JCIMockSurveyQuestion

1. MedicationManagementCommittee
a. WhoistheleaderforPhamacoTherapeuticCommittee?
b. Whatisdutyofthiscommittee?
c. Whooverseedecision?
d. Inmatterrelatedtootherthannurseorpharmacist,whatisthe
process?Whatistheroleofeachprofession?
e. ComprehensivelistofDrugformulary,reviewonceayearornot?
f. Othermedicationthatnecessarybutnotincludedinformulary(ie.
unlicensedmedication),howPTCapproveusage?
g. WhereistherecordofdecisionmakingrelatedtoPTC?
h. SupposeAntibioticisnewinmarket,whatistheprocessof
procurement,andaddingintoDrugformulary?
i. Howtomonitordrugeventespeciallynewmedication?(training
forusing?)
j. Howphysicianmakeorderinputinmedicalrecord?
k. AccordingtoListofdangerousabbreviation,ifyoufoundany,what
willyoudo?Willyoudoforthenexttimeoratthistime?
l. Doyouhaveinformationcollectingaboutprohibitedissue?
m. Inorderingpolicy,whatelseintheorderingpolicy?
n. Isthereanyrestrictionordistinguishingforphysicianabout
ordering?(suchasAntibioticorChemotherapy)
o. DoyouhaveStandingorder?Whatistheprocess?Doyouhave
anypolicyaboutprnorder?(Andalso12tabpertime)(No
morerangeandduration)
p. Whoadministermedication?
q. Howdoctorknowabout5R?Whendoctorsadminister
medicationbythemselves,didtheyidentifypatient?(Especially
anesthesist,intensivist,andradiologist)
r. Howyoustoremedicationinunit?(Radiology,Operatingtheater,
orNursing)Isthereanylisting?Isthereanyinspection?How
frequentinspectionperformed?
s. Doyouhaveconcentrateelectrolyte?(None,exceptinemergency
cart)
t. Incardiovascularsurgery,whatdoyouuseforcardioplegia?Ifitis
notavailable,howdoyouprepare?
u. Howpharmacistdoeswhenhereceivestelephoneorderfrom
physician?(Writedown,readbackandconfirm)
v. Showmethedefinitionofmedicationerrorandnearmissed.
w. Whatisthedatashowfrommedicationerrorandnearmissed?
Whatistherateofmedicationerror?Whatisthetrendof
medicationerror?Isthereanyseriouseventorpermanentdamage
frommedicationerror?
x. Howyoucommunicate/senddatatoauthorityoutsidehospital?
y. WhatistheprocessinThailandtoprescribenarcotics?
z. Howyoucontrolthenarcoticsleftover?
aa. Howyoucontrolanestheticagent?

bb. Doyouuseradioactiveinhospital?Whoisresponsibleto
radioactive?Isthereanyradioactivesafetycommittee?(Incase
youhaveradioactive)
cc. ForTPN,whocontrolthat?Whatclassofpreparingroom?
dd. Dothenursemixmedicationatbedside?Doyouhavetheprotocol
tomakesurethestandardofmixing?

2. Patienttracer#1;72yearsoldmanwhopresentedwithabdominalpain.
ThediagnosisisgallstonewithCBDdilation.Atward7.
a. Whenhearrivedhospital?Whatisthepurposeofadmission?
Whereistherecord?
b. WheredoyouperformERCP?(RadiologyunitorOperating
theater)
c. Whoisattendingphysician?
d. Doyouhavehandoverthismorning?Tellmeaboutinformation.
e. Whattimehandovermeetingperformed?
f. Whattimebloodwasdrawn?
g. Whenpatientarrived,whoperformevaluation/assessment?What
arethoseassessments?
h. Fordrugallergy,whereisthefirstinputintotherecord?Howyou
performmedicationreconciliation?
i. Wheredoesphysicianrecordtheimpressionordiagnosis?How
hospitalcontrolsabbreviationamongphysicians?
j. Whereistheconsenttakenplace?Whatdoestheconsentform
inform?Whereispreoperativechecklist?Howtimeout
performed?Whereispreanesthesiaassessment?Howdoespost
operativecareperform?Whatistheprivilegeofsurgeonor
physician?Howdoctorcontrolwasteproductorstorage?
k. Inoperativerecord,whereispreoperativediagnosis,post
operativediagnosis,andoperatingprocedure?
l. Foranesthesia,wherepreinductionassessmentperform?Where
arepreandpostanestheticrecords?Whodischargepatientfrom
recoveryroom?Whatarethecriteriaofdischarge?
m. Lookbackinphysiciansorder,isthereanydangerous
abbreviation?
n. CanyoushowmepainscorebeforetheorderPethidinestat,and
painscoreaftergiving,characterofpain,andintervention
respondedtopainscore?
o. Whataboutfallriskassessment?Doyourepeatfallrisk
assessment?
p. Whatisthedifferencebetweenbloodtubes(blue,red,greenor
whatevercolor)?
q. Whodrawblood?Howyouidentifypatientbeforeblooddrawn?
Whatifpatientunconscious?Whatyoudonextafteridentify
patient?
r. Whatinformationontheboardisallabout?Whathappenin
August?
s. Howoftenyoucheckemergencycart?Whyyouhavetorecordlog
numberofemergencycart?

