2016 Orientation and Annual Training Packet

In accordance with HFAP regulations (04.00.11-04.00.12), orientation and annual re-training must be provided
to all categories of personnel, as well as the Medical Staff and any contracted staff. This packet contains an
overview of the eight mandatory topics set forth by HFAP, as well as a short evaluation designed to document
knowledge acquisition. This post-test must be completed and submitted to the Medical Staff Office.
 Required Orientation / Annual Training Curriculum

(HFAP 04.00.11-12)

1) Infection Prevention and Control

2) Quality Assessment / Performance Improvement
3) Life Safety
4) Equipment / Device safety
5) Hazardous waste and materials safety
6) Information Management
7) Patient Rights
8) Restraint use

Acknowledgement:

I acknowledge that I have received the hospital orientation / annual re-training on the
subjects listed above. By signing below, I agree to comply with all requirements, policies
and procedures outlined therein.

___________________________________ _____________________
Print Name Date

___________________________________ _____________________
Signature Department
 2016 Orientation / Annual Re-training

Name: __________________________________ Date: _________________ Position: ________________

1. Which disease is bloodborne?

a. Influenza
b. HIV/AIDS
c. Tuberculosis
d. Common cold

2. What does the acronym R.A.C.E. stand for?

R___________________
A___________________
C___________________
E___________________

3. Employees must wear an isolation gown and gloves when entering a contact isolation room.
a. True
b. False

4. Performance improvement is the responsibility of ________________?

a. the Department Manager
b. Yourself
c. Hospital Administration
d. All of the above

5. The least restrictive intervention must be chosen based on an individualized assessment of the patients medical or
behavioral status or condition.
a. True
b. False

6. Medical waste is placed in ______________ bags.

a. Brown
b. Yellow
c. Clear
d. Red

7. Policies and procedures exist to safeguard protected health information (PHI), including unique user ID assignment and
automated lockouts and reporting after 3 failed log-in attempts.
a. True
b. False

8. The CDC recommends that people _________________ when their hands are visibly soiled.
a. Rub their hands with an alcohol-based gel
b. Wash their hands with soap and water
c. Wear gloves
d. Both b & c.

9. All injuries should be reported to your direct supervisor and employee health, no matter how minor it may seem.
a. True
 b. False
10. The best way to work with different ethnic cultures is to ______________.
a. Know your own beliefs but be respectful of other beliefs.
b. Let others know that your culture beliefs are always right.
c. Indicate what works best in your culture and follow those guidelines with your patients.

11. EMTALA is a federal law that protects all patients presenting for emergency medical care by requiring medical screening
exams and stabilization of the patient, even if they cannot pay for the services.
a. True
b. False

12. What should you do if you think a patient may be a victim of abuse?
a. Bring in a police officer to take a statement from the patient.
b. Protect the patients privacy and do not disclose the information.
c. Report the suspected abuse to our supervisor immediately.
d. Refer the patient to social services, but do not involve anyone else.

13. Medical Safety Data Sheets can be found on the Thintranet.

a. True
b. False

14. Which would be a violation of a patients privacy and confidentiality?

a. Disclosing the patients medical record to a regulatory agency assessing quality of care
b. Sharing the patients diagnosis with a friend of the patient who is a doctor at another hospital.
c. Sharing lab results with a nurse involved in the patients care.
d. Discussing treatment options with the patient and the patients spouse, at the patients request.

15. Patients have the right to know about the facility, their healthcare team, and their rights as patients.
a. True
b. False

16. What does the acronym P.A.S.S. stand for?

P____________________
A____________________
S____________________
S____________________

17. What is the single most important thing you can do to prevent the spread of infection? ____________________________

18. Identify two (2) specific and acceptable reasons for restraint use.
a. _______________________
b. _______________________

19. All equipment, environmental and working surfaces should be cleaned immediately if visibly soiled, and after each use on
all patients regardless of their infection status or diagnosis.
a. True
b. False

20. Single-use devices pose a risk at initial use, as well as after being reprocessed.
a. True
b. False