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Joint Commission Questions and Answers (Basics of Flexible Endoscope Reprocessing)_.pdf
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Joint Commission Questions and Answers (Basics of Flexible Endoscope Reprocessing)_.pdf
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8/13/24, 4:42 AMJoint Commission Questions and Answers
Jeremiah
Terms in this set (143)
Always wear your ID badge, remain calm, and smile!
All you need to do is enthusiastically show the
excellent care you provide every day
Jump in and always be willing to talk to a surveyor;
never say, "I am too busy"
Always "hand off' my patients using SBAR if the
surveyor wants to speak with me
TIPS on Talking to Joint Commission Surveyor
Always think carefully before responding, and if
you don't understand a question ask practitioner for
clarification. Never say, "usually," "sometimes" or
"should" or "I don't know"
Know how to find documentation to support my
responses, such as using the intranet, PolicyTech,
meeting minutes, or Unit Quality Boards
Fire extinguisher Do you know where the closest fire extinguisher is in your clinic?
Mount Sinai Desk Top Launcher please play see photos of links to
with: ServiceNow
ServiceNow PolicyTech Management
PolicyTech Management PolicyTech Policies
PolicyTech Policies SafetyNet
SafetyNet SDS Link
SDS Link
Joint Commission Questions and Answers
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, 8/13/24, 4:42 AM
Know your work area
1-Know where your exits are located
2- Know at least two ways out
3- Know your areas of refuge
4- Know the location of fire extinguishers
5- Know the location of the manual fire alarm station
6-Know where the medical gas shut-offs are. (for
What are Fire Safety Goals
areas that have this example intensive care units,
surgery suites)
7- Keep hallways clear and unobstructed
8- Have an exit plan(Not only at work - everywhere)
9-Do not store items within 18 inches of the ceiling in
any room with sprinkler heads; doing so may
prevent the sprinkler water from reaching the fire
The mission of the Mount Sinai Health
System is to provide compassionate care with seamless coordination and to advance
Mount Sinai Mission
medicine through unrivaled education, research, and outreach in the many diverse
communities we serve.
How to find Mount Sinai Policies
The Joint Commission is an organization that measures hospital performance in a variety
of areas. Achieving accreditation through The Joint Commission means that the hospital
What is The Joint Commission?
has met or exceeded standards concerning levels of service, patient care, quality, and
safety.
Without accreditation, our hospital will lose its competitive edge, professional standing
and community image.
Why is it important to achieve accreditation? Also, loss of accreditation will affect whether third-party payers (insurance companies,
managed care companies, and especially Medicaid and Medicare) will do business with
us
Although it may seem as if the survey has nothing to do with you, this could not be
further from the truth. You-and every member of the hospital and medical staff - are
very much responsible for upholding our hospital's mission to provide excellent patient
care. The Joint Commission surveyors will speak with you about your contribution to the
hospital's overall goals and about your individual role, so you need to be able to
answer clearly and correctly.
What is your role in the survey?
In fact, the survey process - utilizing the Tracer Methodology- will guarantee that at
some point during the survey, you will interact with one of the surveyors.
You will be asked about your role in providing care or service. This is how the surveyors
will assess our compliance with the standards. Surveyors will not direct their questions
to managers; they want to talk with the staff who actually provide the care or service
that is being evaluated.
see photo
5M Fire Extinguisher near room 104
see photo
5M Fire Extinguisher near room 104 part 2
Joint Commission Questions and Answers
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