2026 Annual Mandatory Education

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Name

First Name

Last Name

2

Date

3

Department

4

Facility

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1. Patient Safety is only Administration's Job.

True

False

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2. The National Patient Safety Goals can be viewed on any clinical unit.

True

False

7

3. Only Managers can report an occurrence.

True

False

8

4. Providing a safe environment for our patients is the responsibility of all employees.

True

False

9

5. Patients at "high risk" for falls wear yellow socks, a yellow wristband and have a small yellow blanket with them.

True

False

10

6. Which of the following is considered Protected Health Information (PHI)?

A. Patient's favorite color

B. Patient's medical record number

C. Department budget report

D. Employee vacation schedule

11

7. Employees can destroy any written/printed document that contains patient information with the approval of their supervisor.

True

False

12

8. You can access a patient's record if you are curious about their condition.

True

False

13

9. It is acceptable for doctors and/or staff to discuss confidential patient information with a close friend of the patient.

True

False

14

10. What should you do if you suspect a HIPAA breach?

A. Ignore it if no harm occurred

B. Discuss it with your co-workers only

C. Report it immediately according to the Hospital's HIPAA Policies and Procedures

D. Attempt to remove all traces of the incident

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11. When posting information on any social media site, never use any personal identification information.

True

False

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12. When the External Affairs Department uses social media to promote a healthcare program, that is a safe, effective way to communicate to a large group of diverse individuals.

True

False

17

13. Wear gloves when touching blood/body fluids, mucous membranes or non-intact skin: perform hand hygiene immediately after removing gloves.

True

False

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14. Hand hygiene is one of the most important ways to prevent infection.

True

False

19

15. Clean blood or body fluid spills with full strength bleach.

True

False

20

16. Current hand hygiene guidelines include the use of alcohol-based hand rubs when there is visible soiling.

True

False

21

17. People who are PPD positive (TB infection) can transmit Tuberculosis to other people.

True

False

22

18. The door must always be closed when there is a patient with TB in an AIIR (Airborne Isolation Infection Room).

True

False

23

19. Red bags/containers are used for Regulated Medical Waste.

True

False

24

20. Food and/or drink can be kept in the refrigerator with lab specimens.

True

False

25

21. Measles is highly contagious and can be transmitted via air.

True

False

26

22. You would call a Code Gray if you notice someone with which signs/symptoms?

A. Inability to speak clearly

B. Weakness to one side

C. Severe headache

D. Any of the above

27

23. In order to prevent back problems, it is important to:

A. Exercise back, leg and abdominal muscles

B. Lift and bend properly

C. Wear proper footwear

D. Use assistive devices

E. All of the above

28

24. Where are our department disaster plans?

A. In a drawer, somewhere

B. What plans?

C. In the READY St John's office

D. In the red binder mounted on the wall

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25. What is considered workplace violence?

A. Only physical assaults

B. Only verbal abuse

C. Physical assaults, threats, harassment, and property damage

D. Only arguments between employees

30

26. Which of the following is a warning sign of a potentially violent person?

A. Calm communication

B. Clenched fists and pacing

C. Smiling and cooperation

D. Asking questions

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27. What is the first step when dealing with an agitated or hostile individual?

A. Raise your voice

B. Argue your position

C. Remain calm and attempt to de-escalate the situation

D. Walk away immediately without speaking

32

28. Who should employees report threats or acts of workplace violence to?

A. Only Human Resources

B. Only Security

C. A supervisor, Security, Human Resources, or management

D. No one unless an injury occurs

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29. Employees will not be disciplined or retaliated against for reporting workplace violence concerns in good faith.

True

False

34

30. Who is responsible for security?

A. Security

B. Nursing

C. Everybody

D. Jim Leviness

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31. What does RACE stand for?

A. Rescue-And-Check-Everything

B. Rescue-Alarm-Confine-Extinguish

C. Race-And-Contain-Emergencies

D. Rescue-Activate-Check-Emergencies

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32. What should you do if you find a needle on the floor?

