Patient Safety
Documentation
Medication
Health Link
Physical Plant
100
When do we assess Fall Risk?
What is - Admission - Transfer - Change in Patient condition
100
What patient information is improper to access?
What is - ANY patient you do not have direct contact with or through approved chart audit.
100
Where do you find investigational Drug Information?
What is The ICON for Investigational Drugs is on all shared computers?
100
Where do you find a list of doctor privledges?
What is U-connect, under Clinical Apps - Privledge List?
100
How close to the ceiling or fire sprinklers can supplies be stored?
What is more than 18 inches?
200
How do Patients & Family report concerns about their safety?
What is through Patient Relations?
200
Where in the Medical Record would you find evidence of multi-disciplinary Care Planning?
What is the IPOC.
200
How are Narcotics wasted?
What is - 2 witnesses through the Accudose, Discard in garbage, sink, toilet, sharps container
200
Where do you find if the patient has Advance Directives & if they are Active?
What is Patient Information Title Bar & Chart Review under the Consents/Legal tab?
200
Caviwipes and cleaning supplies may be stored under sinks. True or False
What is False - NOTHING can be stored under sinks.
300
Name 3 Fall Risk Factors:
What is -Confusion - Depression - Altered elimination - Male - dizziness - Antiseizure or Benzodiazepine medications - Getup & Go test
300
Where in the EMR do you find documentation that a Central line Check list was used during the insertion of a non-emergent central line?
What is: - Dialysis Navigator - Universal Protocol doc flowsheet?
300
When & how do you do medication Reconcilliation ?
What is every new patient encounter? Done by the pharmacist on in-patient units, and RN or MD on out-patient encounters. Found in the Dialysis Navigator
300
How do you know if the Nurse Assessment was completed within 4 hours of admission?
What is the Health Assessment? - Admission to the unit and Time the Health Assessment is complete are both listed on the Health Assessment?
300
Needles must be locked and secured at all times. True or False
What is TRUE?
400
Name 5 moments of Hand Hygiene:
What is - Before Patient contact - Before Asceptic procedure - After body fluid exposure - After contact with the patient - After contact with the patient's environment
400
Where do you document evidence of patient & family involvement in their care?
What is - Education Record - Discharge Plan
400
How do you inform patients/family of possible Adverse Drug Reactions for new medications they are taking?
What is Lexi-comp in the MAR?
400
How do we protect Patient Health Information?
What is - No open charts or computers in public view - Don't enter charts of patients you are not caring for - Don't discuss patient care in public places - Proper disposal of paper containing patients names or health information
400
What do you do if you see an Un-escorted Surveyor?
What is - Ask if you can Help them - Ask them to wait in the waiting room until someone can escort them - Notify your manager or the nursing supervisor
500
Name 4 National Patient Safety Goals
What is - Improve Accuracy of patient identification - 2 identifiers, labeling lab in pt. room, 2 person ck blood products - Communication among caregivers - reporting critical labs within 60 minutes, Sbar, Universal Protocol - site verify,time-out -Increased medication safety - Proper labeling of all meds, Med reconciliation, current med list on admission/dischg, Standard Warfarin management & pt. education - Decreased Hospital Assoc. Infection - CLABSI, CAUDI, Hand Hygiene guidelines, ID pts. with multi-drug resistant organisms, decrease surgical infections, ventilator infections - Improved Pt. Safety Risks identification - suicide risk, home safety education for pts with O2, ID pts @ risk for bld clots
500
What needs to be documented PRIOR to applying restraints for Non-Violent Behavior to a patient?
What is 1) Dr Order prior to restraint & every calendar day. A verbal order must be signed ASAP, within 24 hours. 2) What less restrictive alternatives were tried first 3) Clinical Justification for restraint
500
What steps must be taken prior to a patient Self-administering drugs?
What is - Dr. Order - Assess & document the patients ability to self-admin. - Instruct patient on safe self-administration. - Medication is labeled with Name, dose, and clear administration instructions. - Pharmacist or Nurse checks the medication daily
500
Where do you find if a patient needs an Interpreter?
What is - Patients Title Bar lists the patient's language - Department Patient Schedule Interpreter Column
500
What do you do if equipment causes harm to a patient?
What is - Take care of the Patient - Report it to the Supervisor - Notify the doctor - Remove equipment and any related supplies and mark with an orange sticker. Clean & bag it as necessary. - Report the incident to Risk management and Clinical Engineering
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