t. Isthereanychildadmittedonthisfloor?Doyouhavepediatric
dosagechartforCPRmedication?
u. WhocheckcompetencyofnurseforpediatricCPR?Howoften?
Whokeeptherecord?
v. Doyouhaveanymercurydevice?Ifso,howyouhandlewhen
mercuryspilled?
w. Doyouhaveanymedicationkeptinpatientsroom?
AtRadiologyUnit
a. WhereERCPhasdone?Whowillseethepatientfirst?
b. Whenthepatientarrives?Whatdoyoufirstaskthepatient?What
istheexactquestion?
c. Whatdoyoudotocheckwhetherpatientprepareappropriately?
Whatpaperneeded?Whatdoyoucheckbeforeprocedure
perform?
d. DoyoudoTimeoutbefore?Howdoyoudoit?
e. WhatwillhappenedafterERCP,whowillgotoPACU(Post
AnesthesiaCareUnit)
f. Whoperformpreventivemaintenance?Howyoucarexrayapron?
Howyouoversee?
g. HowyoucleansetheERCPequipment?Isthechemicaldangerous?
h. Whenwasthelastfiredrill?Didyouhavedebriefing?

3. Patienttracer#2;Diagnosispancreatitis,presentingabdominalpain
a. Whenthepatientarrived?Fromwhere,ERorOPD?
b. Whereisphysiciansassessment?Didhecomedirectlytoward
afterOPD?
c. Whereispainassessment?
d. Howishetoday?Whatiseducationplan?Whereistherecord?
*Educationshouldbegivenasfastasyoucan.
e. Whereiscareplan?Isthereanyfollowup?
AtOPD
Howthisclinicworks?Howpatientgetintoclinic?Howdoctor
seethepatient?Howtoadmitpatientdirectly?
Whodecideforpatientwheretogo?
Whatbasisthecustomerserviceusetoscreenpatient?
Whatvitalsarechecked?
Sonurseseepatientfirst,thendoctor.Doyouscreenpatient
forpain?
Whatotherhistoryyouassess?
HowtoadmitpatientfromOPD?Whatistheprocess?Howto
communicatetohospitalfloor?
Howtheassignmentsaremadefordoctorshere?Howschedule
hasbeenmade?
Doyoudoanyprocedureinclinic?
Whenyoumakedecisiontoadmitpatient,doyouseethe
patientafteradmission?Whendischarge,patientcomebackto
seeyou?(ThesequestionscheckContinuityofCare)Ifyouare
nothere,howthepatientcancontinuecareinhospital?
Doyouhavetraininghere?


AtLab

Doyoukeepmedicationinthisroom?Doyoulockthisroom?
Dothehousekeepingcomehereafterclosingtheunit?

Whatisthequalitycontrolsystem?Howyoucontrolthe
qualityofreagents?Equipment?Reporting?Bedsidetesting?
Communicationbetweenlabandfloor?
4. Patienttracer#3;BurmesemanwithgallstonewithCBDdilation.Post
ERCPandLCday2.
Isthereanylabtestdone?
Lookingfornursingassessment,isthereanylistofdrugallergy
inmedicalrecord?(showsgoodcommunication)
Isthereanyanestheticassessmentpriortoprocedure?
Whohasprivilegetodoprocedure?
Whereelsethepatientreceivesthecare?(esp.lab,Xray)
AtLab
Howdoyoureceivespecimenfromfloor?
Whotransportspecimen?
Whenspecimencomesin,howtrackingofspecimendone?
Howyouidentifyspecimen?(Usingbarcodeandlabnumber)
Whathappennext?Howspecimenlabel?
Howthemachinenow?Whichmachineisrunning?Howdoyou
know?
Howaboutthesupporting?Howtoverifytheresult?
Doyouadjustnormalrangeforage(eg.newbornvs.adult)
Whathappentolabresult?Howyoucommunicatetoflooror
physician?
Howmanydifferenttestsinthisautomate?
Doyouhavequalitycontrol?Doyoumonitorqualitycontrol?
DoyourunWestgardchart?Couldyoushowmethequality
ofeverydaytest?
Howyoustorereagent?
Whoisexternalqualitycontrol?Whoisthevendor?Isthere
anyproficiencytest?