Quality Improvement
To ensure highest quality of care, we use this tool to assess patient experience, using patient feedback
What is the Press Ganey Survey?
Process used to identify patients
What is two identifiers; ask patient their name and date of birth?
Tall Man Lettering
What is process used to avoid errors with sound alike meds?
How to determine if equipment is single or multi-use
What is MIFU (Manufacturer’s Instruction for Use)?
Socks, wristbands, CIS header
What ways to check for falls risk status?
Process which strives to continuously improve the care we provide to our patients and the satisfaction our patients experience with our services
What is performance improvement?
Process to ensure alarms are heard and evaluated by appropriate staff in a timely manner
What is our primary alarm system (bedside monitors) and secondary alarm system (Connexall)?
Knowledge of the usual dosage, the route of administration, action and side effects, special precautions, contraindications, right patient, right medication, right time, and right documentation, as captured by KBMA
What are the responsibilities of the RN administering medications?
Where to find relevant information about equipment
What is oneSOURCE?
Must be fully vaccinated against COVID-19 or show proof of a negative PCR COVID-19 test result taken within the past 72 hours
What is COVID visitor policy?
Hand Hygiene Compliance, CAUTI Prevention, CLABSI Pressure Ulcer Prevention, Falls Prevention
What are examples of performance improvement projects?
Process to ensure staff adherence to hand cleaning standards
What are quarterly hand hygiene audits?
Nitroglycerin sublingual, metered dose inhaler, continuous subcutaneous insulin pump, medical marijuana, mouth rinse
What are medications that may be self-administered?
Lock numbers checked daily on days of operation, after use, when received from CPD and on the first Monday of the month
What is the emergency cart?
Source of latest updates from MSK on COVID
What is OneMSK COVID information hub and HICS communication?
Reporting to Improve Safety and Quality
What is RISQ?
Must be reported within 60 minutes of release to CIS. Must be reported to LIP
What is a critical value?
Conditions under which patients may self-administer medication
What is in the presence of an order by LIP detailing conditions?
Automatic test at 1:00am and manual test daily on days of operation. Green check indicates pass self-test
What is the Zoll defibrillator?
COVID 19 Precautions
What is negative pressure room, N-95, gowns, gloves, mask, face shield?
High level snapshot of unit performance with Nurse Sensitive Indicators, handling of controlled substances, and demographics (Turnover, Vacancy, BSN, and Certification Rate)
What is Health of My Unit?
Policy and procedure followed to reduce the risk of suicide
What is suicide screening with the CSSR upon admission to PSC and prior to discharge home for all outpatients
Before Administration
What is when medications must be documented?
Transport to CPD in a lidded container for disinfection
What is a used doppler?
20 days since initial positive test, fever free, for 24 hours
What is the criteria to discontinue COVID precautions for patients with a hematologic cancer?