Annual Package Assessment – PSA

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

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

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

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

5. How can puncture wounds be avoided?

6. Complying with good body mechanics means:

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

8. 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

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

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

11. Patients can request amendments to their medical records.

12. How is Tuberculosis spread?

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

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

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

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

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

18. Sexual Harassment is all but the following:

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

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

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

22. The word "RACE" stands for:

23. The code name for a fire is:

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

25. EMTALA requires all these except:

26. 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

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

28. 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.

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

30. Who is the Compliance Officer?

31. General lifting rules include:

32. 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.

33. The Compliance policies are found in Policy Manager

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

35. What is our performance improvement Methodology?

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

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

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

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

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

41. A hazardous material is:

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

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

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

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

46. To report an emergency dial:

47. The purpose of decontamination is:

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

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

50. Incident Reports are:

51. A Code Blue is:

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

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

54. 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?

55. The fire extinguisher nozzle should be aimed at:

56. The ABC Fire Extinguisher:

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

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

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

60. PPE means:

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

62. 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.

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

64. 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:

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

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

67. The SDS has the following Information:

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

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

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

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

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

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

74.
1. Failure to report incidents may result in a $5,000 fine for non willful violations

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