A. Call security

B. Don gloves and carefully put it in a red sharps container

C. Call the emergency number

D. Tell the nurse manager on the floor

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33. The 4-M Framework consists of What Matters, Medications, Mentation, and Mobility, and all employees are essential in making a difference in the patient experience.

True

False

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34. Only harassment based on sex must be reported and investigated.

True

False

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35. A white male cannot be the victim of discrimination.

True

False

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36. Harassment is in the eye of the recipient.

True

False

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37. If a prohibited activity occurs outside of work, it cannot be considered work related.

True

False

42

38. What do we mean by culturally competent medical care?

A. Providing the same treatment to every patient regardless of background

B. Recognizing and respecting patients' cultural beliefs and adapting care accordingly

C. Only focusing on medical facts and ignoring cultural differences

D. Allowing patients to make all decisions

43

39. What term is used to describe generalizations based on a group or an individual's characteristics?

A. Bias

B. Assumption

C. Stereotypes

D. Discrimination

44

40. What actions should you take when providing education to a patient who has a non-English preferred language?

A. Speak louder and repeat the same information

B. Use a trained medical interpreter and provide translated materials

C. Avoid giving detailed instructions

D. Ask a family member to translate complex medical information without verification

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41. Does a person's belief system affect their health perspective?

A. No, medical understanding is the same for everyone

B. Only in rare cases

C. Yes, belief systems significantly influence how patients view health, illness, and treatment

D. Only if the patient chooses to share their beliefs

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42. Cultural Diversity is the same as Cultural Humility

True

False

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43. Who is responsible for the experience a patient has while at St. John's?

A. Nurses

B. Administrative Team

C. Physicians

D. All St. John's employees

48

44. Video #1 described a potentially fatal illness called:

A. Dementia

B. Sepsis

C. COVID-19

D. Emphysema

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45. The number one most important thing anyone can do to prevent infection is to wash their hands properly.

True

False

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46. As healthcare workers it is very important to listen to the patient and family when concerns are brought to our attention. In Video #2 what was the first concern the parent brought to the care team, concerned about her newborn's health?

A. Jaundice

B. Coughing

C. Agitation

D. Fever

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47. Which healthcare personnel could have prevented this child's illness from worsening?

A. Obstetrician

B. Nurse

C. Case Manager

D. Pediatrician

E. All of the above

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48. USP 800 provides standards for safe handling of hazardous drugs to minimize the risk of exposure to healthcare personnel.

True

False

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49. Risk of reproductive toxicity is one of the characteristics of a hazardous drug according to NIOSH.

True

False

54

50. Routes of occupational exposure include which of the following:

A. Inhalation

B. Injection

C. Ingesting

D. All of the above

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51. Which of the following healthcare personnel are at risk of exposure?

A. Nursing

B. Pharmacy

C. Housekeeping

D. All of the above

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52. Disposal of PPE goes in which of the following waste containers:

A. Blue

B. Red

C. Yellow

D. Any trash bin

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53. Which of the following response is appropriate if you suspect you have been exposed?

A. Notify supervisor

B. Complete an internal accident incident report

C. Report to ED for evaluation and follow up with Employee Health Services

D. All of the above

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54. The Office of Legal Affairs provides legal advice to employees regarding their personal matters.

True

False

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55. Who is subject to our Compliance Program?

A. Employees

B. Members of the Board of Trustees

C. Contractors

D. All Personnel (including Board of Trustees and Contractors)

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56. Which of the following is a required Compliance Risk Area?

A. Credentialing

B. Governance

C. Billings

D. All of the above

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57. Which of the following is NOT an Element of our Compliance Program?

A. No intimidation or retaliation

B. Designated Compliance Officer

C. Annual reports provided to the Hospital's Security Department

D. Written policies and code of conduct

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