Inpatient Operations

What are the set times for Bleach, Virex +, Super Sani Wipes 5-10-2 3-15-3 3-3-2 2-2-3

Where is Allen Street located? Founders Basement Warren Basement Charlestown Navy Yard Across from the East Garden Room

Where is the Outpatient Pharmacy? Blake Basement Wang 1 Jackson 1 Charles Circle CVS

What does BMT stand for and what are the special precautions? Behavioral Monitoring Treatment - Remove all sharps and potential ligature points from room Braille Medical Translation - Requires braille printout of discharge instructions Bone Marrow Transplant - Hand Hygiene, Surgical Mask, Gloves, Positive Pressure Room, Keep Door Closed Biothreats Medical Transfer - HAZMAT suit and negative pressure environment

What do RACE and PASS stand for? Rabies, Anthrax, Chickenpox, Ebola - Polio, AvianFlu, Shingles, SARS Rescue, Alarm, Contain, Extinguish/Evacuate - Pull, Aim, Squeeze, Sweep Rest, Acetaminophen, Compression, Elevation - Pneumonia Associated Septic Shock Retreat And Coordinate Escape - Prepare, Assess, Seek Shelter

How long after a discharge until you can go into an airborne precautions room without a respirator? 1 day 1 hour 30 minutes Do not have to wait

What is the staffing order of priority for a Varicella Room (chicken pox)? 1) Had chicken pox, 2) Had two vaccines, 3) Had neither 1) Had two vaccines, 2) Had chicken pox, 3) Had neither 1) Had chicken pox twice, 2) Had one vaccine, 3) Had neither There is no staffing order of priority

How wide must an egress corridor be? No width requirement as long as everything is on wheels and on one side 12 feet 8 feet 6 feet

How many inches from a sprinkler head must products be? 18 inches 24 inches 36 inches 180 inches

What has to be plugged into red power? Defibrillators and Omnicells only Technically nothing, normal power is just as reliable Emergency equipment Equipment with red power cords

What are neutropenic precautions? Low white blood cell count, high risk patient for infection High risk for nutrition allergies Standard, or "neutral," precautions Patient has multiple infections, Strict Isolations required

What is the major difference between airborne and droplet isolations? Airborne illnesses are much more dangerous than droplet illnesses N95 vs. Surgical Mask Clean with bleach vs. clean with Virex + Negative vs. positive pressure environment

What is the difference between an N95 and a Surgical Mask? N95 masks are more comfortable, but also more expensive Surgical masks are only used during surgery or invasive procedures N95 protects you, Surgical Mask protects the patient N95 masks are used in positive pressure rooms, Surgical Masks are used in negative pressure rooms

What concentration of Quat should Virex + be in Parts Per Million (PPM)? 4000 PPM 870 PPM 1000 PPM 200 PPM

What is CDIFF and how is it spread? Spore based and comes from fecal matter Virus that comes from livestock A patient's resistance to antibiotics, spread by over-prescribing unnecessary antibiotics Tiny insect that is transported on clothing and furniture

What is Snapback used for? Tightening a loose-fitting N95 mask Floor buffing Post-traumatic support for staff, available through EAP free of charge Cleaning patient electrodes

What is Speedball used for? Lubricating casters on USA carts and trash barrels Spot cleaning floors Disinfecting toilet in patient room Removing scuff marks from walls

What is Stride used for? Cleaning floors only (Patient room floors must be cleaned with Virex + first) Disinfecting patient room floors after a prolonged stay Adding traction to a patient room floor to avoid slips and falls Scrubbing toilets with hard water stains

Who do you reach out to about instruments not being picked up? Main OR Central Sterile Processing and Supplies (CSPS) Materials Management Environmental Services

Who do you reach out to about broken Dash monitors? Partners Information Systems Clinical Nursing Supervisors Biomedical Engineering Buildings & Grounds

Where do you order Isolation signs from? Staples The Allied Group Standard Register Bigelow 10 Nursing Office

What is the threshold for capital? $5,000 per item $5,000 total (so ten $500 items would reach the threshold) $500 per item $1,000 per item

Which are more difficult to kill, enveloped or non-enveloped viruses? Enveloped Non-enveloped There is no difference It depends on the RNA of the virus

