Annual Package Assessment – PSA

1. At Larkin Community Hospital Palm Springs Campus, all incident reports must be submitted to Risk management within:

2. What do the letters S.D.S stand for?

3. What is our performance improvement Methodology?

4. The SDS has the following Information:

5. The standards set in the Compliance Code of Conduct are mandatory and must be followed.

6. When an external or internal disaster is called, ALL employees on duty should:

7. When completing an incident report, keep the following in mind:

8. A Code Blue is:

9. General lifting rules include:

10. The Compliance Code of Conduct only applies to Larkin's owners and directors

11. To report an emergency dial:

12. A root cause analysis (RCA) is conducted any time a sentinel event occurs. The purpose of the RCA is to identify the basic or root cause of a process

13. What information can be released about a patient if they have chosen not to be listed in the patient directory?

14. Incident Reports are:

15. The purpose of decontamination is:

16. All employees required to maintain their own educational records, and to provide a copy of all continuing education activities to their department director for their file

17. An incident report must be completed for any event not consistent with routine operational procedure.

18. Under HIPAA, a patient has a right to:

19. The word "RACE" stands for:

20.
1. Failure to report incidents may result in a $5,000 fine for non willful violations

21. If gloves are worn, it is still necessary to wash your hands after you remove them.

22. Penalties for HIPAA violations include civil & criminal penalties, fines and/or jail time.

23. Hepatitis B vaccine is offered free of charge to those whose job task includes the potential risk of exposure to blood and body fluids.

24. The Compliance policies are found in Policy Manager

25. Patients can request amendments to their medical records.

26. Affirmative Duty is the legal obligation of hospital employees to report adverse incidents to the Risk manager.

27. Which adverse incidents are reported by the Risk Manager to AHCA within 15 calendar days after its occurrence:

28. A Sentinel Event is an unexpected occurrence involving death or serious physical or psychological injury.

29. It is considered fraud if claims are submitted for items or services that are not provided.

30. CDC recommends that in addition to Standard/ Universal precautions, healthcare Workers utilize transmission based (isolation) precautions, these precautions include Airborne, Contact & Droplet.

31. Who is the Compliance Officer?

32. The following statements describe the Performance Improvement Process used at Larkin Community hospital Palm Springs Campus:

33. When a faulty equipment is encountered, the staff responsibility is to:

34. Sexual Harassment is all but the following:

35. The Deficit Reduction Act provides an incentive to States to enact the false claims acts in the form of an increase of 10% points in its share of any amounts recovered.

36. Two (2) main purposes of the employee badge are for Identification & Clocking In & Out.

37. Frequent rounding is one way to prevent patient falls.

38. The ABC Fire Extinguisher:

39. Florida Statute 395.0197 requires at least 1 hour of education and training on risk management and risk prevention annually.

40. If an employee is uncomfortable with providing a certain aspect of care, he/she should:

41. How is Tuberculosis spread?

42. EMTALA means Emergency Medical Treatment and Active Labor Law commonly known as Patient anti Dumping Act

43. Employees that receive subpoenas at home that are hospital related should:

44. PPE means:

45. Standard Precautions means to treat every patient as if they are infected.

46. It is the policy of Larkin Community Hospital to give equal employment opportunities to all qualified persons without regard to all but the following:

47. EMTALA obligations end when the patient has been admitted as an inpatient.

48. What are 2 items used to identify patients at risk for falls?

49. The code name for a fire is:

50. It is a requirement that an Emergency Room log be maintained.

51. It is mandatory to formulate Advance Directives at Larkin Community Hospital Palm Springs Campus.

52. The fire extinguisher nozzle should be aimed at:

53. A Failure Mode & Effect Analysis (FMEA) is a systematic way of examining a process before an occurrence for possible ways in which failure can occur. It assumes that no matter how knowledgeable or careful people are, errors will occur in some situations.

54. Hand washing is the single most effective way to prevent the transmission of an infection.

55. The Mission statement of Larkin Community Hospital Palm Springs Campus is:

56. EMTALA requires all these except:

57. Complying with good body mechanics means:

58. A disposable particulate RESPIRATOR/mask called a N95 is required for the Healthcare worker, whenever in close contact with a known or suspected Tuberculosis patient?

59. Which statement is the best definition of Standard/Universal Precautions?

60. According to Larkin Community Hospital Palm Springs Campus philosophy, the quickest way to communicate high standards of care to our patients, visitors and employees is by providing a ____ environment:

61. All of these are examples of health care fraud except:

62. A call for personnel to assist with a aggressive patient is paged as:

63. Which of the following does NOT have to be included in an accounting of disclosures?

64. The drug and Alcohol Policy of Larkin Community Hospital Palm Springs Campus helps to maintain a work environment free of all but the following:

65. How can puncture wounds be avoided?

66. As a healthcare worker you have an ethical obligation to keep patient information confidential.

67. The first group of people to be evacuated in a fire is:

68. A plan designed to eliminate or minimize employee exposure to blood pathogens:

69. All patients must be listed in the hospital's patient directory.

70. Any employee who violates our privacy policies is subject to reprimand up to and including termination.

71. Whose responsibility is it to maintain current licensure or credentials needed for your position?

72. The hospital must provide a medical screening examination when a request is made to determine if the patient has an emergency medical condition, regardless of a person's ability to pay.

73. A hazardous material is:

74. Under which of the following situations are you allowed to repeat, to other personnel, health information you overheard while conducting your job?

75. Preventing falls is an important safety measure and applies to everyone