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									                Annual Health & Safety

              Education Packet
              Annual Education

                               Updated 07/23/10

    MountainView Regional Medical Center

                     Review the materials in this packet. Complete
                     the test on the last page and submit to your
Manager/Director before your scheduled performance appraisal before.
This is an “open book “ test, so 100% is the required grade.

Back Safety                              3-4
Codes                                    4-7
Fire Safety                              7-8
Electrical Safety                        8-9
 Emergency Power                          9
 Hazard Communication                     9
 MSDS                                     9
Chemical Labels                          9-10
General Safety & Security               10-11
Quality Assurance                         11
Infection Control                       11-12
Ethics                                    12
Patient Rights                            13
Confidentiality and Abuse and Neglect   13-14
Customer Service                          14
Quiz                                    15-17

Back Safety                                        When pushing an object, enlarge the
Back injury is one of the most common                base of support by moving the front
forms of injury in the hospital setting.             foot forward.
Improper lifting and bending, poor posture       When pulling an object, enlarge the base
when sitting, standing or reaching will             of support by either moving rear leg
increase your risk of injury. Utilizing the         back (if facing the object or moving the
following pointers will help you avoid              front foot forward (if facing away from
damaging your back.                                 the object).
                                                The greater the preparation of tensing
                                                muscles before moving an object, the less
                                                energy is required to move it There is
                                                reduced likelihood of musculoskeletal strain
                                                and injury.
Principles of Body Mechanics: 1                  Before moving objects, contract your
                                                    buttocks, abdominal, leg and arm
Balance is maintained and muscle strain is          muscles to prepare them for action.
avoided as long as the line of gravity passes   The synchronized use of as many large
through the base of support.                    muscle groups as possible during an activity
 Start any movement with proper                increases overall strength and prevents
    alignment.                                  muscle fatigue and injury.
 Stand as close as possible to the object       To move objects below your center of
    being moved.                                    gravity, begin with back and knees
 Avoid stretching, reaching and twisting,          flexed. Use your buttocks and leg
    which may place the line of gravity             muscles rather than the lower back
    outside the base of support.                    muscles to exert an upward thrust when
The wider the base of support & the lower           lifting the weight.
the center of gravity, the greater the           Distribute the workload between both
stability.                                          arms and legs to prevent back strain.
 Before       moving    objects,    increase    Always face the direction of the
    stability by widening stance and flexing        movement to prevent twisting the spine
    knees, hips and ankles.                         and ineffective use of major muscle
Objects that are close to the center of             groups.
gravity are moved with the least effort.
 Adjust working area to waist level; keep
    body close to the work area.
 Elevate adjustable beds and over-bed
    tables; lower the side rails of beds to
    prevent twisting and reaching.
Balance is maintained with minimal effort
when the base of support is enlarged in the
direction in which the movement will occur.

The closer the line of gravity to the center       Obtain the assistance of other persons
of the base of support, the greater the             or use mechanical devices to move
stability.                                          objects that are too heavy.
 When moving or carrying objects, hold         Moving an object along a level surface
    them as close as possible to your center    requires less energy than moving an object
    of gravity.                                 up an inclined surface or lifting it against
The heavier an object, the greater the force    the force of gravity.
needed to move it.                               Avoid working against gravity.
 Encourage clients to assist as much as         Pull, push, roll or turn objects instead of
    possible by pushing or pulling himself or       lifting them.
    herself to reduce the muscular effort.       Lower the head of the patient’s bed
 Use arms as levers whenever possible to           before moving him or her up in bed.
    increase lifting power.                     Continuous muscle exertion can result in
 Use own body weight to counteract the         muscle strain and injury.
    weight of the object. For Example, lean          To prevent fatigue alternate periods
    forward when pushing an object and rock             of rest and work.
    your body weight backward when pulling
    an object or patient toward you.

Teamwork is very important when lifting. Plan ahead; think through what you want to do
and GET HELP! Make your life easier. Save your back.

