Hospital Policy
Infection Controlled
Medication Station
Difficult Drugs
Coworkers & Colleagues
100
It's 2115 on Friday night - the count has not been called, but all staff from all areas are in the tearoom and confirm that they completed their counts.
Can you leave the shift?
No! Per policy, you are rostered until 2130. Leaving prior to this once counts are CALLED as correct is a courtesy - if it hasn't been called, you have to stay!
100
TB, Measles & disseminated shingles come under what precaution signage?
Airborne!
100
SURPRISE LIGHTNING ROUND
Each team picks one person to compete.
Each person must stand with their hands behind their back. First person on the buzzer must provide a correct answer to the question. Incorrect answers do not lose points.
Your question - Name the 10 Rights of Medication.
100
Per current evidence, should we aspirate prior to injecting IM Medications?
No - current evidence does not support the use of aspiration prior to IM injection, however, consult SALHN policy to guide decisionmaking.
100
Sarah Vecchio has what role in our department?
Nurse Consultant
200
You're caring for an admitted patient in North 5. They are admitted under AMU, and after performing a BP, have a blood pressure of 79/43, but are otherwise conscious.
Per policy, how should you escalate this patient?
Since the patient is in ED - this is still a CRT call. After calling the CRT, if you are unable to contact the home team, or then escalating to a MET Call post CRT
200
How many seconds must you scrub the hub of a cannula for?
How many seconds must you let it dry for?
15 Second Scrub
15 Second Dry
It's actually the alcohol and the drying which kills the majority of the bacteria - both steps are important.
200
You're concerned your patient may have a reaction to 1G of IV Ceftriaxone, but the medical team still wants the medication administered, what's the safest way to give the medication?
Out of a push and an infusion - infusions are generally safer, as the drug concentration takes longer to peak, is easier to stop, and can be more readily controlled in the event of a reaction.
200
What class of drug is Amlodipine and how does it work?
Amlodipine is a Calcium Channel blocker, restricting the flow of Ca2+ Ions and relaxing blood vessels, which lowers blood pressure.
200
Which two ED Nurses organise our FMC ED Vest orders?
Holly & Liana!
300
How often must we check a Paediatric IV and document it within the flowsheets if the IV is currently in use?
Every hour!
Document for induration, swelling, patency, pain, erythema or anything else unusual.
300
What are the 5 moments of hand hygiene?
1. Before touching a patient
2. Before a procedure
3. After touching a patient
4. After a procedure
5. After touching a patient's surroundings
300
Which of the following locations can you prepare IV medications?
A. The Medication Room within a green tray
B. At the co-ordinators desk within a green tray
C. At the bedside, provided all labels are written correctly
D. Medication room (Green tray not required as long as you're in the med room)
E. Resus Drug Room
D & E Only!
Preparing medications outside of the medication room is prone to distractions and is dangerous practice.
Preparing medications outside of a green tray is an infection control risk and is also dangerous practice.
300
How many total stickers should an infusion bag containing an IV medication have?
3!
One for the medication label on the bag
One for the Intravenous line sticker with the date and change
One for the "MEDICATION" on the line
300
Which ED Consultant came up with the theme for the Paediatric Area?
Adrian Ting!
400
Per the SALHN medication administration policy, can you double-check a medication at a WOW or computer, and then have one nurse administer the medication to the patient, while the other nurse then leaves to perform another task?
NO!
2 nurses MUST check the drug at the bedside per policy.
400
You have a patient who is on Cytotoxic Precuations.
What signage do you display?
Contact Precautions *ONLY*
We do not use a whiteboard marker to denote "Cytotoxic". We should adhere to all precautions for both our own safety, and our patients.
400
In the injectables handbook, under "Compatibility", there's a separate section called "Y-Site". What is this referring to?
This refers to when two separate medications can be given at the y-site connector through the same tubing!
400
What special consideration regarding preparation do you need to consider when you are drawing up an IV GTN infusion?
PVC tubing!
GTN is absorbed into the standard lines, so we need to use the freeflex glucose bag and the PVC lines (which are coloured blue)
400
Behind the antidote box in Resus there's a sticker with the name of one of the staff members leaving a secret farewell message for when she left the department? Who is it?
Zandra!
500
A patient presents to ED with their own Diazepam, Oxycodone & Tapentadol DDA's which need to be locked away. This question has multiple parts.
1. Describe the checking & sealing process
2. State which DDA count book(s) the medication(s) are recorded in
3. How many pages will these medications take up inside of the book(s)?
1. Medications need to be completely visualised, counted, and confirmed with an appropriate witness. (At least one RN) then placed in a sealed tamper-evident bag where they can be viewed without opening.
2. These would be stored in the PATIENT'S OWN book
3. THREE DRUGS, THREE PAGES. It seems wasteful, but per policy, one drug, one page. It doesn't matter if it's the same patient or not.
500
You have a patient on Reverse Barrier precautions.
How do you display these precautions?
Droplet & Contact only!
We do not write using a whiteboard marker on any of the signage.
500
What is the correct way to document a discarded DDA within the paper DDA books?
The discard must occur on a NEW LINE with all of the patient identifiers and double-sign as normal.
You CANNOT just write in the amount discarded on the same line you took it out, and then initial "Discarded" in the comments. This means that you took out, and then immediately discarded that much of the medication, and there is also no way to tell if this was forged later as part of medication theft.
500
In the resus antidote box, there is a Calcium Gluconate gel for topical use. What presentation is this specifically an antidote for?
Hydrofluoric Acid Burns!
500
There's a memorial plaque for a previous staff member outside of the Shifty's Office.
Who is the memorial plaque for?
Holly Harland