Monroe County Hospital

Acknowledgement

Orientation

I acknowledge that I have been given the opportunity to participate in the New Employee/Student/Intern Orientation program provided by Monroe County Hospital.

I acknowledge responsibility for complying with all policies and procedures and many future changes in such policies as communicated from time to time, whether or not I have signed an acknowledgement so such change.

I understand the policies, practices, and benefits described during this orientation may be improved, modified, changed, or discontinued without prior notice.

I acknowledge that I understand and have received orientation for the following policies, procedures, practices, etc.:

MCH Personnel Policies

The Core Values

Quality Management Program

National Patient Safety Goals

EMTALA
Bloodborne Pathogens

Health Care Associated Infections and Hand Hygiene

Safety Management

MRI Safety

Back Safety

Computer Work Station Safety

Information Management Practices

HIPAA Security

Corporate Compliance

Active Shooter

Customer Service

Cultural Diversity

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Employee SignatureDate

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Print Name

Monroe County Hospital

New Employee/Student/Intern Orientation

September 2016

MCH Personnel Policies:

  1. Where can you find personnel policies?
  2. In your supervisor’s office.
  3. In your employee handbook.
  4. Posted on the intranet (internal web page).
  5. What are the guidelines for an accident/injury?
  6. List steps:

The Core Values:

  1. What core value is the first and most important?
  2. Person
  3. Caring
  4. Integrity
  5. Quality
  6. Why are Core Values so important?
  7. Because my grandmother has these values.
  8. Because we act the way we think and believe.
  9. Because I’ll look foolish if I don’t know them.

Quality Management Program:

  1. What is the name of MCH’s continual process improvement cycle?
  2. Fishbone Diagram
  3. Flow Chart
  4. PDSA
  5. Complaint and Grievance reporting process is a confidential process?
  6. True
  7. False
  8. When Completing Occurrence report ______?
  9. Report only the facts.
  10. Complete report within 24 hours?
  11. Do not make copies for Medical Records.
  12. All of the above.

National Patient Safety Goals (NPSG) 2016:

  1. Use at least ______patient identifiers when providing care, treatment, and services.
  2. 1
  3. 2
  4. 3
  5. 0
  6. In order to reduce the risk of health care associated infections the ______or ______hand hygiene guidelines should be followed.
  7. American Hand Hygiene Association
  8. CDC
  9. WHO
  10. A & B
  11. B & C
  12. In stage 2 of clinical alarms NPSG, hospitals are expected to establish and implement policies and procedures for managing clinical alarms and to educate individuals about alarm systems.
  13. True
  14. False

EMTALA:

  1. The consequence for violating EMTALA include:
  2. Terminating the hospital from Medicare/Medicaid programs.
  3. Losing Joint Commission accreditation.
  4. Civil lawsuits.
  5. All of the above.
  6. A person who “comes to the ED” is someone who presents at one of the following in an attempt to secure emergency care, except:
  7. A car in the ED entrance.
  8. The main entrance of the hospital.
  9. Physician offices adjacent to the hospital.
  10. The sidewalk of the hospital.
  11. The following is true about MSE:
  12. An MSE can be delayed to ask for patient’s insurance status, if the condition doesn’t look serious.
  13. An EMTALA approved MSE is not subject to a hospital’s policies and procedures.
  14. A qualified medical person must conduct the MSE.
  15. An MSE is conducted to determine whether the patient has an admittable illness or condition.
  16. If the MSE determines that there is not an emergency medical condition, then the facility is not obligated to provide care or treatment?
  17. True.
  18. False.
  19. A patient can be transferred to another facility if:
  20. The hospital does not have the capability to care for the patient.
  21. The benefits of treatment outweigh the risks of transfer.
  22. The physician signs a transfer certificate.
  23. All of the above.

Bloodborne Pathogens Test

  1. The best way to prevent the spread of infections is by:
  2. Washing your hands.
  3. Staying away from people.
  4. Keeping your eyes closed.
  5. Not talking.
  6. The location of our TB (negative pressure) room is:
  7. In the ER.
  8. Room 274.
  9. In the hallway.
  10. In the maintenance department.
  11. Our exposure control plan:
  12. Tells you what to do if you fall.
  13. Details on your paycheck.
  14. Tells you what to do if you have a needle stick or splashed by blood or OPIM.
  15. Is not important.