If your job requires that you lift or transfer patients, always use good body mechanics.

                                 Emergency Codes
A system of CODES has been developed to alert MVRMC employees to potential or
actual dangers. These codes help provide safety and protection to patients, visitors and
staff. Every employee needs to know what to do in the event a code is called. Ask your
Department Director what specific actions employees in your Department should
take for each of the codes.

                         Code Red is the code for fire. You can report a fire by
                         pulling a fire pull station and by dialing 7777.
                         The page is followed by the location of the fire. The fire
                         plan RACE then goes into effect. Review the fire plan
                         located in your safety manual.

                         Remember the acronyms R.A.C.E. and P.A.S.S.

                         R.A.C.E. The hospital Fire Plan
                         R-rescue (everyone from immediate danger)
                         A-alert (activate the nearest fire alarm pull station and
                         dial 7777)
                         C-contain the fire (close all doors)
                         E-extinguish (use ABC rated fire extinguisher)

                         P.A.S.S. (Using Fire Extinguisher)
                         P-pull the pin
                         A-aim at the base of the fire
                         S-squeeze the handle
                         S-sweep side-to-side, front to back at the base of the

            Code Blue is the alert for cardiac
            or respiratory arrest. The code is called
            as well as the location. Trained health
            care providers will respond.

                                 Code D –Diaster. Emergency Preparedness
                                 plan goes into effect. This is called for either an
                                 internal or external disaster. Check with your
                                 Department Director – what is your role in case of a
                                 disaster? Do you have a pre-assigned task? If you are
                                 off campus and are called in because of a Code
                                 situation, clock in, wear your name badge, and report
                                 to the Labor Pool in the Community Education Room
                                 (CER), unless you have been pre-assigned.

                        Code 3 is the code called when security help is needed to de-
                        escalate a potential problem with an out of control visitor or
                        patient. Trained personnel respond.

Code Pink is called for an infant or pediatric patient abduction.
Code Pink is initiated by the staff person discovering the situation
and by calling 7777. When Code Pink is called, go to your assigned
area. Be on the alert for anyone attempting to leave with an over-
sized purse, backpack, large box, or a large bulky coat. Visitors
are asked to remain in the hospital until “All Clear) is announced.
If an individual insists on leaving or behaves in a threatening
manner, do not jeopardize your safety. Back off; be observant;
note physical description, clothing and vehicle. Jot down the
license number if able. Some staff members will conduct a search of the hospital in
case the abductor is still present in the building.

                                  Code Yellow is called if the Hospital receives a bomb
                               threat. Anyone receiving a phone threat should keep
                               the party on the line as long as possible, using the bomb
                               threat checklist and at the same time signaling, quietly,
                               to a co-worker to notify the Director or ANM on
                               nights, weekends, holidays. Listen carefully to the
                               caller. Is there background noise; does the caller
                               speak with an accent; is he/she familiar with the
                               Hospital buildings or procedures. Ask where the bomb
                               is located, what type of bomb it is. You may be asked to
                               conduct a search of your work area. Do not touch or
                               move anything that looks suspicious or is out of place.
Notify person in charge immediately so that qualified personnel can take over

Code Silver is called for assistance in the event of an armed threat within the
building. Only the Code Silver response team responds. Your only function is to avoid
the area of the code until after an “all clear” has been called.

Whatever the code, whatever the problem, when the emergency is over, the
Switchboard Operator will announce, “Code All Clear” Three times.

                         Don’t forget code information
                        behind your name badge for use
                             as a quick reference!

