WB Intvw Ques
Up one page WB Checklist WB P&Ps WB Intvw Ques

 
CBE Home

ESRD Find & Fix

Click Here to End Polio Now

     
SAMPLE SELF-SURVEY INTERVIEW QUESTIONS

Administrator/ Medical Director

IG Tag ID #

Topic

Question

245

Adverse Events

If a patient experiences adverse reactions potentially related to the water system, what actions will be taken and by whom?

468

Discharge and Transfer

How are patients informed of the situations under which a patient can be transferred, discharged, or when dialysis could be discontinued?

640

Transfer Requests

How does the facility determine whether it will accept a patient requesting transfer into the facility?

 

Dialysis Patient

IG Tag ID #

Topic

Question

404

Temperature/Comfort

If you let the staff know that you are feeling cold, what do they do for you?

407

Emergency Preparedness

If there is an area-wide disaster-
- How would you know if the unit was open or not?
- If you couldn't get in, what would you do?
- How could you find out if what dialysis units near you were open and available?

465

Patient Rights

If you have a complaint, who do you go to with it?

 

Patient Care Staff

IG Tag ID #

Topic

Question

245

Adverse Events

What symptoms would indicate that a patient might be having a potential pyrogenic reaction?
What actions would you take?

464

Patient Rights

If a patient complains about another staff member or any other issue or concern, what do you do?

465

Patient Rights

If a patient wants to file a grievance with the Network or state survey agency, how do they do that?

 

Click here for more information about workbook pricing
 

 

Sign-up for our monthly eNewsletters

Privacy by
Safesubscribe
®

 

©2007-10 Core Business Enterprises LLC
1930 Village Center Cir #3-396, Las Vegas NV 89134-6238, 702-473-1153