JC Survey Top 10 Questions

Question 1

Where can you find Naval Hospital Camp Pendleton’s policies?

Answer 1

The hospital policies can be found on the intranet site (SharePoint). Look to the far right of the share point home screen. Click the button labeled “Notices, Instructions, Policies.”

Question 2

How do you report a workplace violence incident?

Answer 2

Per our workplace violence policy, all incidents involving workplace violence will be reported via the PSR system in addition to any required security or safety reports. These reports are provided to the workplace violence prevention team for analysis and reporting.

Question 3

How do you properly identify a patient before all interactions from bringing a patient to a clinic room to administering medications, treatment, or blood products?

Answer 3

Always used 2 patient identifiers:
1. Name
2. Date of birth

Question 4

What would you do if your patient was showing signs of suicide risk?

Answer 4

Suicide/safety precautions will be initiated immediately. These precautions include a 24 hour 1: 1 observation of the patient.

Question 5

When should you clean your hands?

Answer 5

1. Before and after contact with patients.
2. Before and after wearing gloves.
3. After contact with blood, fluids, non-intact skin, or mucous membranes.
4. After contact with equipment.
5. Before and after eating.
6. After using the bathroom.
7. After sneezing or coughing.

Question 6

How are patients informed about their rights and responsibilities

Answer 6

Upon admission, each patient is given the Patient Bill of Rights and Responsibilities. The Patient Bill of Rights and Responsibilities is posted on the SharePoint, internet, and clinical areas of the hospital.

Question 7

If a patient or family member has a complaint, how do you assist them?

Answer 7

Patients have multiple ways to voice complaints or concerns.
1. Patients may voice their concerns with the involved department.
2. Patients can fill out a patient relations worksheet by requesting a form from the department.
3. Patients may submit an ICE complaint via the intranet.
camp-pendleton.tricare.mil  click “Contact Us”  click the link under patient relations.
4. Patients may share their concerns with the joint commission on line (www.jointcommission.org), via fax(630-792-5636), or via mail.

Question 8

How do you treat and transport soiled instruments to SPD for reprocessing?

Answer 8

1. Using proper PPE, I remove gross bioburden from the instruments with water.
2. All instruments are opened and nylon brushes are used to remove visible bioburden.
3. Instruments are placed open in a red BIOHAZARD LABELED instrument transport bin.
4. Instruments are thoroughly coated with Pre-Klenz Gel.
5. The lid is secured and instruments are transported to the dirty side of SPD.

Question 9

Why do you care about being a “High Reliability Organization (HRO)”?

Answer 9

We care about minimizing harm to our patient and achieve optimal outcomes despite working in a complex or risky environment. Our HRO principles are called Ready Reliable Care.

We demonstrate HRO principles by using TeamSTEPPS, daily huddles, continuous process improvement projects, etc.