Annual Package Assessment – PSA

1. 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.

2. Patients can request amendments to their medical records.

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

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

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

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

7. The code name for a fire is:

8. The SDS has the following Information:

9. Complying with good body mechanics means:

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

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

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

13. EMTALA requires all these except:

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

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

16.
1. Failure to report incidents may result in a $5,000 fine for non willful violations

17. Sexual Harassment is all but the following:

18. What is our performance improvement Methodology?

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

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

21. The word "RACE" stands for:

22. General lifting rules include:

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

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

25. 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?

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

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

28. The purpose of decontamination is:

29. Incident Reports are:

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

31. 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.

32. How can puncture wounds be avoided?

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

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

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

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

37. 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

38. How is Tuberculosis spread?

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

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

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

42. 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

43. 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:

44. The Compliance policies are found in Policy Manager

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

46. PPE means:

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

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

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

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

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

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

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

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

55. A hazardous material is:

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

57. The ABC Fire Extinguisher:

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

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

60. A Code Blue is:

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

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

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

64. The fire extinguisher nozzle should be aimed at:

65. Who is the Compliance Officer?

66. 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.

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

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

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

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

71. To report an emergency dial:

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

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

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

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