Beth Israel Deaconess Medical Center The Joint Commission Answer: Pain Beth Israel Deaconess Medical Center

Answer: Health Care Proxy The Joint Commission Answer: Health Care Proxy Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: FALSE But all patients must be ASKED if they have a health care proxy and must be given information about designating a health care proxy if they don’t have one. Beth Israel Deaconess Medical Center

Answer: In a secured location, inaccessible to patients and visitors. The Joint Commission Answer: In a secured location, inaccessible to patients and visitors. Beth Israel Deaconess Medical Center

The Joint Commission Answer: Social Work Center for Violence Prevention and Recovery (667-8141) Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: TRUE Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Materials Safety Data Sheets provided by the manufacturers of all chemical products to provide chemical information. MSDS lookup is available on the BIDMC Portal on the General Tab under References. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: (63)2-1212 Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Nutrition consults can be requested through and e-mail link in the Nursing Initial Patient Assessment (IPA). Beth Israel Deaconess Medical Center

Answer: All members of the health care team The Joint Commission Answer: All members of the health care team Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Yes, an MD must order restraints in Provider Order Entry (POE) within one hour of the initiation of the restraints. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Prior to administering medications or blood products, prior to drawing blood samples or specimens Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Hand Hygiene Beth Israel Deaconess Medical Center

Answer: All patient information is confidential The Joint Commission Answer: All patient information is confidential Beth Israel Deaconess Medical Center

The Joint Commission Answer: All verbal orders must be written down and read back for confirmation. Verbal orders should only be taken in emergent situations. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Artificial nails are NOT TO BE WORN by 1) direct patient care providers, those who touch patients in the course of providing care; and 2) providers of indirect patient care, those who would touch critical items that would come in contact with the patient. (Critical items include, but are not limited to, meds, IV solutions, blood products, instruments, sterilization/disinfection equipment.) Beth Israel Deaconess Medical Center

Answer: Rescue, Alarm, Contain, Extinguish The Joint Commission Answer: Rescue, Alarm, Contain, Extinguish Beth Israel Deaconess Medical Center

Answer: Code phrase for disaster or emergency preparedness event. The Joint Commission Answer: Code phrase for disaster or emergency preparedness event. Beth Israel Deaconess Medical Center

Answer: Every 4 hours with a face-to-face evaluation. The Joint Commission Answer: Every 4 hours with a face-to-face evaluation. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: YES Beth Israel Deaconess Medical Center

Answer: Fire hazard and fall prevention/safety The Joint Commission Answer: Fire hazard and fall prevention/safety Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: When hands are visibly soiled or after using the bathroom; all other times use CalStat. Beth Israel Deaconess Medical Center

Answer: Properly labeled and sealed in a biohazard bag The Joint Commission Answer: Properly labeled and sealed in a biohazard bag Beth Israel Deaconess Medical Center

Answer: Through air borne droplets The Joint Commission Answer: Through air borne droplets Beth Israel Deaconess Medical Center

Answer: A psychiatric emergency The Joint Commission Answer: A psychiatric emergency Beth Israel Deaconess Medical Center

The Joint Commission Answer: Speak clearly, approach patient slowly, adjust room temperature Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: TRUE Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: The small blue recycle bins are emptied into the large, locked blue recycle bins that are located in each area. Hand shredding of patient information into the small blue bins is recommended until they can be emptied. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Defibrillators must be checked on a daily basis and a weekly basis. Check the instructions on the audit log for these regular checks of the equipment. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: If you witness the event, such as, a fall or other injury. Refer to policy for Incident Reporting. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Internal (non-influx) such as fire or checmical spill and external (influx) such as plane crash or other mass casualty Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Call into Medical Center to see if employee is needed; report to Medical Center as requested wearing Medical Center ID Beth Israel Deaconess Medical Center

Answer: Code phrase for fire emergency The Joint Commission Answer: Code phrase for fire emergency Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: No one Beth Israel Deaconess Medical Center

Answer: All health care workers The Joint Commission Answer: All health care workers Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Yearly Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Gowns, gloves, goggles, face shields, safety needles and sharps, sharps containers, biohazard bags Beth Israel Deaconess Medical Center

Answer: Chemical spill response program The Joint Commission Answer: Chemical spill response program Beth Israel Deaconess Medical Center

Answer: Location is unit specific. Check your unit for exact location. The Joint Commission Answer: Location is unit specific. Check your unit for exact location. Beth Israel Deaconess Medical Center

Answer: Horizontal, with fire doors closed; then vertical if necessary The Joint Commission Answer: Horizontal, with fire doors closed; then vertical if necessary Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Know which alarms are on your unit. Be able to describe them. Know how to adjust the alarm settings and if adjustment is allowed. Know who is responsible for responding to each alarm in your unit. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Notify Supervisor or Administrative Clinical Supervisor (off-shifts) and Employee/Occupational Health Services at 632-0710 Beth Israel Deaconess Medical Center

