Volunteer Application Form

Orientation Video

I certify that I watched the orientation video to completeness.

Summa Facts

Which of the following is not a Summa Health commitment?

Serve with passion

Personalize care

Value every person

Take ownership

Competitive Spirit

Volunteer Services Department

What are the minimum hours you need to serve to receive a free meal?

10

6

8

4

Which is an example of when it is in the best interest to terminate a volunteer?

Not following hospital rules

Volunteering under the influence of drugs or alcohol

Breach of confidentiality

All of the above

Which of these are examples of something you are not permitted to wear while volunteering per the Summa Health Dress Code?

Jeans

Leggings/ Spandex

Sweatpants/ Hoodies

All of the above

Quality and Compliance

What does PHI stand for?

P:

H:

I:

Patients can decide to have their admission be confidential. If they are a "confidential admission" then this information cannot be shared with anyone except the person(s) treating them.

True

False

When is it appropriate to access or share PHI?

When talking to anyone who works at Summa

When talking to other volunteers

Only when it is necessary to complete my assigned task

Never

Safety & Risk Management

Where do volunteers go to be treated for an Unusual Occurrence?

Volunteer Services

Protective Services

Emergency Department

None of the above

What does R.A.C.E. stand for?

R:

A:

C:

E:

What does P.A.S.S. stand for?

P:

A:

S:

Match the following Emergency Codes with their description:

Code Red:

Code Yellow:

Code Violet:

Code Silver:

Code Brown:

Code Blue:

Code Black:

Code Adam:

Summa Health Policies

Appropriate conduct at Summa Health System is conduct that promotes a Productive Environment.

True

False

Within Summa Health System who is responsible for making sure that a visitor receives excellent service?

Me

The doctors

My manager

The CEO

All of the Above

Infection Control

The Center for Disease Control (CDC) recommends that people ______ when their hands are visibly soiled.

Rub their hands with an alcohol based rub

Wash their hands with soap and water

Wear gloves

Wash their hands with soap and water AND wear gloves

What should you do if you see a needle (sharp) that was not thrown away in a patient's room?

Notify a nurse immediately to dispose of it

Put on a pair of gloves and dispose of it in a sharps container

Dispose it immediately in a trash can

None of the above

Your Information

First Name

Last Name

Email

Phone

Volunteer Orientation Quiz