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

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

3. 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

4. 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

5. The Joint Commission Answer: Social Work Center for
Violence Prevention and Recovery
( )
Beth Israel Deaconess Medical Center

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

7. 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

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

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

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

11. 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

12. 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

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

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

15. 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

16. 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

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

18. 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

19. 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

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

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

22. 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

23. 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

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

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

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

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

28. 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

29. 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

30. 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

31. 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

32. 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

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

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

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

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

37. 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

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

39. 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

40. 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

41. 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

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

43. 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

44. 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

45. 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

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

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

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

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

50. 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

51. 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

52. 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

53. 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

54. 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

55. 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

56. 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

57. 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

58. 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

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

60. 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

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

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

63. 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

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

65. 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

66. 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

67. 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 ( ) and ask for immediate assistance for a mercury spill
Beth Israel Deaconess Medical Center

68. 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

69. 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

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

71. 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

72. 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

73. 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

74. 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

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

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

77. 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

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

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

80. Beth Israel Deaconess Medical Center
The Joint Commission
Answer:
Call the confidential help line ( ) or the Office of Business Conduct ( )
Beth Israel Deaconess Medical Center

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

82. 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

83. 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

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

85. 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

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

87. 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

88. 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

89. 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

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

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

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