Joint Commission Readiness
This is the language consents should be obtained in.
What is the patient's preferred language?
These are the three set of vital signs needed for every transfusion.
What are the vitals before picking up the blood, 15 minutes after the blood hits the vein, and post transfusion?
Cleaning agent used on the skin for a blood culture.
What is chloraprep?
POCT - This should be done every 3 months.
What are the controls?
This is called when there is a violence/security alert.
What is the Gray Alert?
This how sterile processing peel packs should be upon observation.
What are instruments in an open position free of rust, tape residue, pitting, and water marks, and with a clear color change indicator?
These are the three patient identifiers used before administering blood.
What is name, date of birth, and MRN?
This screening test cannot be drawn from the cord during golden hour
What is the PKU (newborn screen)?
This is used to ensure tubing and line connection safety.
What is I-Trace?
This is called when there is an armed intruder.
Stay Away Alert
This is where you can you find the process for Restraints documentation.
What is Policystat?
This is all done before requesting blood.
What is review MD order, verify type and screen, obtain consent, and verify IV site patent?
Less than 31 weeks or less than 1500 gm this will be the first lab specimen from the umbilical cord.
What is the blood culture?
After each Accuchek test, this is how the meter is cleaned.
What is cleaning the meter with one wipe to clean and a second wipe to disinfect. Allow to dry for one minute before docking.
This is called to rescue an obstetrical patient.
What is an OB-CAT?
These are 14 measurable, high-priority objectives designed to improve patient safety, quality of care, and healthcare outcomes in hospitals and critical access hospitals. For example, social determinants of health.
What are the Joint Commission National Performance Goals?
Blood transfusion reaction management.
What is stop the transfusion, disconnect IV tubing, stay with the patient, complete transfusion reaction form and return the blood and blood tubing to the blood bank?
An acceptable way to label a specimen during downtime.
What is a blank label with the patient's full name and MRN/ patient chart label, with the date and time of collection and your ID?
This how our lines should be labeled.
What is with a change date sticker with the date it is due to be changed, and the date and time you changed the fluids written.
This is called when there is an infant/ child abduction.
What is a pink alert?
This should be done if a newborn’s MRN (scanband) ID band is missing, loose, or illegible.
What is replacing the band immediately and verifying identity against the mother's band with a second RN and initialing the new bands.
Fever (1C increase), Blood pressure changes, shaking, chills, respiratory distress and nausea are signs of this.
What is a blood transfusion reaction?
These are examples of an unsatisfactory specimen.
What is a specimen in the incorrect tube, clotted specimen, unlabeled specimen or insufficient sample?
This is the number one reason a newborn screening test is deemed unsatisfactory
What is an insufficient amount of blood?
This will be activated by any staff member when immediate and emergent resuscitative measures are needed in any newborn.
What is a neonatal blue alert?