                   Fire Safety
In case of fire, a Code Red is called. Plant Operations,
Security, any available personnel from EVS and
dietary will report to fire site.         Remember the
acronyms R.A.C.E. and P.A.S.S. (see page 4). The fire
extinguishers available in this facility are “all purpose”
extinguishers; in other words they are “A B C” rated
and can be used on any type of fire. Only the CEO (or
designee), ANM, or Fire Department Shift Commander
can authorize an evacuation.
This building was designed with smoke and fire barriers to protect patients, visitors and
employees. This is why doors with automatic closures should never be propped or
wedged open. The ONLY exception to this rule is when the door is designed to be held
open with a magnet, which automatically releases when a Code Red is called. If you must
leave items in the corridors, they must be on wheels - not blocking fire alarm pulls, fire
extinguishers, or exits and they must all be on the same side of the hall.

The 18” rule is that nothing should be stored within 18 inches of the ceiling in any room.
Be sure that the 18” rule is followed in your work area.

In the event that medical gases need to be shut off, Respiratory Therapy and/or
nursing personnel may turn off oxygen once they have determined that all oxygen
dependent patients have another source of oxygen other than the piped system in that

                                       Personal electrical safety requires that you
                                       follow some basic safety precautions:  Never
                                       use equipment with damaged or frayed cords –
                                       take the equipment out of service & report it to
                                       Engineering or BioMed.  Never use electrical
equipment or switches with wet hands or while standing in water.  Do not try to
repair electrical equipment yourself – take it out of service and report it to Engineering
or BioMed.  Do not overload outlets.
 Any electrical equipment that “smells” hot, or does not function properly – unplug it,
take it out of service and report it to Engineering or BioMed  Do not use “cheaters”
(3-prong to 2-prong adapters).  When disconnecting, use the plug; never pull on the
cord.  Extension cords are only for o short-term use
 Only use extension cords that have been approved by Engineering or BioMed.

Emergency Power
MVRMC has electric generators, which automatically come on in case of a power failure.
With an emergency situation, power is available only from the red switches and outlets.
sure that only essential medical equipment is plugged into a red outlet.

    Magnetic Resonance Imaging (MRI) Safety
       The MRI is a Restricted Area and access is limited. This area includes the magnet
room, control room/office and adjacent equipment room. The MRI Technologist on duty
controls access to the restricted MRI area and ensures any person entering the magnet
room has been appropriately screened.     The MRI Technologist on duty ensures the
magnet room is locked when the area is unattended, and the restricted MRI area is
locked at the end of shift.

Ferrous(magnetic) objects are prevented from entering the MR environment. A
ferromagnetic object can be pulled into the magnet’s core at high speed, a phenomenon
known as “the projectile effect”, potentially causing serious injury, damage and downtime.
Ferromagnetic objects include, but are not limited to, gas cylinders, chairs, IV poles,
walkers, canes, scissors, stethoscopes, pens, cell phones, keys, hearing aids, safety pins,

Information on the magnetic strips of credit cards and bankcards may be erased if
brought too close to the magnet. MRI staff ensure patients’ personal belongings are kept
at a sufficient distance from the scanning equipment.

Only screened EVS personnel who are fully oriented to the MR environment are permitted
to clean within the magnet room to prevent accidents caused by bringing unsafe objects
such as metallic buckets, mops and motorized equipment into the magnet room. The MRI
Technologist is responsible for monitoring all objects to be taken into the MR environment.

Persons with key access to the restricted MRI area are limited to:

•      MRI Staff Technologists.
•      Director of Imaging Services.
•      Imaging Services Department Chief Technologist.
•      PACS Administrator.
    •     Security personnel on duty.
    •     Plant Operations personnel on duty.
    •     Administrative Nurse Manager.
    •     Administrator on call.

    All Key-holders are required to complete the MRI Screening Form for Non-patients,
    which is retained on file in the MRI Office.

Persons permitted access under the control of the MRI Technologist on duty may include:

•         Housekeeping personnel.
•         Imaging Services staff as required.
•         Nursing/allied health staff as required for patient monitoring and medication
•         Anesthesiologists and anesthesiology technicians and/or Operating Room personnel as
          required for cases scheduled with sedation/anesthesia.
•         Service engineers.
•         Family members/patient representatives accompanying patients, if necessary.

