Characteristics of A High Reliability Organization
-Medication events/errors, Codes/METS, Falls, missed orders, Violence/disrespectful behavior, mislabeled specimens, process issues, patient identification issues, security concerns, employee COVID illness/exposure, wrong patient/site/record/etc, harm to patient, harm to staff, employee injury, Near-miss or “Almost errors” or “Good Catches,” any negative outcomes
What should be reported
in Healthcare SafetyZone?
Pull, Aim, Squeeze, Sweep
What does Pass stand for?
Practicing good respiratory hygiene, including covering your mouth and nose when coughing or sneezing, washing your hands regularly, and staying home when you're sick.
What is the most effective way to prevent the spread of respiratory infections?
Write down and read back.
What two things must you do when verifying verbal orders & results received by telephone or in person
review medications with the patients at every visit and when new medications are prescribed.
What is outpatient medication reconciliation?
Assume the system is at risk of failure and perform
rapid assessment and response to challenges
What is Commitment to Resilience
Rescue, Alert, Confine, Extinguish and Relocate
What does Racer stand for?
Washing your hands with soap and water for at least 20 seconds.
What is the most effective way to clean your hands to prevent the spread of infection?
These people can take a critical lab result via telephone.
Who are licensed personnel (nurse, providers.)
verifying prior to medication administration.
What is one opportunity to verify allergies with patient?
Appreciate that the people closest to the work are
the most knowledgeable about the work.
What is Deference to Expertise.
Pick up the phone & call x 7300 then Announce "Fire and location"- repeat three times on the overhead paging system.
what do you do to alert the facility to a fire?
A respirator (e.g., N95 mask) in addition to other required PPE such as gloves and gown.
What type of PPE should be worn when caring for a patient with airborne precautions?
This is who you contact when the provider is not responding or answering your call.
Who is the supervisor / charge nurse?
Completing the seven rights to medication administration and using a bar code scanner.
What needs to be done at Riverwood prior to medication administration?
Understand what is going on around you and
the relation to the organization.
What is Sensitivity to Operations?
Notify plant operations, Infection prevention, Environmental services and complete an event report in Healthcare Safety Zone?
Who do you notify and how do we report physical damage to the facility?
sterilization is the process of completely eliminating all microorganisms, including viruses and spores, while disinfection refers to the process of reducing the number of microorganisms to a safe level.
What is the difference between sterilization and disinfection?
A certified interpreter (may not be family or support person)
Who can interpret for a non-English speaking patient?
This should be completed upon admission and discharge of an inpatient.
what is medication reconciliation?
Be resistant to simplified understandings of work
processes and how/why things succeed or fail.
what is Reluctance to Simplify?
Alert, Lockdown, Inform, Counter and Evacuate.
What does ALICE acronym stand for?
Control practices, including hand hygiene, use of PPE, and following standard precautions.
What are the most important measure in preventing the spread of infection in healthcare settings?
Pregnancy, STD testing/treatment, Drug or Alcohol treatment, legally married or emancipated.
When a minor can give consent for themselves.
35-46 Degrees Fahrenheit / 2-8 degrees Celsius.
What are the temperature ranges for the medication refrigerators?