Health Care Associated Infection and Hand Hygiene Improvement Test

  1. Adequate handwashing with soap and water requires:
  2. 5 minutes.
  3. 20-30 seconds.
  4. 40-60 seconds.
  5. Hand are the most common vehicle to transmit health care-associated pathogens?
  6. True.
  7. False.
  8. Why is it important to wash your hands?
  9. Protect the patient against harmful germs carried on your hands or present on his/her own skin?
  10. An infection can cause a prolonged stay in the hospital or even death.
  11. All of the above.

Safety Management Test

  1. The code for Security is Code Grey?
  2. True.
  3. False.
  4. A drug screen/alcohol test is done if an employee has an accident?
  5. True.
  6. False.
  7. How many surveys does the Safety Committee conduct each year?
  8. One.
  9. Two.
  10. Three.

MRI Safety Test

  1. The magnet is only on when a MRI is being done?
  2. True.
  3. False.
  4. All metal is prohibited in MRI?
  5. True.
  6. False.

Back Safety:

  1. One of the steps to proper bending and lifting is to make sure your environment is clear of obstructions and there are no slippery surfaces?
  2. True.
  3. False.
  4. A common component to back safety is that your knees are normally straight when transferring or moving a patient?
  5. True.
  6. False.
  7. Two ways you can reduce the risk of MSDs are using good body mechanics and changing your position about every 20 minutes?
  8. True.
  9. False.

Computer Work Station Safety:

  1. Ergonomics is the science of matching the job to the worker and adjusting the workplace to fit the worker?
  2. True.
  3. False.
  4. Visual comfort means that you have positioned your terminal screens so that you don’t have sunlight or overhead light reflecting on your screen?
  5. True.
  6. False.

Information Management Principals Test

  1. The Privacy Rule does not allow the hospital to use PHI to carry out hospital operations?
  2. True.
  3. False.
  4. The “Minimum Necessary Rule” allows employees to access PHI needed to accomplish their jobs.
  5. True.
  6. False.
  7. The hospital must implement reasonable safeguards to limit incidental disclosures.
  8. True.
  9. False.

HIPA Security Test

  1. HIPAA is the first state law passed to protect the privacy and security of patient’s health information?
  2. True.
  3. False.
  4. EPHI is Electronic Protected Health Information?
  5. True.
  6. False.
  1. The key security policies an employee should know are: Sanctions for Security Breaches; policy on Transmitting PHI; policy on Security Incident Procedures; policy on Workstation uses; and policy on Unique User ID?
  2. True.
  3. False.
  4. Employees are not required to report potential security violations; that is the responsibility of the Security Officer?
  5. True.
  6. False.

Corporate Compliance Test

  1. How do you report known or suspected violations of law, statue, regulations, MCH code of conduct, and/or MCH policy?
  2. Notify the corporate compliance officer.
  3. Submit a compliance report form in the suggestion boxy by the time clock.
  4. Tell the appropriate member of the management team.
  5. All of the above.
  6. Our corporate compliance program includes the following:
  7. A code of conduct.
  8. Auditing and monitoring.
  9. Corporate Compliance Committee.
  10. All of the above.
  11. When you report known or suspected violations of the law, statue, regulations, MCH code of conduct, and/or MCH policies:
  12. The corporate compliance committee will tell everyone.
  13. You will be protected by the MCH policy and practice of non-retaliation/non-retribution.
  14. You must submit your name.
  15. All of the above.

Active Shooter Test:

  1. Choose the correct order of actions listed below related to an Active Shooter response.
  2. Hide, Fight, Run.
  3. Fight, Hide, Run.
  4. Run, Hide, Fight.
  5. Run, Fight, Hide.
  1. Which of the following statements are true? If you are faced with fighting the shooter,
  2. Commit to fighting for your life.
  3. Use anything as a weapon to defend yourself.
  4. Act aggressive and as a team.
  5. All of the answers are true.
  1. It’s recommended that you use an elevator as you evacuate the building during and active shooter event because they will keep you safe.
  2. True.
  3. False.
  1. If you are hiding from an active shooter, you should make a lot of noise, drawing attention to your location, so law enforcement knows that you are in there.
  2. True.
  3. False.
  1. As you exit the building, keep your hands up and palms open so law enforcement can quickly and safely see that you are not a threat.
  2. True.
  3. False.

Customer Service Test

  1. What is the MCH motto?
  2. List here:
  3. Who is your competition?
  4. The Medical Center of Central Georgia.
  5. Anyone the customer compares our organization to.
  6. The hospitals in Atlanta.

Cultural Sensitivity Test

  1. List three examples of diversity:
  2. List here:
  3. What is Culture:
  4. List here:
  5. What the four (4) barrier to accepting others?
  6. List here: