CLIA OSHA Joint Commission

Question 1

how many years must you keep quality testing reports for Mohs.

Answer 1

2 years

Question 2

How many years must you keep lab reports and slides

Answer 2

10 years

Question 3

What are two main categories in CLIA compliance?

Answer 3

1. A procedure manual for each test and equiptment

2. Quality Assessment program.

Question 4

What are the four things a CLIA quality assessment program has?

Answer 4

1. Quality control of patient specimens.
2. Competency of personnel.
3. Safety procedures
4. 2 specimens twice a year for outside quality review.

Question 5

What is the Joint Commission on Accreditation of Healthcare Organizations now called (JCAHO)

Answer 5

The Joint Commission.

Question 6

What is the Joint commission.

Answer 6

The oldest Health care organization accreditation body.

Question 7

What are the four patient safety goals in the office based surgery accreditation program according to the Joint Commission.

Answer 7

1. proper patient identification.
   2 Improve safety of medications
   3.Reduce risk of infections
2. Universal protocol for preventing wrong site, wrong side, wrong patient procedures.

other goals non -dermatology
patient risk for suicide
use alarms safely
improve staff communication

Question 8

Name two ways to improve patient identification.

Answer 8

1. use at least two patient identifiers.

2. label all specimen bottles in the presence of the patient.

Question 9

Name to ways to improve safety of medications.

Answer 9

1. label all bottles and syringes on and off the sterile tray.
2. Maintain accurate pt medical information

Question 10

Name two ways to lower health care associated infections.

Answer 10

1. Follow CDC or WHO handwashing guidelines.

2. Implement evidence based practices on preventing wound infections.

Question 11

Name three points in the Universal protocol to prevent wrong site surgeries.

Answer 11

1. Pre-Procedure verification process
2. Mark the procedure site
3. A time out is performed before the procedure.

Question 12

What are four things that could reduce efficiency of steam autoclave.

Answer 12

1. presence of debris on instruments.
2. presence of a biofilm
3. poor airflow due to instrument design
   4 Pathogen type

Question 13

Do you need a biological indicator when doing sterilization?

Answer 13

Yes.

Question 14

Three agencies were involved in the HIPAA’s right for individual patient access to their protected health information . Which three HHS agencies were involved in the final rule.

Answer 14

Centers for Medicare and Medicaid (CMS)
Centers for Disease control (CDC)
Office of Civil Rights (OCR

Question 15

What are the three employer responsibilities under OSHA?

Answer 15

Provide training and proper protection gear
Accurate record keeping
No discrimination

Question 16

What are the five elements of the OSHA Laboratory Standard

Answer 16

1. Hazard identification
2. Chemical Hygiene plan
3. Information and training
4. Exposure monitoring
5. Medical consultation and examination.

Question 17

What are the six steps for OSHA hazard communication.

Answer 17

1. Learn the standard and Identify responsible staff
2. Prepare a written Hazard communication program
3. Label all containers
4. maintain safety data sheets.
5. Inform and train staff
6. Evaluate and reassess your plan

Question 18

What three items must be included in the lab reagent log book.

Answer 18

1. Date received
2. Date opened
3. Lot number

Question 19

has there been an increase in underrepresented minorities in mohs surgery recently

Answer 19

no