ROPs
These are the assessment tools used to determine risk of pressure injury development and falls risk at MGH, and they are completed during these times.
what are the braden scale and morse falls tool. Braden scale is complete every shift, and on admission and with any change in patient status. morse falls score is complete every tuesday, on admission, and post-falls.
This is the name of the quality improvement project that is currently being done on the unit to improve patient safety.
What is "Improving Use of Falls Prevention Strategies and Risk Screen Completion"
This framework can help MGH staff when faced with ethical issues.
What is the IDEA framework
This code is activated when there is a missing person and this activity can be performed by any staff member when this code is activated.
What is code yellow and all staff must call ext. ____ to get a description of the missing person and search every room on the unit
gown, n95, face shield, and gloves are required for this type of isolation. additionally, the patient must be in this type of a room.
what is airborne. and negative pressure.
This document outlines a list of abbreviations to avoid and can be found in this location in every pod on T9 and on this page in iCare.
These are our unit metrics that we are keeping track of for improving patient safety and encouraging best practices.
What are hand hygiene rates, falls rates, pressure injury rates and infection rates, patient experience survey results
MGH staff must always perform this activity when no longer using accessing patient charts/viewing patient-related information.
These two acronyms are part of the Code Red fire response.
What is R.A.C.E. (Rescue, Activate, Contain, Extinguish) and P.A.S.S (Pull the pin, aim, squeeze, swish)
These strategies have been used to ensure staff are educated about infection prevention practices.
what are IPAC visits during daily safety huddles, discussion of outbreaks, hand hygeine, infection rate monitoring, sharing of results in friday files, completion of hand hygiene iLearn, IPAC in corporate orientation, IPAC inservices on fecal management.
TOA is performed at these times of the shift.
The T9 Falls Reduction Quality Improvement project outcome measures are based on these types of data.
What are unit performance metrics/targets. Ours are 80% of Morse Falls Score Completion, patient and family feedback.
The practice of avoiding assumptions about a patient’s culture, values, or beliefs
What is cultural humility or cultural safety
This sign signifies the place that staff can go to hide when there is an active attacker and is located in these places on the unit.
What is the P.I.P sign (protect in place room) located in all the med rooms. (The Sign is Green and has 3 people grouped together) on it.
These are the 4 moments of hand hygeine.
What is before entering the patient's room, before aseptic procedures ,after contact with bodily fluids, after leaving the patient's room.
Ongoing education and training for staff regarding competencies like IV pump use has been provided to all staff in these formats:
Baxter IV pump iLearn, Practical Return demo for CRL/Clinical Scholar, Practice Updates through Friday files, and initial training in corporate orientation
These are the activities that are included in the T9 Falls Reduction QI project.
Creation of educational posters to promote falls risk screening, co-designing with patient/family feedback on improving patient/family educational material and conducting post-falls debriefs.
Patient engagement feedback surveys, providing unit metrics, information on QI projects and patient education material in the patient visitor lounge.
This is the first step you take after discovering a hazardous spill and this is the type of emergency code it relates to.
What is secure the area and notify environmental services. and code brown.
These precautions are used for all patients regardless of diagnosis and this is the most effective way to prevent the spread of infection.
What are routine precautions and hand hygeine.
This extra safety step is performed for these types of drugs prior to administration. Drugs include: heparin, insulin and electrolytes,
what are high-alert drugs and performing an independent double check.
These are the nursing research activities that currently taking place on the unit. Name 3.
1. Co-design of an Essential Care Partner Program for the PWC
2. Implementation of a Communication Bundle for the PWC
3. Implementation of a Best Practices Care Pathway for the PWC
Staff can find patient and family education resources in these locations on the unit, or virtually here. Additionally this location is where patient education can be electronically documented.
Patient education folder in T9C behind unit clerk's desk, on the T9 iCare Patient Education Page. Patient education can be documented in Adhoc on powerchart.
If the hospital experiences a power outage the staff must know the location of this resource for documentation and must know what emergency outlets look like
What is the downtime box and they are located in each nursing station. The emergency outlets are red and patient monitoring equipment must be plugged into these outlets during a power outage.
This strategy is used to monitor compliance for infection prevention practices (as well as other organizational practices like TOA). Additionally this is where staff can find the results.
What are monthly audits (for hand hygeine). Posted on the QI board in T9C, on the virtual huddle board and on the T9 IPAC iCare page.