All persons admitted to the magnet room are required to complete the MRI Screening Form for
Non-patients, which shall be retained on file in the MRI Office.

                        “The Right To Know” Law
    The U.S. Department of Labor, Occupational Safety and Health Administration (OSHA)
    has established a Hazard Communication Standard, based on a simple concept - that
    employees have both a need and a right to know the hazards and identities of the
    chemicals they are exposed to when working. They also need to know what protective
    measures are available to prevent adverse effects from occurring. The standard's
    design is simple. Chemical manufacturers and importers must evaluate the hazards of
    the chemicals they produce or import. Using that information, they must then prepare
    labels for containers, and more detailed technical bulletins called material safety data
    sheets (MSDS). Material safety
    data sheets provide instructions and precautions on:

   physical and health hazards
   handling and storage requirements
   personal protective equipment (PPE) needed
    signs & symptoms of exposure
    how to handle spills, fires and/or other emergencies

                       This is also known as Hazard Communications!

                                (Material Safety Data Sheets)

      MSDS are located in each department though a web based service or telephone.
       Master copies of all MSDS are located in the Emergency Department (ED).
      Ask your supervisor if you have questions or concerns regarding any of the
       chemicals you may use.

Chemical Labels

What kind of hazard?

      Colors: red = fire hazard blue = health hazard yellow = reactivity hazard
               white = specific hazard or need for personal protective equipment (PPE)

      Words: Flammable          Explosive       Carcinogen        Irritant

      Picture symbols:

HazMat Coordinator: Manager of Environmental Services (EVS) at X 7731, or Plant Operations
Director at X 7682. Please call the PBX operator after hours, weekends, or holidays.

What is the degree of hazard?

     Danger: Risk of immediate serious injury or death
     Warning: Risk of serious injury or death
     Caution: Risk of moderate injury

     Numbers:
           0 – minimum hazard
           1 – slight hazard
           2 – moderate hazard
           3 – serious hazard
           4 – severe hazard

General Safety and Security

                    Safety is everyone’s business!

     Always wear your name badge (above your waist)
     Always wear PPE (personal protective equipment) when needed
     Think through a task before you act
     Ask for help if the job is too big
     If you see a safety hazard, it becomes your problem; fix it or report it
     Discard needles in appropriate container immediately after use; don’t recap
     From 9:00 PM until 5:30 AM outside doors are locked, use ED walk-in entrance
      and have your name badge visible.
     Do not admit strangers after doors are locked; call Security
     Other than patient visitors, all non-employees should be wearing a “visitor”,
      “contractor” or “vendor” badge; it is your responsibility to question unauthorized
      visitors or call Security
     Do not give out information about patients or employees unless you have authority
      to do so
     Report any behavior that concerns you; you are the eyes and ears for MVRMC
     Take security seriously

Our Safety Officer is Chris Chavez at X 7682.

Quality Improvement
                                      PI Model: The IDEA Cycle
                                                     FOCUS-PDCA’S Role
                                    de                                mi                     PI Team Guidelines
                                lwi                       Pr             tte
                             ita     l                       ior            eo
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                         Ho Re                 &       Pr        iti          fQ
                                       ify                ob         ze                      F
                                                                                 IC              Find & Organize the
                                     nt ct                   lem
                                 I de ele ms                       s                         O    appropriate team
                                      S ble
                                      Pr                  2
    PI Team &/or QIC

                                       CQI                                                       Clarify & understand
                        Reassess &

                                                                           By A Causes
                                                                            Roo rmine

                                              Cycle of
                                                           6                                 U    the current process

                                      6QIC                          3




                                                                           PI Tea
                                            Improvement                       3                  Select the improvement

