Radiology Joint Commission
1. Consent form explained to patient, How do we obtain informed consent
signed/dated by both the provider and the pa- for procedures?
tient
2. We utilize "Tall Man" lettering; minimize use of How do we minimize the risks of
verbal orders; carefully organize pyxis look/sound alike medications?
3. Yes, with medication name, strength, and Do you label each medication as soon
amount as it is prepared if not immediately giv-
en? And how?
4. Inspect meds for particulates, discoloration, What do you inspect medications for
other loss of integrity prior to administration?
5. Staff uses a record and "read back" process What must be done after receiving a
verbal order?
6. Yes, these are assessed and documented in Are all barriers to learning/communi-
Epic in rooming tab cation documented?
7. Ask patient to repeat instructions, return How do you evaluate the patient's un-
demonstrate (if appropriate), ask if clarifica- derstanding of the education provid-
tion is needed ed?
8. After visit summary (AVS) should document How do you document that the pa-
problem treated, plan of care, medications, tient/family received education re-
nutrition info, pain management, medication garding plan of care?
equipment needs, fall reduction strategies
9. Yes, and document what you taught (example: Do you educate patients undergoing
site cleaning, bathing instructions, etc.) surgery about how to reduce their sur-
gical site infection risk?
10. Speak to projects, show applicable boards
1/5
, Radiology Joint Commission
Study online at https://quizlet.com/_geg5zl
What are your current Process Im-
provement projects?
11. Patients are directed to the patient repre- How are patients educated about re-
sentatives in the "rights and responsibilities" porting safety issues?
brochure
12. Yes, by talking to supervisor, reporting in RL Are you encouraged to bring forward
solutions or the integrity hotline safety concerns?
13. Yes, in the annual SMART uLearn Have you received training identify-
ing that concerns may be reported to
the Joint Commission, with no punitive
consequences?
14. RN, MA, or Physician/Provider; must be Who can receive "critical results"
communicated to ordering physician/provider
within 30 minutes
15. Rescue, Alert, Contain, Evacuate What is R.A.C.E.?
16. Pull, Aim, Squeeze, Sweep What is P.A.S.S.?
17. Find the nearest extinguishers and pull sta- Where are your nearest fire extinguish-
tions in you area ers and pull stations?
18. Fire What does Code Red mean?
19. Active Shooter What does Code Silver mean?
20. Disaster/Emergency What does Code Yellow mean?
21. Infant/Child Abduction What does Code Pink mean?
22. Red biohazard bins or bags Where is medical waste disposed of?
2/5
1. Consent form explained to patient, How do we obtain informed consent
signed/dated by both the provider and the pa- for procedures?
tient
2. We utilize "Tall Man" lettering; minimize use of How do we minimize the risks of
verbal orders; carefully organize pyxis look/sound alike medications?
3. Yes, with medication name, strength, and Do you label each medication as soon
amount as it is prepared if not immediately giv-
en? And how?
4. Inspect meds for particulates, discoloration, What do you inspect medications for
other loss of integrity prior to administration?
5. Staff uses a record and "read back" process What must be done after receiving a
verbal order?
6. Yes, these are assessed and documented in Are all barriers to learning/communi-
Epic in rooming tab cation documented?
7. Ask patient to repeat instructions, return How do you evaluate the patient's un-
demonstrate (if appropriate), ask if clarifica- derstanding of the education provid-
tion is needed ed?
8. After visit summary (AVS) should document How do you document that the pa-
problem treated, plan of care, medications, tient/family received education re-
nutrition info, pain management, medication garding plan of care?
equipment needs, fall reduction strategies
9. Yes, and document what you taught (example: Do you educate patients undergoing
site cleaning, bathing instructions, etc.) surgery about how to reduce their sur-
gical site infection risk?
10. Speak to projects, show applicable boards
1/5
, Radiology Joint Commission
Study online at https://quizlet.com/_geg5zl
What are your current Process Im-
provement projects?
11. Patients are directed to the patient repre- How are patients educated about re-
sentatives in the "rights and responsibilities" porting safety issues?
brochure
12. Yes, by talking to supervisor, reporting in RL Are you encouraged to bring forward
solutions or the integrity hotline safety concerns?
13. Yes, in the annual SMART uLearn Have you received training identify-
ing that concerns may be reported to
the Joint Commission, with no punitive
consequences?
14. RN, MA, or Physician/Provider; must be Who can receive "critical results"
communicated to ordering physician/provider
within 30 minutes
15. Rescue, Alert, Contain, Evacuate What is R.A.C.E.?
16. Pull, Aim, Squeeze, Sweep What is P.A.S.S.?
17. Find the nearest extinguishers and pull sta- Where are your nearest fire extinguish-
tions in you area ers and pull stations?
18. Fire What does Code Red mean?
19. Active Shooter What does Code Silver mean?
20. Disaster/Emergency What does Code Yellow mean?
21. Infant/Child Abduction What does Code Pink mean?
22. Red biohazard bins or bags Where is medical waste disposed of?
2/5
