1. True or False - If we are not volunteering in a patient facing area, we don't have to worry about Infection Control. *

True

False

5. Do you have to hand sanitize/wash your hands in front of a patient when going into and out of their room? *

Yes

No

8. True or False - If I don't wish to get a flu shot and want to decline, I will be required to wear a mask for the entire flu season while volunteering. *

True

False

9. An isolation room is one that you may not enter for any reason. Select the ways you can identify a room that is isolation. *

Select the correct answers

Isolation Cart in front of room

Isolation full-size page on the patient door

Signage for a Negative Pressure Unit

Seeing someone coughing as you enter a room

Observing someone using an inhaler or oxygen

10. How often should your badge be sanitized? *

Daily

Weekly

Monthly

Not important

Name *

First Name

Last Name

Date *

MM

DD

YYYY

1. True or False - If we are volunteering in a patient facing area, we don't have to worry about Infection Control. *

True

False

5. Do you have to hand sanitize/wash your hands in front of a patient when going into and out of their room? *

Yes

No

8. True or False - If I don't wish to get a flu shot and want to decline, I will be required to wear a mask for the entire flu season while volunteering. *

True

False

9. An isolation room is one that you may not enter for any reason. Select the ways you can identify a room that is isolation. *

Select the correct anwers

Isolation Cart in front of the room

Isolation full-size page on the patient door

Signage for a Negative Pressure Unit

Seeing someone coughing as you enter a room

Observing someone using an inhaler or oxygen

10. How often should your badge be sanitized? *

Daily

Weekly

Monthly

Not important

Name *

First Name

Last Name

Date *

MM

DD

YYYY

2. When would EMTALA apply? *

Select the correct answers

An individual who presents to the “dedicated emergency department” and requests treatment of a medical condition.

An individual who presents on hospital property and requests treatment for what may be an emergency medical condition.

“Dedicated emergency department” includes Labor & Delivery.

When an individual needs help in the parking structure.

3. Are other medical office buildings included in the definition of Hospital Campus? *

Yes

No

6. Can we take someone in a wheelchair to another clinic on the hospital campus under EMTALA? *

Yes

No

7. Ambulances are staffed with Emergency Medical Technicians and are located close to the facilities. Do we call for an ambulance in the parking garages? *

Yes

No

Name *

By submitting my name in the space below, I attest that I have read and understand this training. If I have questions regarding the training content, I will ask for clarification at my interview.

First Name

Last Name

Date *

MM

DD

YYYY

2. When would EMTALA apply? *

Select the correct answers

An individual who presents to the “dedicated emergency department” and requests treatment of a medical condition.

An individual who presents on hospital property and requests treatment for what may be an emergency medical condition.

“Dedicated emergency department” includes Labor & Delivery.

When an individual needs help in the parking structure.

3. Are other medical office buildings included in the definition of Hospital Campus? *

Yes

No

6. Can we take someone in a wheelchair to another clinic on the hospital campus under EMTALA? *

Yes

No

7. Ambulances are staffed with Emergency Medical Technicians and are located close to the facilities. Do we call for an ambulance in the parking garages? *

Yes

No

Name *

First Name

Last Name

Date *

MM

DD

YYYY