                                  Ac        5                                                P
                               A tiv                      4                                      PLAN the improvement
                             Im ppro ate
                               ple     v
                                   m in g y
                                             b           lore
                                So enti &
                                                      Exp natives l Options                  D   DO – implement
                                                       Alte rmine A t)
                       Le                                          l
                                   lut     n
                                       io n g
                            ers                        (Dete    Bes
                                           s                 lect
                                                        & Se
                                hi    p&                                                     C   CHECK results
                                           QIC                         & QIC
                                                              PI Te
                                                                                             A   ACT - Redesign

                                                                                       MVRMC uses the IDEA Cycle
                                                                                       methodology for improving
                                                                                       performance. It doesn’t matter what
                                                                                       our job is or what department we
                                                                                       work in, there is always the
                                                                                       opportunity for us to improve
                                                                                       performance. If you see an
                                                                                      opportunity to improve something talk
                                                                                       with your supervisor.

               Preventing Falls: Everyone’s Responsibility
Everyone at MVRM is responsible for preventing falls. What causes falls?
Extrinisic factors:
      •Slippery floor
      •Wheelchairs, bad wheels & rails in unlocked position
      •Bed left in raised position
      •IV poles, equipment & electrical cords left cluttering room & patient’s
        room and halls.
      •Use of IV poles or any other portable equipment as a walking support
Instrinsic Factors:
      •Medical diagnoses that impact ability to walk or balance such as CVA, altered
      level of consciousness, substance abuse, epilepsy or seizures & Parkinson's
      •Age: < 2 or > 70
      •Hx or falls within past 6 months
      •Gait and/or Balance impairment
      •Hearing or Visual Impairment
Preventing Falls in Our Hospital:
      •Clear walkways, keep rooms & halls neat and well lit.
      •Provide high risk patients with a room as close to nurses’ station as possible.
      •Ensure side-rails and wheels of beds & wheelchairs are in a locked position.
      •Maintain patient beds in lowest possible position.
      •Respond to requests for assistance quickly.
      •Encourage those at risk to ask for help & utilize appropriate equipment to aide
      with balance
      •Identify individuals at risk within the first two hours of arrival to unit or
      •Identify individuals at risk by utilizing identification system used by MVRMC.
      •Educate patient & family.

                                 Infection Control

MVRMC assumes that all people have the potential to harbor organisms that can cause
infection. This includes employees, patients, volunteers and visitors. Because everyone
has this potential, there are certain things that we must do to protect others and
ourselves from the risk of infection. These things include:
             Meticulous Hand washing using proper technique.
             Personal Protective Equipment (PPE) such as gloves, gowns, masks, shoe
             covers, and eye protection, worn when ever necessary.
             Understanding of Standard Precautions including Contact, Droplet and
             Airborne isolation criteria.

Who do you contact for infection control issues?
     Contact the Infection Control Preventionist your Immediate Supervisor or the ANM
     (after hours, weekends, holidays)
What must you do if you get a needle stick or other type of exposure?
      Thoroughly rinse the exposure site and immediately report
      the incident to your Supervisor. Next, report to the
      Employee Health Nurse (EH) for evaluation and treatment
      of the incident. A follow-up investigation of the incident,
      paperwork, and lab work will need to be completed as
      quickly as possible.


How often are employees required to have the TB skin test? (PPD test)

Upon employment, annually, or after exposure to an active case of infectious
Tuberculosis, unless you have tested positive in the past. If you have had a
positive reaction, you must provide the EH with a copy of your
health records from the health office that shows you are a past
responder and that you have received any needed follow-up
investigation of the incident, paperwork and lab work will need to
be completed as quickly as possible. All new exposures will be
investigated thoroughly and reported appropriately.

            Where can you find Infection Control Policies and Procedures? In
                   every area of the hospital and on the P drive; ask your director
                   where to find your area specific manual if you do not have access
                   to the P drive.
                   If I have an infection should I stay home?
                If you have an infection check with the Employee Health Nurse or the
Infection Control Preventionist prior to working.

Our Infection Control Preventionist is Rodney Valdez, #6894

              Ethics: We will do the right thing, because it is the right thing to do.

