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Joint Commission Prep II 2022

Horizontales
Code for a bomb/bomb threat. Do Not Hang Up!
A way to identify visitors that have been granted privileges.
Situation Background Assessment Recommendation
The S of STAR
The Q in QVV
A question to make an instruction clear; sometimes uses numeric (15; one-five) or phonetic (alpha, beta) tools
Code for an unmanageable/combative patient, visitor or staff member that is perceived as a threat to safety
One of the patient identifiers used at NCH
Or a washer, a tool to use to open a locked restroom door
____ marking. This must be completed by a licensed independent practitioner who is ultimately accountable for the procedure and who will be present when the procedure is performed
The A in STAR
These are the patients rights and are provided to them on the back of the general consent form
Stop Think Act Review
When one is needed for families with limited English proficiency, we have 24 hour access either in person or via ipad/telephone
Occurs immediately before starting a procedure, sedation or surgery. It is standardized and involves the immediate members of the procedure team. It must contain the correct patient identity, site and procedure.
These needs are asked about and documented in Epic's patient profile. Pastoral Care is utilized through referrals
The R of STAR
Care ____Or called outpatient ____. Required before disclosing PHI to anyone who is not physically present
The first P of 5P hand off
A medication must have this on the syringe with the name, strength, quantity, dilutent, volume and expiration date/time
Code for a severe weather alert
Test results that must be reported to the appropriate licensed caregiver within a defined time frame
A procedure site for an incision or insertion must be
Verticales
Patients are informed they have the right to report these by signage in lobbies, registration kiosks, on the back of the general consent form and on the hospital's website
The patient and family preferred method is documented in the medical record on each admission
Reduce the risk by making environmental assessments and identifying risks such as ligature harm or other self harm objects
Maintain and communicate patient information that is ______
Code for a disaster
Major goal of NCH toward infection prevention
The officer you can contact if you have a concern related to patient safety or quality of care. NCH's officer is Kathleen Dunn.
The T of STAR
Medical Record _______ is one of the patient identifiers used at NCH
The fifth 5 of 5P handoff
Identifying the ___ patient and ___site before a procedure is a part of a pre-procedure process
How to use a fire extinguisher - Pull Aim Squeeze Sweep
Patient Health Information
Safety Data Sheet
Code for a missing patient or abduction
Not talking about patients in public areas
_____ History, the third P of 5P handoff
These issues are addressed through committee if they cannot be resolved at the point of service
The first V in QVV
The last V in QVV
The second P of 5P handoff
The fourth P of 5P handoff
Rescue Alarm Contain Evacuate
Ask a question; Request a Change; Voice a Concern; Take it up the Chain of Command