Answer: On each unit. Forms can be ordered through Office Depot The Joint Commission Answer: On each unit. Forms can be ordered through Office Depot Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: The Medical Center encourages the patient’s family and friends to witness, rather than Medical Center employees Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Posted on each unit, in the Administrative Manual, in the Inpatient Guide, in the patient handbook, and on the BIDMC intranet portal Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: TRUE Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: TRUE Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: TRUE Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Every 72 hours Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: The laboratory is required to maintain records to ensure reliable identification of patient specimens as they are processed and tested to assure accurate reporting of results. Only personnel who have successfully completed a documented training session are permitted to run the test. The operator IDs are key to knowing who is running the test Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: A patient in Nonviolent restraints requires nursing documentation every two hours on the Restraint Flowsheet. Beth Israel Deaconess Medical Center

The Joint Commission Answer: The Restraint Flowsheet is available for restraint documentation. Violent and/or Self-Destructive Behavioral Restraints require documentation: 1. Every 15 minutes by the Observer or RN 2. Hourly by the RN Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: On the intranet portal, click on “Care Notes Health/Drug Information” under the Patient Education Section; choose medication needed Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: One way is to use the BIDMC fact sheets located under Patient Handouts on the Patient Education tab on the portal. These are developed by interdisciplinary teams. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Patient identity Type of Procedure Site and Side of the procedure to be done Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Check the BIDMC Fact Sheets under the Patient Education tab on the portal to see if a fact sheet exists in the language needed If information is needed in Spanish, check the Care Notes Health/Drug Information section on the portal Page an interpreter to help with any verbal or written instructions Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Upon entering and leaving the patient’s room; before and after touching a patient or his/her environment; before eating/drinking or handling food; after blowing your nose, after covering a sneeze; after using the bathroom. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Posted on each hospital telephone and on purple BIDMC information card that fits with ID badge Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: TRUE Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Code Red emergency: Location of fire - stay on line until operator hangs up Beth Israel Deaconess Medical Center

The Joint Commission Answer: A mentally competent adult (over 18 years) or an emancipated minor Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: TRUE Beth Israel Deaconess Medical Center

Answer: 24 hours per day, 7 days per week The Joint Commission Answer: 24 hours per day, 7 days per week Beth Israel Deaconess Medical Center

Answer: Blood soaked disposable items The Joint Commission Answer: Blood soaked disposable items Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Neither confirm nor deny the presence of the patient on your unit, and refer the caller to Corporate Communications Beth Israel Deaconess Medical Center

Answer: 24 hours per day, 7 days per week - via the page operator The Joint Commission Answer: 24 hours per day, 7 days per week - via the page operator Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Remove the patient from the area and close the area to traffic; call the Chemical Emergency Spill number (632-1212) and ask for immediate assistance for a mercury spill Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: The Morse Fall Scale screens patients to determine if they are at risk to fall. The scale takes into account previous falls, secondary diagnoses, use of ambulatory aids, presence of an IV, gait and mental status/judgement. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Non-slip slipper/socks Bed in low/locked position Fall risk signs posted Bed and/or chair alarm Safety checks call bell within reach toileting assistance Beth Israel Deaconess Medical Center

Answer: The Massachusetts Department of Public Health The Joint Commission Answer: The Massachusetts Department of Public Health Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Every 96 hours - see Manual of Nursing Practice and Infection Control IV Guidelines Beth Israel Deaconess Medical Center

Answer: Tube feeding formula may hang for 8 hours The Joint Commission Answer: Tube feeding formula may hang for 8 hours Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Any procedure requiring general or regional anesthesia, blood transfusions, angiography, cardioversion, biopsies, etc. For complete list, see policy entitled “Informed Consent” PR-02 in the BIDMC Policy Manual Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: These are emergency phones for use only when the regular telephone system is out of service. Instructions for use of power fail phones are available at the phones and on the Telecom web page. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: TRUE Beth Israel Deaconess Medical Center

Answer: In the bottom section of the cart The Joint Commission Answer: In the bottom section of the cart Beth Israel Deaconess Medical Center

The Joint Commission Answer: Check your unit’s fire box pull locations. Should also be noted in unit’s emergency plan. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Call for help (put the emergency light on, pull out call bell from wall; call 2-1212) and get code team there ASAP. Begin CPR Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Yearly Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Call the confidential help line (888-753-6533) or the Office of Business Conduct (975-6130) Beth Israel Deaconess Medical Center

Answer: All members of the health care team The Joint Commission Answer: All members of the health care team Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Using 2 forms of identification, such as, name, birthdate, record number, social security number. Ask the patient “What is your name?” Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: They are found on the BIDMC portal under references and are noted at the bottom of the Patient Notes form. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Yearly Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Call the Pharmacist. The Pharmacy checks for all food and drug interactions. Beth Israel Deaconess Medical Center

Answer: Pharmacy and Nursing The Joint Commission Answer: Pharmacy and Nursing Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Involve patient in care planning, accept patient’s chosen lifestyle and assist with necessary adjustments related to health Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Inform them that this is confidential information, request that they mail the fax back to the institution immediately Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Answer: Free flow errors occur when the contents of IV bag is infused at an uncontrolled rate. IV tubing must be properly threaded through the pump to prevent such an error. Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Question of the Day Calendar Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Question of the Day Calendar Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center The Joint Commission Question of the Day Calendar Beth Israel Deaconess Medical Center