Medication Safety
These are the acceptable patient identifiers.
What is name, MRN, DOB?
You scrub the hub and allow it to dry for this amount of time and frequency.
What is 15 sec, with each access including q12hour line checks?
You would not insert a feeding tube if any one of these six conditions were present.
What is: INR >3.5, Plts <10, Altered neck anatomy, recent GI surgery, impaired airway, 2 failed attempts?
The type of bag you place a patient's home meds in.
what is a standard secure tamper evident bag?
These are the various locations feeding tubes can be placed.
What is gastric, jejunum, and/or nasal?
These medications must be given within 30 min of due time.
What is IV antibiotics (ex. Vanco/Cefepime) and immunosuppressants (ex. Tacro and cyclosporine)?
You would go here to check IV compatibility.
What is Micromedex/Lexicomp?
These actions are necessary to verify proper feeding tube placement.
What is chest x-ray and LIP order for clearance?
This is the navigator in EPIC where you document patient home meds.
What is ADT navigator/admission?
This team is in charge of placing, caring for and discontinuing PICC lines at OHSU.
What is VAT?
Medications removed from their original labeling at minimum must be labeled with these 5 things.
What is name/strength/diluent/volume/expiration?
Valves on central lines and all IV tubing get changed at these times.
What is 96 hours, if visible blood/debris, post lipids or blood cultures or with any removal of needleless connector?
These are the landmarks used when placing a feeding tube.
What is the tip of the nose to the ear then inferior to the stomach (xiphoid process)
The AVS will not print without this act being completed.
What is chart in EPIC under ADT navigator/discharge patient home meds returned to patient.
This amount of flush should be given post blood draws/transfusions.
What is 20 mls pulsatile flush?
This solution(s) is used to reconstitute an IV antibiotic.
What is check MAR for diluent and rate of administration?
Field lines need to be discontinued by this time.
What is 24 hours?
These medications may not be crushed.
What are extended release medications?
Your patient transfers to ICU, you must do this with their home meds.
What is send medications with patient, ICU to document in EPIC.
This system is in place on Alaris pumps for patient safety.
What is Guardrails?
These steps are taken when a patient's CBG is 48 or 65.
What is follow hypoglycemic protocol? For CBG <50 PSI must be filled, CBG < 70 is recommended
Ports are accessed/re-accessed at this frequency.
What is weekly?
These signs and symptoms would indicate a patient needs a swallow screen.
What is coughing, choking, altered mental status, clearing the throat, pocketing food?
The patient must perform this action on the tamper evident bag before storage of home meds.
What is sign bag?
These are the 6 components of CLABSI.
What are: 1. Daily discussions of line necessity, 2. Dressing Assessment, 3. Daily SAGE and linen change, 4. standardized access procedure, 5. standardized dressing cap and tubing change procedures, 6. In depth review of all CLABSI's