Instructions: Please select the correct answer for each question. Question: Anti-Harassment: The CRH Anti-Harassment Policy prohibits harassment on the basis of: o o o o o o o o o o o Race Color Religion National Origin Age Gender Disability Genetic Information Marital Status Military membership or Veteran status All of the above Question: Conduct that is pervasive enough to change the terms and condition of employment and a work environment that a reasonable person would find offensive is a hostile work environment. o o True False Question: Two forms of sexual harassment are: o o o o o A. Quid Pro Quo harassment B. Hostile work environment C. Formal, courteous, respectful, pleasant and non-coercive contact between individuals that are acceptable to both. Both A and B Both B and C Question: Employees who engage in any type of harassment risk disciplinary action and possibly termination of employment. o o True False Question: All employees have a responsibility to report harassment to the appropriate person. Who should you contact if you witness or are a victim of harassment? o o o o Your Director Human Resources Hotline Any of the above Question: BACK SAFETY: When performing a standing activity, it is a good idea to: o o o o o Place your foot on a small step or ledge, alternating feet as needed Adjust your work area to fit you as needed (raise hospital bed, stand on step stool) Stretch periodically, bending forward, backward, and side to side All of the above None of the above Question: CRH has which of the following equipment for lifting/transferring patients? o o o o o Maxisky Tempo Lift Hover Jack Hover Matt All of the above Question: When moving large objects, PULL, don’t push, whenever possible. o o True False Question: Your computer monitor should be at fingertips reach directly in front of you when working at a desk. o o True False Question: When emptying a small trash can, you should: o o o Squat down to take the bag out and put a new one in Bend at waist, with knees locked, to change the bag As long as you are not in the position for a long time, it doesn’t matter how you change the trash can Question: PRESSURE ULCER PREVENTION: If a pressure ulcer develops or worsens in a hospital, the hospital can be responsible for all costs related to the pressure ulcers. o o True False Question: Hips and heels are pressure points on the body that can develop pressure ulcers. o o True False Question: It is CRH’s policy to reposition patients at least every 2 hours to prevent pressure ulcers. o o True False Question: A pressure ulcer: o o o o Is an area of damaged skin and tissue that develops when pressure decreases circulation to vulnerable parts of the body. Can cost as much as $70,000 to manage for one patient. Can be caused by friction, shear, moisture, or pressure. All of the above Question: Hospital Acquired Pressure Ulcers can lead to: o o o o Increased health complications Decreased patient satisfaction Increased legal action All of the above Question: CULTURAL DIVERSITY: To achieve cultural competence within an organization, you must: o o o o Recognize your own culture and biases and become sensitive to the cultures of others. Improve your knowledge and understanding of other cultures. Apply what you learn. All of the above Question: Language barriers can contribute to: o o o o A delay in treatment Shorter hospital stays A decrease in risk of complications in caring for a patient Making it easy for patient to relay their symptoms Question: Resources for improving communication, with language barrier patients, that are available at Culpeper Regional Hospital include: o o o o o A. Language barrier help manual B. CyraCom C. Online access to Pritchett and Hull’s ‘scripts’ B and C only All of the above Question: What statement is true regarding use of interpreters for obtaining and giving clinical information to our patients? o o o o CyraCom is expensive and should be used as a last resort when looking for an interpreter Any willing employee can interpret as long as they speak the language you want translated When an in house qualified interpreter is not available, CyraCom should be used for medical interpreter assistance Family and friends qualify as acceptable, reliable interpreters Question: Persons of Hispanic or Latino origin constitute what percentage of Culpeper County population: o o o o 8.9% 1.5% 16.3% 16.7% Question: EMERGENCY MANAGEMENT: Who is authorized to communicate with the media when the Emergency Operations Plan has been activated? o o o o Safety Officer Security Any hospital employee Public Information Officer or designee Question: Emergency Management is the responsibility of ALL hospital staff. If you are on shift during an emergency management event (exercise or real), you are expected to participate. o o True False Question: What is the appropriate first response upon hearing an “alert” via overhead page? o o o Log on to the HICS Communication Tool to find out what is going on Leave for your lunch break Ignore it and continue working, you are too busy anyway. Question: HICS stands for Hospital Incident Command System o o True False Question: Job Action Sheets for each position of the Command Structure are available in the Incident Command Cart. These serve as “just in time” training for hospital