are new to the organization? False – Orientation is required for existing employees who take a new position or transfer to a different area. Booths Theme / Questions Prize 1. How do you maintain patient confidentiality? Information Possible answers: Sprinkles, Chopped  Do not leave patient-identifying information on your computer Management screen. Nuts  Don’t talk about patients in elevators, hallways or the cafeteria.  Do not leave charts out in the open. (Maintain a patient’s privacy with the same consideration you would want if you were the patient.)

2. What do you do in your department to prepare if your computer system goes down? - Prepare workload ahead of time. - In some departments it is a manual process.

3. What would you do if you found out someone knows your computer password? Call IS Help Desk or let your Supervisor know.

4. Can you view a family member’s chart? Yes, with proper authorization.

1. What is a sentinel event? Performance Patient occurrence that could result in death or serious harm to the patient. Whip cream Improvement 2. What is our organization’s PI / CQI model? CAPD (Check, Analyze, Plan, Do)

3. T or F - - Is our Patient Satisfaction / Experience survey a way to identify process / performance improvement? True

4. When reporting an incident which report would you use (choose one: a. Occurrence Report b. Incident Report c. Event Report d. All of the above

D. All of the above.

1. How do you know if a physician has privileges to perform a specific Medical Staff procedure? Cherries, Strawberry During the week days you may contact the Medical Staff Office. Privileges are automated in Meditech and may be accessed by the Nursing Supervisor Topping during the evenings and weekend.

2. If you have questions regarding the Medical Staff Bylaws, Rules and Regulations, who would you contact? - Contact the Medical Staff Office. - Can be accessed on line on the shared (S) drive, under Medical Staff Bylaws.

3. T or F - - The Medical Staff is responsible for the quality of medical care provided at SMH hospital, subject to the ultimate authority of the hospital governing body. True

4. Where can you check to see if a physician / provider is on our Medical Staff or Allied Health Staff? Meditech Library under Medical Staff Listing – Alpha or Paramedical Staff List-Alpha

1. How does our organization communication its’ mission, vision, and values to Leadership all employees? Crushed up Oreo - Our mission statement is posted in prominent spots throughout the organization. Cookies - Mission statement is listed on the back of employee name badges.

2. Where would you look to find our Code of Ethics? - Governing Bylaws In regard to our Code of Ethics: - Every employee is required to complete Complistar education - The Board and all of management sign conflict of interest agreements and are provided yearly education on compliance-integrity. Booths Theme / Questions Prize 3. How does your job contribute to our organization’s mission? Possible answers: - Hands-on patient care - Making sure hospital runs efficiently. - Volunteering on committees (ex. Christian Workplace) - Providing education

Information Booth No questions – hand out, talk about information and answer Do Not Use ▪ Accreditation questions. Abbreviation note pad Process Pens ▪ Timeline ▪ Newsletter ▪ Who to Contact (Team Members) ▪ Survey Tip Sheet