Relias Safety and Compliance 2 — Questions and Answers
Question 1: Under OSHA's Bloodborne Pathogens Standard, how often must employers offer hepatitis B vaccination to at-risk employees?
- Only at initial hire (Correct answer)
- Annually, regardless of prior vaccination
- At hire and after any needlestick
- Every three years
Correct answer: Only at initial hire
OSHA requires employers to offer the hepatitis B vaccine series to employees with occupational exposure at the time of initial assignment.
Question 2: A healthcare worker receives a phone call asking for a patient's discharge summary to be faxed to an unknown number. What is the FIRST action to take?
- Fax only the first page as a test
- Verify the requester's identity and authorization before releasing any information (Correct answer)
- Ask a colleague to handle it
- Fax the document and document the request afterward
Correct answer: Verify the requester's identity and authorization before releasing any information
HIPAA requires verification of the requester's identity and a valid authorization before disclosing protected health information.
Question 3: Which fire extinguisher class is appropriate for electrical equipment fires?
- Class A
- Class B
- Class C (Correct answer)
- Class D
Correct answer: Class C
Class C extinguishers are designed for fires involving energized electrical equipment because they use non-conductive agents.
Question 4: A patient exhibits signs of elopement risk. Which intervention is most appropriate according to safety compliance standards?
- Lock all facility exits immediately
- Implement a least-restrictive safety plan and document it in the care plan (Correct answer)
- Place the patient in a seclusion room
- Notify family only and take no further action
Correct answer: Implement a least-restrictive safety plan and document it in the care plan
Least-restrictive interventions that respect patient rights while ensuring safety must be implemented and documented per regulatory standards.
Question 5: What does the acronym RACE stand for in fire emergency response?
- Run, Alert, Contain, Evacuate
- Rescue, Alarm, Contain, Extinguish/Evacuate (Correct answer)
- React, Assess, Call, Escape
- Remove, Activate, Control, Exit
Correct answer: Rescue, Alarm, Contain, Extinguish/Evacuate
RACE — Rescue, Alarm, Contain, Extinguish/Evacuate — is the standardized fire response sequence used in healthcare facilities.
Question 6: An employee observes a colleague improperly disposing of sharps in a regular trash bin. The correct response is to:
- Ignore it if it happens only occasionally
- Report it to the supervisor and correct the hazard per facility policy (Correct answer)
- Dispose of the sharps yourself without reporting
- Post a note on the trash bin as a reminder
Correct answer: Report it to the supervisor and correct the hazard per facility policy
Improper sharps disposal is a bloodborne pathogen hazard that must be reported and corrected in accordance with OSHA standards and facility policy.
Question 7: Under the Emergency Medical Treatment and Labor Act (EMTALA), what must a hospital with an emergency department do when a patient presents?
- Treat only patients with valid insurance
- Provide a medical screening examination regardless of ability to pay (Correct answer)
- Refer the patient to a public hospital immediately
- Obtain financial information before any examination
Correct answer: Provide a medical screening examination regardless of ability to pay
EMTALA requires hospitals to provide a medical screening examination to anyone who presents to the ED, regardless of insurance status or ability to pay.
Relias Safety and Compliance 2
Under OSHA's Bloodborne Pathogens Standard, how often must employers offer hepatitis B vaccination to at-risk employees?