              If you see a violation of any of our policies, our Code of Conduct, or any local, state or
              federal law, it is your duty to report it. You may talk to your supervisor, Blanca
              Morales-Pena (Ethics & Compliance Officer), or you may call the Confidential
              Hotline number: 1-800-495-9510. You may also report any safety concerns
              confidentially to The Joint Commission by calling 1-800-994-6610.

And now a word about our patients…

                                      Patient Rights!
Everyone admitted to MVRMC receives a printed copy of “Patient Rights”, informing
them of the standards they can expect while staying with us. Among those rights are:
     access to medically indicated care regardless of race, creed, sex, age or the ability to pay
     the right dignity & respect
     privacy and confidentiality of health & other data
     personal safety
     to know who is taking care of you
     information regarding healthcare treatment, diagnosis and prognosis
     the freedom to communicate with others and the right to refuse care
     informed consent for treatment and treatment options

      be a part of decision making team regarding healthcare and kept informed of all outcomes of your
      be informed and consent to transfer to another institution or facility, achieving continuity of care
      designate a decision maker
      an advanced directive
      participate in ethical questions
      be informed of experimental research or educational projects regarding your care
      resolution or complaints
      the right to treatment of pain

Taking care of patients is why we are here, therefore our patients and their families
are our most important customers.

Patient Confidentiality
Our facility abides by the HIPAA regulations by realizing the
sensitive nature of patient’s information and is committed to
maintaining its confidentiality.
      Computer passwords or logons should never be shared with others.
      Only discuss patient information in appropriate clinical settings and appropriate
       to your involvement in that patient’s care.
      Always keep voice and tone to a minimum when discussing patient information.
      Healthcare information or medical records documentation is to be released only
       by the Medical Records Department, where appropriate patient identification and
       verification can be confirmed.

Abuse and Neglect

What is Abuse?
   The willful infliction of injury, unreasonable confinement, intimidation, or
     punishment with resulting PHYSICAL HARM, PAIN, OR MENTAL ANGUISH.
   Examples: Leaves non-accidental bruising, belittles and shames, intentional under
     or over medication, withholding medical treatment, refusing to provide basic care
     (hygiene), calling demeaning names, etc.
   Possible physical indicators: Burns located in unusual areas, bruises – bilateral,
     clustered, old and new, bruises to the genital or breast area, bruises with a
     distinct pattern (handprint); lacerations, welts, spiral fractures, malnourishment.

    What is Neglect?
       The failure to provide goods and services necessary to avoid physical harm,
         mental anguish, or mental illness.

         Examples: Spends long periods of time in own feces or urine, malnourished,
          dehydrated, smells, dirty, unattended bedsores, lives in unsafe conditions, no
          warm clothing, untreated illness, locked away/denied visitors, fleas, lice.

What is Misappropriation (exploitation)?
      The deliberate misplacement, exploitation, or wrongful, temporary or
         permanent use of a patient’s belongings or money without the patient’s
      Examples: Uses the vulnerable person’s finances to meet his/her own needs;
         becomes Power of Attorney and uses money for personal gain; household goods
         or personal property disappears.

Reporting Process:
    Reporting is required within 24 hours of suspected abuse, neglect and/or
    Notify your director, case management, and Risk Management (x7678) to assist
      with reporting, documentation, and investigation.

                                Don’t Forget Your Customer!
                     Your customer is anyone you give something to…goods/materials,
                                         service or information.

                                                                      Score: _________________

                                                                      Scored by: _____________

     Annual Safety & Infection Control Post-test
                                               Updated 07/23/10

Printed Name: ________________________ Department: _____________________________

By signing below, I verify that I have read the material in the 2010 Annual Health & Safety Education
Packet. My Department Director answered any questions I may have had.

