Name:                                                                 Signature:

SSN:                                                                   Department:

Date:                                                                   Test Score:                                  (Passing = 70%)

Supervisor's Name:                                              Signature:
 

True or False

1.            Your supervisor does not need to advise you of specific precautions to be taken before working around hazardous chemicals if you have watched this video.

2.            Written material safety data sheets and an up to date chemical inventory are required on your unit at all times.

3.           Defective patient care equipment may be used but should be reported immediately after use.

4.            In order to be most effective, MSDS's should be read before you have an emergency spill situation.

5.             X-ray machines are the only source of radiation exposure at MCVH.

6.           The MCVH policy on providing a "smoke Free Environment? allows patients to smoke in designated areas provided they have written doctor's orders and a pass.
7.            Emergency response Telephones (ERTS phones) are for use in emergency situations only.

8.           All Dr. Red procedures require that you follow the R.A.C.E.R. procedures.

9.           Fire extinguishers should only be used by staff trained in their use, all others should close the door to the area and continue to follow the R.A.C.E.R. procedures.

10.           Only on the job injuries which are treated by employee health must be reported to your supervisor.

2.          The location of all exits from your work area.

3.          The location of fire extinguishers in or near your work area.

4.          The location of fire alarm pull stations in or around your work area.

5.          The emergency relocation areas for patients on your unit (if applicable).

6.           All hazardous chemicals, the precautions needed to use them, emergency procedures for spills, and the location of departmental MSDS sheets.

7.          Personal protective equipment you will need.

8.          The location of your department's Safety Manual or Internal Preparedness Plan.

9.          Procedures for reporting workplace injuries.

In addition,

10.         You supervisor has covered and completed a current Workers-Right-To know statement.

11.         Your supervisor has explained you work area's emergency preparedness plans and explained you role in them.