staff. o o True False Question: OSHA/WORKMANS COMP, SAFE PATIENT HANDLING, INFLUENZA, CONSTRUCTION, AND DRUG FREE WORKPLACE: OSHA was formed to protect employees in the workplace. o o True False Question: What is the recommended “maximum” weight limit for use in handling tasks recommended by The National Institute for Safety? o o o o 50 pounds 100 pounds 90 pounds 35 pounds Question: The Employee Incident Report must be filled out immediately or before the end of your shift. o o True False Question: Employee should not enter an area where construction is being done. o o True False Question: Flu vaccine can’t give you the flu. o o True False Question: Employee must see Employee Wellness on a yearly basis in their hire month, to complete annual PPD and/or TB Screening and FIT Testing (if applicable). o o True False Question: The Exposure Control Plan is the employer’s written program that outlines the protective measures an employer will take to eliminate or minimize employee exposure to blood or OPIM (other potentially infectious material). o o True False Question: A drug free workplace sends a clear message that alcohol and drug use in the workplace is prohibited. o o True False Question: Substance abuse can impact a workplace by increasing accidents, interfere with job productivity, poor decision-making, increase absenteeism and tardiness, and increase thefts on the premises. o o True False Question: Any accident, injury, illness, or exposure must be reported immediately to your supervisor and then filed by completing an incident report. o o True False Question: Using safe patient handling equipment decreases patient falls and skin abrasions. o o True False Question: FIRE SAFETY: PASS stands for: o o o Pull, Any, Sprinkler, Switch Pull, Aim, Squeeze, Sweep Push, Acknowledge, Squeeze, Shove Question: RACE stands for: o o o Rescue, Alarm, Contain, Extinguish Remove, Any, Capital, Expense Run, Away, Calmly, Escape Question: In the event of a fire, dial 777 to overhead page “Code Red and location” three times o o True False Question: HAZARDOUS MATERIALS: A safety data sheet (SDS) will provide precautions for safe handling of chemicals and control measures you should take to protect yourself (PPE). o o True False Question: Blood soaked linen can be laundered in the Laundry Department. o o True False Question: It is OK to put regular trash in the red Regulated Waste bags. o o True False Question: One way to get a copy of a SDS is going to www.3eonline.com and log on as CRH with a password of MSDS. o o True False Question: INFECTION PREVENTION AND CONTROL: What is the most effective way to break a line in the chain of infection? o o o o Isolation Hand hygiene Equipment cleaning Cutting the chain with scissors Question: Proper Hand Hygiene compliance means that you wash or use hand sanitizer upon entry, exit, and after every patient encounter. o o True False Question: The only effective way to perform hand hygiene when treating a patient with C. diff is to: o o o Use hand sanitizer when you take off gloves. Use hand sanitizer only Wash your hands with soap and water for 15 seconds after removing the gloves. Question: If a patient is on Droplet Isolation and you are having close patient contact with them, you must wear: o o o Gown and gloves Surgical mask N95 respirator mask Question: If a patient is on Contact Isolation and you are having close patient contact with them, you must wear: o o o N95 respirator mask Surgical mask Gown and gloves Question: The safe zone is the area located in the vestibule of a patient care room in which isolation PPE is not required for contact isolation as long as staff member remains in this area and does not touch any part of the walls, curtain, or other objects in the room. o o True False Question: QUALITY/PATIENT SAFETY: What are our patient’s three basic unspoken expectations? o o o o Great Care, Good Food, Low Bills Eat, Drink and Be Merry Heal Me, Don’t Hurt Me, Be Kind to Me Soft Sheets, Hot Food, Clean Rooms Question: You can find information about patient satisfaction, patient safety, and quality of care for certain diseases in which of the following places? o o o o The hospital web site – www.culpeperhospital.com The Joint Commission web site – www.jointcommission.org The Department of Health and Human Services web site – www.hospitalcompare.hhs.gov All of the above Question: If you have a concern about something that is an immediate threat to patient’s safety, you should? o o o o Walk the Line Step over the Line Stop the Line Draw the Line Question: SUICIDE PREVENTION: Suicide is o o o o Not preventable Very rare Something that affects everyone Not among the leading causes of death in the U.S. Question: Which of the following is not a warning sign to look for? o o o o Withdrawing or Isolating themselves Talking about being a burden to others Talking about wanting to die or kill themselves All of the above are warning signs Question: Which of the following is not a risk factor for suicide? o o o o Previous suicide attempt(s) Feeling alone or hopeless Alcohol or drug abuse Working in a hospital Question: Which of the following things are not helpful to someone who is considering suicide? o o o o Leave them alone until they get over it Help with skills in problem solving, conflict resolution, and