CHL Exam Review

Netiquette

"Network etiquette." Internet rules of workplace conduct that include respecting privacy guidelines and refraining from visiting offensive or illegal websites.

temp and humidity in decontam

60-65°F 30-60%

Chain of infection

Causative (infectious agent), reservoir, portal of exit, mode of transmission, portal of entry, susceptible host. Each link in the chain must be present and in the correct order for an infection to occur.

A valuable tool used to help justify financial/other resources to improve CS process flow

Line balancing and capacity analysis /assessment

Define bureaucratic leadership

Place emphasis on the enforcement of policies, procedures and rules.

The path taken by instrument trays and durable medical equipment as they cycle through their daily routine.

Process Flow Map

Managing the work process enables employees to perform their tasks efficiently and effectively, while eliminating non-productive or wasteful steps.

Work flow optimization

Merit Pay

awards pay increases in proportion to performance contributions

defect

"close call". A variance from expected standards.

Process improvement technique

1. State the problem 2. Collect /analyze data 3. Determine the cause 4. Generate solutions 5. Plan the process change 6. Pilot test the change 7. Evaluate results 8. Implement the change.

temp and humidity Sterilization area

75-85°F, 30-60%

temperatue inSterile Storage area

<75°

Arbitration

A "mini trial" that is used by parties to resolve a dispute held in an effort to avoid a court trial.

Comparison Ratio

A calculation made by dividing an employees actual pay level by the mid-point of the employees pay grade. A ratio greater than 1.0 indicates the employee's pay is above the salary range mid-point; a ratio less than 1.0 means the salary is below the range's mid-point, abbreviated "compa ratio"

RFP (Request for Proposal)

A document that is sent out to potential vendors requesting them to provide a proposal on a product or service.

Emergency Medical Treatment and Labor Act (EMTALA)

A federal act that requires hospitals to provide emergency treatment to all individuals regardless of their insurance status or ability to pay

Flow chart

A graphical representation of the stages in a process, system or the steps required to solve a problem.

Cross-functional teams

A group of employees from different departments in an organization that work together to resolve problems.

Hospital Alliance

A group of hospitals that shares services and information and develops group-purchasing programs to reduce costs.

Attrition

A loss of employees from voluntary and involuntary terminations, death and retirements.

Situational Leadership

A management style that recognized there's no one best way to lead and that different situations and people require alternative leadership approaches.

Root Cause Analysis

A process for identifying the basic or casual factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event.

Position control

A process that imposes restrictions on filling vacant positions to manage the costs associated with them.

Six Sigma

A quality process that focuses on developing and delivering near-perfect products and services.

Total Quality Management (TQM)

A set of management practices throughout an organization that focuses on ensuring that customers expectations are consistently met or exceeded.

Triggering Event

A situation that helps to promote the development of an attitude about a person, situation or object.

Quality Circle

A skilled team of employees that meets regularly to identify quality issues, use specific techniques for analyzing and resolving problems, and make improvement recommendations.

Quality Control (QC)

A statistical sampling method that measures production quality

Random Sampling

A survey tactic in which each instrument set or case cart being analyzed for quality has an equal chance of being selected for analysis.

C-Suite

A term referring to those occupying the highest healthcare administrative positions. It is derived from the observation that the the word "chief" is frequently used in the position title. Ex Chief Financial Officer.

Caucus

A term relating to the suspension of negotiations so both sides can reconsider their positions.

Work hardening

A work-oriented therapy to help employees injured on the job to bridge the gap between completion of physical or occupational therapy and their return the workplace.

ABC's of leadership

A-Attitude, B-Behvior, C-Communication and Competence.

HAZ COM standard

Administered my OSHA and addresses the issue of evaluating potential chemical hazards and communicating information about hazards and protective measures. Prepares and distributes MSDS's to departments.

ADEA

Age Discrimination in Employment Act. Protects workers aged 40 and over by prohibiting discrimination against them in any employment or employee related decision.

ADA

American with disabilities act. Designed to prevent discrimination and to remove barriers that prevent qualified individuals with disabilities from employment opportunities.

Arbitration (compulsory)

An action in which an arbitrator is appointed by the government to make a binding decision upon the parties negotiating the contract.

Arbitration (voluntary)

An action in which both parties (organization and union personnel) submit a dispute to an external, disinterested third party for binding or non-binding resolution after the presentation of evidence and related discussion.

Cost benefit study

An analysis that compares the dollar value of program costs with the dollar value of program impacts.

ORYX

An initiative of TJC that intergrates outcomes and performance measurement data into the accreditation process.

Failure modes

Any errors that can potentially occur during a given process

Leadership Styles

Autocratic, Bureaucratic, democratic, laissez faire, transformational

The microorganism used in BI of EtO sterilization?

Bacillus atrophaeus spore

5 kinds of chemical indicators zsw

Class 1-process indicators Class 2-specific test indicators, eg bowie dick Class 3 - single parameter indicator Class 4-multi parameter indicators Class 5-integrating indicators

Medical device classification

Classification system placed on medical devices regulated by the FDA. They are: Class 1, Class II, & Class III

Competency-based pay

Compensation stem that recognizes employees who acquire a critical skill or knowledge; also called skill-based or knowledge-base pay.

