Joint Commission Survey Prep ACTUAL
Exam Questions and CORRECT Answers
Code Pink - CORRECT ANSWER - Infant or child abduction
Who is the hospital safety officer? - CORRECT ANSWER - Ken McDowell
Where are the fire alarm pull stations? - CORRECT ANSWER - Pull stations are located
near exits, stairwells, main corridor doors, and in major corridors, make sure to know where they
all are on your unit or department.
What can be kept under the sink in patient care areas? - CORRECT ANSWER - nothing
What is Quality Assurance (QA)? - CORRECT ANSWER - Quality Assurance is defined
as a program that guarantees quality patient care, by tracking the outcomes through scheduled
audits. QA included appropriateness, applicability and timeliness of patient care.
What is Performance Improvement (PI)? - CORRECT ANSWER - The continuous study
and adaptation of the functions and processes of a healthcare organization to increase the
probability of achieving desired outcomes and to better meet the needs of patients.
What is a sentinel event? - CORRECT ANSWER - is a patient safety event that results in
death, permanent harm, or severe temporary harm.
What are some examples of a sentinel event? - CORRECT ANSWER - unexpected death,
abduction of an infant, rape while in the facility, hemolytic transfusion reaction, surgery on the
wrong body part or patient. And many many more.
True or False. It is critical to maintain/set aside/ save any equipment or tubing involved in a
sentinel event. - CORRECT ANSWER - TRUE.
, How are Patients/ Families informed of their rights and responsibilities? - CORRECT
ANSWER - Patient registration gives them a copy, Patient Rights and Responsibilities are
posted throughout patient care areas.
How do we protect private health information? - CORRECT ANSWER - All requests for
medical information goes through HIM
We do not discuss patient information in the hallways ,cafeteria or other public areas.
We lock our computers when we step away.
We secure an authorization to release Information before sending out records.
What are some phrases to avoid when you are answering a surveyor's question? - CORRECT
ANSWER - Avoid saying things like "I think we mostly do it this way "We're supposed to"
"On my shift" "I usually do"
What should you do if you do not know a question the surveyor asks? - CORRECT
ANSWER - STAY CALM, say something like I know where to find the answer (please be
able to find it) or Ask a friend other staff can help, phone a friend (don't literally phone a friend)
Why is TJC accreditation important? - CORRECT ANSWER - Because TJC surveys us on
behalf of the federal government, Centers for Medicare and Medicaid.
Accreditation allows us to recieve Medicare and Medicaid reimbursment form our patients.
Also accreditation means we are working towards a goal of zero harm
What does R.A.C.E stand for? (hint it is on your badge) - CORRECT ANSWER - Rescue,
Alarm, Contain, Extinguish
Is it ever acceptable for fire doors to be held open with, ties, wedges, or other objects or to tape a
door or latch? - CORRECT ANSWER - NO!
How can you identify emergency power outlets? - CORRECT ANSWER - They are RED
Exam Questions and CORRECT Answers
Code Pink - CORRECT ANSWER - Infant or child abduction
Who is the hospital safety officer? - CORRECT ANSWER - Ken McDowell
Where are the fire alarm pull stations? - CORRECT ANSWER - Pull stations are located
near exits, stairwells, main corridor doors, and in major corridors, make sure to know where they
all are on your unit or department.
What can be kept under the sink in patient care areas? - CORRECT ANSWER - nothing
What is Quality Assurance (QA)? - CORRECT ANSWER - Quality Assurance is defined
as a program that guarantees quality patient care, by tracking the outcomes through scheduled
audits. QA included appropriateness, applicability and timeliness of patient care.
What is Performance Improvement (PI)? - CORRECT ANSWER - The continuous study
and adaptation of the functions and processes of a healthcare organization to increase the
probability of achieving desired outcomes and to better meet the needs of patients.
What is a sentinel event? - CORRECT ANSWER - is a patient safety event that results in
death, permanent harm, or severe temporary harm.
What are some examples of a sentinel event? - CORRECT ANSWER - unexpected death,
abduction of an infant, rape while in the facility, hemolytic transfusion reaction, surgery on the
wrong body part or patient. And many many more.
True or False. It is critical to maintain/set aside/ save any equipment or tubing involved in a
sentinel event. - CORRECT ANSWER - TRUE.
, How are Patients/ Families informed of their rights and responsibilities? - CORRECT
ANSWER - Patient registration gives them a copy, Patient Rights and Responsibilities are
posted throughout patient care areas.
How do we protect private health information? - CORRECT ANSWER - All requests for
medical information goes through HIM
We do not discuss patient information in the hallways ,cafeteria or other public areas.
We lock our computers when we step away.
We secure an authorization to release Information before sending out records.
What are some phrases to avoid when you are answering a surveyor's question? - CORRECT
ANSWER - Avoid saying things like "I think we mostly do it this way "We're supposed to"
"On my shift" "I usually do"
What should you do if you do not know a question the surveyor asks? - CORRECT
ANSWER - STAY CALM, say something like I know where to find the answer (please be
able to find it) or Ask a friend other staff can help, phone a friend (don't literally phone a friend)
Why is TJC accreditation important? - CORRECT ANSWER - Because TJC surveys us on
behalf of the federal government, Centers for Medicare and Medicaid.
Accreditation allows us to recieve Medicare and Medicaid reimbursment form our patients.
Also accreditation means we are working towards a goal of zero harm
What does R.A.C.E stand for? (hint it is on your badge) - CORRECT ANSWER - Rescue,
Alarm, Contain, Extinguish
Is it ever acceptable for fire doors to be held open with, ties, wedges, or other objects or to tape a
door or latch? - CORRECT ANSWER - NO!
How can you identify emergency power outlets? - CORRECT ANSWER - They are RED