Date: _______________________ Signature: _______________________________________

Directions: This is an open book test. If you are not sure of the answer, go back and review the
packet material. Please use a pencil so that errors may be erased. Darken the space between the
brackets of the letter which best answers the question or completes the statement. DO NOT CIRCLE
the answers. Questions which have two letters darkened will be counted as incorrect.
Because this is an open book test, 100% is expected.

1.     The MVRMC Safety Officer is
       [A] Gene Alexander
       [B] Chris Chavez
       [C] Denten Park

2.     Our Ethic and Compliance Officer is
       [A] Yasmine Estrada
       [B] Gayle Nash
       [C] Blanca Morales-Pena

3.     The Infection Control Practitioner is
       [A] Rodney Valdez
       [B] Blanca Morales-Pena
       [C] Jim Krueger

4.     The acronym RACE stands for
       [A] R = rescue                                   [B] R = read the manual
           A = alarm                                               A = alert
           C = call out                                            C = contain
           E = evacuate                                            E = evacuate

                                     [C] R = rescue
                                         A = alarm
                                         C = contain
                                         E = extinguish

5.     A Code D is called:
       [A] for an infant abduction.
       [B] as a follow-up to a Code 500.
       [C] for a disaster.

6. The most important method to stop the spread of infection is:
      [A] wearing clean clothes every day.
      [B] frequent and thorough hand washing.
      [C] wearing sterile gloves to give patient care.

7.    When moving or carrying objects, hold them as close to your center of gravity
      as possible.
       [A] True    [B] False

8.     If an object is too heavy for you to lift:
       [A] pull it instead of lifting.
       [B] put your back against it and push.
       [C] get help from another person or a mechanical device.

9.    In case of a bomb threat we call a:
       [A] Code Shhh.
       [B] Code Yellow
       [C] Code Kaboom.

10.   You may wear your name badge clipped to your trouser pocket.
      [A] True      [B] False

11.    When a Code 3 is called:
       [A] the police are summoned.
       [B] only trained personnel respond.
       [C] everyone who is not busy responds to the area.

12.    A Code Silver is called when there is:
       [A] an armed threat.
       [B] a chance of rain.
       [C] a threat of terrorism.

13.    For your safety, MVRMC adheres to the “Right to Know” Law which means that:
       [A] you may see your personnel file at any time.
       [B] everyone must have access to the infection control nurse.
       [C] anyone using a hazardous chemical has access to the MSDS for that chemical.

14.    If you see a safety hazard, it becomes your problem. Fix it or report it.
       [A] True        [B] False

15.    Patients who need medically indicated care are not refused that care, even if they
       cannot pay for it.
       [A] True       [B] False
16.    It is permissible to use 3-prong to 2-prong adapters in the hospital.
        [A] True        [B] False

17. You have the legal responsibility to report:

      (A) Any suspected incident of neglect
      (B) Any suspected incident of abuse
      (C) Any suspected incident of exploitation (misappropriation of consumer property)
      (D) All of the above.

18. If you become aware of a suspected incident of abuse, neglect, or exploitation you should:

       (A) Report it to your department director, case management, and Risk Manager immediately.
       (B) Report it to your department director, case management, and Risk Manager only after you
           know that the incident has actually occurred.
       (C) Don’t report it to anyone because it would be a violation of HIPAA.
       (D) Discuss it with your friends first to see what they think.

18. Objects that are prohibited from entering into the MR environment include all of the following
       (A) Safety pins
       (B) Stethoscopes
       (C) IV Poles
       (D) Stuffed animals

19. All MRVMC personnel have access to the MR environment and room
        {A] True  [B] False

20. Who is responsible for turning off medical gases/oxygen in case of fire?
      (A) Chief Nursing Officer
      (B) Fire Department
      (C) Nursing Personnel or Respiratory Therapy

21. Everyone can help reduce falls at MVRMC by (circle all that apply)
       (A) Keeping hallways clear
       (B) Wiping up spills as they occur
       (C) Encouraging wheelchair races in the hallways
       (D) Educating patients, families and coworkers about fall risks


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