What’s the difference between epidemic and pandemic? Epidemic is local, pandemic is global Pandemic is local, epidemic is global Epidemics originate within the United States; Pandemics originate from foreign countries Epidemic diseases only affect the skin; Pandemic diseases affect the whole body

Who fixes broken ice machines and refrigerators? B&G Plumbing Shop B&G HVAC Shop Biomedical Engineering B&G Electric Shop

Who fixes broken water fountains/bubblers? Department of Public Health Nutrition & Food Services MGH Engineering Department B&G Plumbing Shop

Who fixes broken magnetic locks on doors? Police & Security B&G Locksmith B&G Electric Shop B&G Automation

Who fixes bed cables and tethers? B&G Metal Shop Biomedical Engineering Model Shop B&G Electric Shop

Who will add new Red Power outlets to a hallway? Biomedical Engineering B&G Electric Shop Environmental Health & Safety Center for Quality & Safety

Who would help move large equipment to a new location? Resource USA B&G General Construction Environmental Services Patient Transport

Who would install new built in cabinetry? B&G General Construction Planning & Real Estate Environmental Services B&G Carpentry Shop

Who do you reach out to in order to add a card reader to a door lock? B&G Electric Shop Police & Security B&G Locksmith Environmental Health & Safety

Are pregnant USAs restricted from entering any rooms? Yes, if they are in their 3rd trimester Yes, they are restricted from Strict Isolations Rooms Yes, they are restricted from BMT Isolations rooms No, they are not restricted from entering any rooms

Where is Central Sterile Processing and Supplies (CSPS) located? Gray 3 Cox Basement Lunder LL1 Ruth Sleeper Hall

Where is the Stat Room? Gray Basement Bigelow 14 Lunder LL Gray 5

Where do you send someone for a temporary badge? Police and Security on Wang 2 Human Resources on White 14 Fruit Street Garage Parking Office Materials Management Customer Service

Why do you have to wash your hands with soap and water for Contact Plus Isolations? To remove the spores before disinfecting Because CDIFF is a particularly bad illness Because CDIFF is small enough to penetrate gloves Because soap kills CDIFF better than Cal Stat

What chemical is used to clean CRE rooms? Alcohol Bleach Virex + Simple Green

What chemical is used to clean Candida Auris rooms? Bleach Virex + Virex II 256 Ammonia

What kinds of fans are allowed on inpatient units? Sterile fans from CSPS No fans are allowed on inpatient units Fan from patient's home Yankees Fans

If a unit goes on a VRE or MRSA watch, what chemical should be used to do a 1-time wipe-down of the unit? Bleach Virex + Stride Alcohol

What extra cleaning step is required for Exergen temporal artery thermometers? Wipe the lens with an alcohol Q-Tip Remove the head of the thermometer and wipe the inside with a Super Sani-Cloth Submerge the thermometer in Virex for 2 minutes Test thermometer is working by taking USA's own temperature

What is the USA’s role in a Chemo Spill? Don gown and gloves and clean up the spill Get the spill kit for the nurse Call Environmental Services Complete a Safety Report

When does a paper recycle bin need to be locked? Always Only in outpatient settings When there is confidential information in it When it is in a publicly accessible space

What is the process for a confirmed Bed Bug case? Clean everything with bleach, isolate the patient until discharge Double bag belongings, move patient to a new room, call ESD to come steam the patient room before then having the USAs clean ESD performs all daily cleans and the discharge clean for that patient Send all patient belongings and clothing to CSPS to be autoclaved

Who do you call if an employee needs a PAPR to enter an airborne isolation room? Occupational Health Clinical Nursing Supervisors Environmental Health & Safety Materials Management Customer Service

Where is the room to exchange Code Carts? Bulfinch 1 Jackson Basement Wang 1 Lunder LL

What is an MDRO? Multi Drug Resistant Organism Medical Directory of Registered Ophthalmologists Marrow Donor Reversal Operation Multi-Disciplinary Research Objective

What is a CAUTI? Catheter Associated Urinary Tract Infection Chronic Autonomic Urinary Tract Infection Capital Acquisition Undeclared Tax Infraction Causal Analysis of Unsafe Treatment Introduction