Joint Commission Survey Prep UPDATED
ACTUAL Exam Questions and CORRECT
Answers
What two identifiers might you use before a procedure {or medication administration}? -
CORRECT ANSWER - Appropriate identifiers include name, DOB and medical record
number.
Can staff correctly articulate the abbreviations not to use? - CORRECT ANSWER - Any
that might create ambiguity or uncertainty. One example is "u" instead of "units."
What hand hygiene product is available besides soap & water? - CORRECT ANSWER -
Alcohol rub
What grooming or personal presentation promotes hand hygiene? - CORRECT
ANSWER - no artificial nails, keep hand jewelry to a minimum
Can staff articulate what RACE means? {Hint: pertains to fire safety} - CORRECT
ANSWER - RACE:Rescue, Alarm, Contain, Extinguish
Can staff articulate what PASS means? {Hint: pertains to fire safety} - CORRECT
ANSWER - PASS: Pull, Aim, Squeeze, Sweep
Where is the fire extinguisher located closest to the hospital - CORRECT ANSWER - Fire
extinguishers are locate on the hallway directly outside the entrance to the tech area.
Where is the fire extinguisher located near the clinic? - CORRECT ANSWER - In the
front hallway just outside of the changing area
How do you report an ADE {Adverse Drug Event}? - CORRECT ANSWER - Mayo
intranet - under quick links - incident reporting
, What is your process when you can't read a MD's handwriting? - CORRECT ANSWER -
Ask the physician - seek clarification
Have you ever had a "near miss"? If you do, where do you report it? - CORRECT
ANSWER - Mayo intranet - under quick links - incident reporting - select FLA campus
Can staff articulate how they are qualified (competent) to care for patient? - CORRECT
ANSWER - Annual competencies, licensing/ registries, education and specialty training,
continuing education
How are patients informed of the process for voicing a concern or making a complaint? -
CORRECT ANSWER - Patients are given a booklet with their rights and responsibilities
upon initial registration or admission as an inpatient. For any patient concern within a
department, it would go to the supervisor/lead to talk with patient and if patient decides to
elevate to a complaint, then patients may reach Office of Patient Experience on campus Davis
113W, near registration area, by phone 904-953-2019, or by email .
How do you monitor hand hygiene compliance in staff? - CORRECT ANSWER -
Observation, peer reminders, communication with Pt's, periodic training
Are you aware of the requirements for the use of personal protective equipment for entering the
rooms of patients on contact precautions or isolation? - CORRECT ANSWER - We
complete annual training on PPE.
What changes have been made to improve safety here over the last 12 months? - CORRECT
ANSWER - Handwashing training; {Trophon protocol}; annual training for all clinical
staff, QA meetings, SAL at QC, daily protocol audits
How do you report a an incident? - CORRECT ANSWER - on the hospital Intranet - under
quick links - incident reporting
ACTUAL Exam Questions and CORRECT
Answers
What two identifiers might you use before a procedure {or medication administration}? -
CORRECT ANSWER - Appropriate identifiers include name, DOB and medical record
number.
Can staff correctly articulate the abbreviations not to use? - CORRECT ANSWER - Any
that might create ambiguity or uncertainty. One example is "u" instead of "units."
What hand hygiene product is available besides soap & water? - CORRECT ANSWER -
Alcohol rub
What grooming or personal presentation promotes hand hygiene? - CORRECT
ANSWER - no artificial nails, keep hand jewelry to a minimum
Can staff articulate what RACE means? {Hint: pertains to fire safety} - CORRECT
ANSWER - RACE:Rescue, Alarm, Contain, Extinguish
Can staff articulate what PASS means? {Hint: pertains to fire safety} - CORRECT
ANSWER - PASS: Pull, Aim, Squeeze, Sweep
Where is the fire extinguisher located closest to the hospital - CORRECT ANSWER - Fire
extinguishers are locate on the hallway directly outside the entrance to the tech area.
Where is the fire extinguisher located near the clinic? - CORRECT ANSWER - In the
front hallway just outside of the changing area
How do you report an ADE {Adverse Drug Event}? - CORRECT ANSWER - Mayo
intranet - under quick links - incident reporting
, What is your process when you can't read a MD's handwriting? - CORRECT ANSWER -
Ask the physician - seek clarification
Have you ever had a "near miss"? If you do, where do you report it? - CORRECT
ANSWER - Mayo intranet - under quick links - incident reporting - select FLA campus
Can staff articulate how they are qualified (competent) to care for patient? - CORRECT
ANSWER - Annual competencies, licensing/ registries, education and specialty training,
continuing education
How are patients informed of the process for voicing a concern or making a complaint? -
CORRECT ANSWER - Patients are given a booklet with their rights and responsibilities
upon initial registration or admission as an inpatient. For any patient concern within a
department, it would go to the supervisor/lead to talk with patient and if patient decides to
elevate to a complaint, then patients may reach Office of Patient Experience on campus Davis
113W, near registration area, by phone 904-953-2019, or by email .
How do you monitor hand hygiene compliance in staff? - CORRECT ANSWER -
Observation, peer reminders, communication with Pt's, periodic training
Are you aware of the requirements for the use of personal protective equipment for entering the
rooms of patients on contact precautions or isolation? - CORRECT ANSWER - We
complete annual training on PPE.
What changes have been made to improve safety here over the last 12 months? - CORRECT
ANSWER - Handwashing training; {Trophon protocol}; annual training for all clinical
staff, QA meetings, SAL at QC, daily protocol audits
How do you report a an incident? - CORRECT ANSWER - on the hospital Intranet - under
quick links - incident reporting