Four primary modes of infection transmission

Contact, airborne droplets, common vehicle (food, water meds, hands) , vector (fleas, mosquitoes, lice, etc)

Spaulding Classification

Critical (exposed to sterile areas of the body; must be sterile); Semi-Critical (touches mucous membranes; recommended sterile or high level disinfected); Non Critical (touch the skin; can be cleaned or disinfected; less than high level disinfection)

Sentinel event policy

Designed to identify and prevent the occurrence of events that lead to unexpected deaths or events leading to or potentially leading to serious physical injuries. When an event occurs a root cause analysis and identification of improvements to risks must be undertaken.

Chemical indicators

Designed to measure individual package penetration

FMEA

Failure Mode and Effects Analysis

FLSA

Fair labor standards act. Adopted in 1938 to establish minimum federal wage and hour standards for minimum wage, overtime pay and child labor.

FDA

Food and Drug Administration. Responsible for ensuring that foods, cosmetics, human and vetenary drugs, biological products, medical devices, and electronic products that limit radiation are safe and effective for the publics use.

Physical monitors

Gauges, charts, printouts

Viable bacteria used in steam BI packets

Geobacillus stearothermophilus

HIPAA

Health Information Portability and Accountability Act. Protects pts medical records and health information.

Benchmarking Process

Identify and analyze best practices to discover areas of and process for performance improvement.

Three types of errors

Inadvertent, intentional and incompetence

Class 1 devices

Low risk devices such as hand-held surgical instruments.

NPSG

National Patient Safety Goals - an initiative established to help accredited organizations address specific areas of concern regarding pt injury.

What are the 3 federal agencies that impact Central Services

OSHA, FDA, EPA

OSHA

Occupational Safety and Health Administration. Created in 1970. Primary role and responsibility is to protect workers from occupationally caused illnesses and injuries.

Define each section of the Plan - do-check - act

Plan =determine what is not going as expected. Do=minimize the impact on the CS dept. Check =assess the outcomes Act=implement changes completely if the checking phase reveals no problems.

PDCA

Plan, Do, Check, Act. A four step cycle for implementing change that encourages continuous improvement.

PMA

Pre-market approval. Approval granted to manufacturers of new devices by the FDA to demonstrate the devices are safe and effective.

Define autocratic leadership

Prefers to make decisions and resolve problems without input from affected staff members. They want to give instructions and expect them to be followed. Develop system of rewards and punishment to discipline.

Class II Devices

Require special controls to ensure safety and efficacy. Include most types of sterilization equipment and biological and chemical indicators. Require premarket notification (510/K) Example: CAT scan

RCA

Root Cause Analysis - seeks to identify the root or fundamental cause of an event. Looks backwards at an event to help prevent its future occurrence.

Hospital quality measures

Standardized common measures that are integral to improving quality of care to hospital patients and bringing value to the stakeholders.

Effect analysis

Studies the consequences of identified failures.

Ancillary Services

Supplemental healthcare services including laboratory, radiology and physical therapy services provided during a patient's hospital stay.

FMLA

The Family and Medical Leave Act (FMLA). Allows employees who have met minimum reqmts (12 months continuous employment/1250 hrs of service) to take up to 12 weeks of unpaid leave.

Electronic Data Interchange (EDI)

The automated exchange of data and documents in a standardized format. A common use is the exchange of routine business transactions between computers in a standard format using standard communication protocols. E.g. An electronic order placed by a facility's purchasing department to a vendor.

Tracer Methodology

The cornerstone of TJC survey in which it uses actual clients, patients or residents as the framework for assessing standards compliance.

Case Mix

The different types of patients served by a healthcare provider/hospital.

Bidding (HR)

The internal posting of position vacancies to enable current employees to apply before the employer seeks qualified candidates through external recruitment.

Change Management

The process of applying knowledge, tools and resources to deal with change. Including defining and implementing strategies, systems, procedures, communication, and technologies to navigate changes in external or internal conditions.

Behavioral-based interview

The process of asking open-ended questions during applicant selection, performance appraisal and other interviews to generate informations that suggests interviewee reaction to specific situations. This process is used because past performance is often an indicator of future performance.

Quality Improvement (QI)

The process of measuring the current output of a process and then modifying it to enhance outcomes, increase productivity and/or decrease costs.

Class III Devices

These are the most stringently-regulated devices and include heart valves, pacemakers and other life-sustaining devices. Must obtain a pre-market approval (PMA) from the FDA.

Define transformational leadership

These leaders interact interact in a way that permits both leaders and their associates to raise one another to a higher level of motivation.

define democratic leadership

These leaders want to involve staff members in the decision-making process. They keep employees involved about all matters that affect their work, and they share decision making and problem solving responsibilities through empowerment. Provides opportunities for employees to develop a high sense of job satisfaction.

Define laissez-faire leadership

Use a hands off approach and do as little directing as possible. Most authority is delegated to staff members. Employees are given as much freedom as possible.

cross-functional team

a team composed of employees from different functional areas of the organization that work together to resolve problems.

Right to know

an OSHA standard providing protection for workers from hazardous workplace substances by requiring employers to keep employees informed about hazardous substances they may handle.

sentinel event

an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof

510(k) application

comprehensive package of information designed to demonstrate that the new product is "substantially equivalent" to one or more medical devices already being marketed

variable costs

costs that change in relation to the value of processing output in the Central Service department. Ex. waged labor and supplies.

FTE

full time equivalent (employee)

Right-to-Work

legislation that allows employees to work without having to join a union

ROI

return on investment, a ratio of profit from a specific investment compared with its cost.

Biological indicators

species that can be used to monitor the health of an environment or ecosystem.