handling problems in a non-violent way Strong connections to family and community support Treatment for mental and substance abuse disorders Question: If the person you’re concerned about is a patient in the hospital, which of the following are options for getting help to them? o o o o Speak with the nurse caring for the patient Ask the doctor to consult CSB If CSB has already seen the patient and you’re still concerned, they can call to send another case worker to talk to the patient All of the above Question: Which of the following are resources when someone seems to be a threat to hurt themselves or to commit suicide o o o o National Suicide Hotline at 1-800-273-TALK (8255) The Community Service Board (CSB) Calling 911 All of the above Question: RADIATION AWARENESS/MRI SAFETY: Radiation safety and awareness is only important for some hospital employees. o o True False Question: CRH employees could be exposed to radiation in the OR, ED or patient units. o o True False Question: Lead lined gloves, aprons, shields and walls are protection devices used in the Medical Imaging Department. o o True False Question: ALARA is a radiation safety philosophy meaning to keep your radiation exposure “As Low As Reasonably Achievable”. o o True False Question: Only Medical Imaging Staff wear film badges to monitor their personal radiation exposure levels. o o True False Question: Dr. Weber is the RSO, Radiation Safety Officer, here at CRH. He ensures that all aspects of the radiation protection program are being followed. o o True False Question: The magnet is ALWAYS on. o o True False Question: The biggest threat of ferromagnetic objects in the magnet room is the potential to become projectiles – injuring or even causing death to anyone in its path. o o True False Question: In the event of a code in the MRI – it’s OK to bring the code cart into the magnet room. o o True False Question: Patients with cardiac pacemakers can have an MRI if the area being scanned is below the level of the heart. o o True False Question: Any questions about MRI safety issues should be directed to the MRI technologists. o o True False Question: SAFETY AND SECURITY: CRH staff is expected to comply with all CRH policies and procedures. o o True False Question: Mark Utz is our organization’s appointed Safety Officer. o o True False Question: Hospital Security is available on-site 24/7 and can be contacted by dialing the main Security cell phone number 540-212-8743. o o True False Question: CRH staff members are identified by picture identification badges which are to be worn above the waist. o o True False Question: COMPLIANCE, RISK AND REGULATORY: Culpeper Regional Hospital’s formal Compliance program ensures that we are “Doing the Right Thing” with regulatory compliance (Department of Health, Joint Commission, etc.), Fraud and Abuse Laws (Stark, Anti-Kickback, False Claims, etc.), Privacy and Security (HIPAA), etc. o o True False Question: Each employee is required to report any practice that they believes does or may violate the law, Code of Conduct, or any Compliance Program policies and procedures o o True False Question: Persons reporting compliance issues in good faith will not be subject to retaliation or reprisal. o o True False Question: Patricia Sautel Slater is the Compliance Officer for Culpeper Regional Hospital. o o True False Question: Staff may report issues by calling the hotline (877-888-4806), in person or writing to their director, supervisor or Compliance (829-5703) or email at compliance@culpeperhospital.com o o True False Question: The hospital’s Board of Trustees is dedicated to maintaining oversight of the CRH Compliance Program. o o True False Question: Virginia law requires healthcare providers to report abuse and neglect for: A) adults (60 years or older or an adult who is mentally incapacitated) B) Child abuse (12 years and younger, mandated reporting if diagnosed with sexually transmitted disease) o o o o A B A and B None of the above Question: The Joint Commission survey occurs every 18 – 39 months following a previous full survey. Ongoing readiness for a survey is essential to patient and staff safety. All staff members have a role in regulatory readiness. o o True False Question: The Risk Management Program objectives are to: A) Minimize losses to the organization B) Facilitate compliance with regulatory, legal, and accrediting agency requirements C) Protect patients, employees, and visitors as well as nonphysical assets o o o o A B A, B, And C None of the above Question: The following are true about reporting an incident in RL Solutions: A) Incident reports should be submitted at the time of detection (no later than 24 hours). B) A reported incident is not used to retaliate against an employee or used for disciplinary purposes. C) All reported incidents are kept confidential. o o o o A B A, B, and C None of the above Question: Under the Americans with Disabilities Act (ADA), organizations that provide services to the public must allow service animals to accompany people with disabilities in all areas of the facility where the public is normally allowed to go. o o True False Question: The law prohibits asking questions about an individual’s disability or for documentation regarding the service animal’s training. o o True False