Blood Administration
MTP
Critical Value
UOR
Wild Card
100
At 15 minutes of blood entering patient's body.
What is the correct time to take VS. Add a column if the time it took to complete the double check column was greater than 3 minutes, then add a comment in the rate field that says "blood infusing into patient now".
100
"MTP room 123; MTP room 123, MTP room 123"
What is the correct words to use when declaring emergency of MTP in room 123. The other direct communications that need to occur to ensure that the patient's care team is coordinated are: Entering the MTP order into Epic And calling Lab with a SBAR about the patient
100
Epic Notification Name of person Reason for communication= Critical Value Response
What is the one place critical value notification MUST be recorded. A progress note & new orders may also be completed but use of the Notification, Name of Person, Reason for Communication & Response are required.
100
UOR
What is an Unusual Occurrence Report. Electronic form used to capture UNUSUAL Occurrence, things we don't want to happen again, and near miss events.
100
7-6480
What is Karyn's phone number in the Quality Dept
200
A patient sticker or the blood unit ready printed report
What is necessary to give to Blood Bank staff for the release of the blood unit. Staff should NOT remove blood from the fridge.
200
It is located in the lab department and contains necessary supplies for MTP team
What is MTP Box (orange) is located under a counter in the lab. The runner who goes for the 1st unit of blood should also get the Orange MTP Box. It contains the policy, job aides, role stickers, blood tubing and paper blood admin form
200
30 minutes
What is the time allowed to wait after second notification. If no MD contact by 30 minutes the RN should: **call supervisor or manager **consider activation Rapid Response or Code Blue Team **start looking for back MD **document
200
The purpose of the UOR
What is to learn about what isn't working well so we can make improvements in our design of care. The more you report. The more we learn. The better we design for safety.
200
Hands must be at rest, full attention to the speaker & speak up if any discrepancies noted about the patient or procedure.
What is Time Out process steps
300
Verify the unit blood's TYPE matches the barcode type AND patient's last lab reported blood type.
what is Required in double check EVEN with the new blood verification feature from our last epic up-grate. Epic is NOT verifying the blood bag and patient blood type are a match in this step.
300
A "no glove" role that must be performed by a RN who has access to Epic.
What is the role of Scribe. The scribe is a key role in the coordination of information about the patient, especially blood product & labs (ordered, drawn, resulted) In other emergencies like a Code Blue a CNA or HUC can act as a recorder if necessary, but not in a MTP. The Scribe title is used to help differentiate from Recorder.
300
SBAR
What is the communication tool when calling MD with critical value
300
A sign that our safety culture and confidence in Speaking Up is improving
What is increase UOR Reporting
300
Indication for initiation of a grievance report.
If your patient complains and you are unable to resolve the complaint to their satisfaction what should you do?
400
Ask the patient to spell the 1st and last name
What is a unique Blood Admin step in the 2 patient identifier process. If the patient is unable to speak the 2nd RN will read the name, then SPELL the name from the arm band, as well as the date of birth.
400
Located in the ER, it is the only one in our hospital, it should be brought to the MTP by the ER RN.
What is the Rapid Infuser. Only ER RN's maintain ongoing competency to use the Rapid Infuser. They should stay at the MTP to assist Anesthesia with IVF management if the Rapid Infuser is being used. Only IVF should be infused in the Rapid Infuser.
400
45 min
Call MD Again, CALL dept chair, CALL Backup MD, potentially Call Admin. MUST GET MD to review the critical value and determine if action is need (aka get an order) 60 min= must complete action indicated by critical value
400
2 clicks: Intranet Resources UOR
What is where the form is located on the intranet. If you can't figure out how to get the UOR to accept your report then call Quality Dept and leave a message with your case, name & call back number.
400
where I look up policies that guide best practice & reliability
What is PolicySTAT
500
complete the unit
What is the last step AFTER recording FULL VS and Total Volume Infused. . Right click on the unit, select complete. WHY, if multiple units are infused it helps keep the record clear which unit is being charted on.
500
The single most helpful team behavior reported by both simulation debrief & last 2 real MTP debrief.
COMMUNICATION ROLE CLARITY What is call frequent bedside Huddle & SBAR when new people arrive.
500
Documentation of "No Action Taken; expected value" in Epic in Notification Critical Value section.
What is required documentation when the reported value is anticipated, shows improvement in status or is within the MD order/protocol.
500
Medication Error
What is the highest reported nursing error in 2016
500
QAPI
What is a Quality Assurance & Performance Improvement project. Every unit has one. Know yours.
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