Worklife/
Workforce
Workforce
What resources are available for you to use if you experience violence at work?
Employment Assistance program - EAP, Spiritual and Religious care; Occupational Health and Safety; Director or Manager
WHO can disclose a safety incident?
Any healthcare professional or staff member can disclose a patient safety incident. Decision on WHO should be involved in disclosure will be made in collab with the most responsible practitioners
True or False: All Mental Health patients will be screened by a clinician for suicide risk?
True
"Two Times Every Time" -- positive patient identification needs to be completed before administering medications and before providing any service/procedure
HOW do you call a CODE Blue?
Dial 555 and provide the location; telecommunications staff will announce CODE BLUE
1) When is a Personal Safety Device activated? 2) In the areas that are currently NOT equiped with the code white initiation system, what is used?
(1) The PSD is to be activated by staff when they believe their personal safety, the safety of others or the security of the hospital environment is at imnent risk and requires immediate assistance. (2) personal screamer devices are to be used in areas such as the wellness clinic
What are the 3 focus areas on the 2021/2022 QIP for OVH?
Safe Culture (Reducing Pressure Injuries), Safe Transition (information at discharge to ensure families understand the info they need at discharge) and Safe Work place (workplace violence)
For non mental health patients, what should clinicians do if they have concern regarding the risk of suicide?
Page the Crisis Team who will conduct appropriate screening and assessment
What are acceptable identifiers when completing patient ID?
Acceptable IDS are Account #, Medical Record #, Patient last, first name; DOB, Health care number which are Verbally confirmed with two of: Full Name; DOB; Address; Phone number . Visually patients can show ID that match this info
What is Code Yellow used for?
Missing patient; it provides guidelines for defining a missing patient, completing a risk assessment, and coordinating a thorough search on the premises.
Examples of conditions where Code White may be called
1. A person is verbally/physically threatening towards self, staff, patients and/or visitors 2. A person is not responding to verbal de-escalation techniques, negotiating, redirection, limit setting and problem solving techniques by staff 3. A person may require restraint (chemical, physical, env...) and is being or is anticipated to be resistive to restraining procedure 4. Urgent assistance is required
What is the Patient Safety Incident Disclosure guideline?
Timely, truthful and transparent disclosure to patient/family/SDM following a safety incident
True or False: Under the mental health act, the patient's MRP may not request a psych consult or may consider completing a Form 1?
True
What are some consequences to failing to identify clients (4 different reasons)
Transfusion errors; clients taking the wrong medications; wrong procedure; disclosing information to incorrect patient (privacy breach)
What is a code grey? When is it called?
Code grey is to alert the hospital and respond to an unscheduled/unplanned service infrastructure failure (loss of essential services), an air contamination incident (external/internal) and severe weather. This will allow hospital to provide an immediate plan of action and to continue its clinical and non clinical operations
When do you call 911 instead of code white?
If a weapon is involved or suspected
How are you involved in improving quality?
Attending and participating in quality huddles; reporting patient safety incidents; identifying opps for improvement; following best practices and processes (updating patient whiteboards for ex)
What is the Suicide Risk Assessment Policy/Procedure?
All mental health patients will be assessed for suicide risk using the SAD PERSONS screening tool (conducted on the first clinical meeting) and/or as clinically indicated based on judgement of clinician; safety plan will be put in place and further assessment/screening will be conducted if needed.
When are ID bands produced? Does Outpatient Mental health use patient ID bands?
Patient ID bands are created after patients have been positively identified by two acceptable patient identifiers prior to any service/medical procedure/diagnostic test/medication admin. OPMH does NOT use ID bands however the medication clinic does
What is a CODE 111 called for? Can we initiate other codes while calling a Code 111?
Code 111 is for "Short Term Assistance"; which is for an immediate response to a situation anywhere in the hospital; it can be activated independently or in conjunction with other Emergency codes.
How do you report an incident of workplace violence
Use the iReport system template and (potentially) update patient ABC record
The hospital uses WHAT 2 plans to guide quality improvement work? Where can you find this on ACORN?
The Quality Improvement Plan and the Quality and Safety Plan; (2) Quality, Patient Safety & Patient Experience Tab
As OPMH clinicians, what are the steps we take if a risk is identified that requires FURTHER assessment (approx 8 steps)
1) Conducte a further in-depth suicide risk assessment 2)Arrange for assessment to be completed by crisis/psych/urgent care clincian 3)if appropriate, accompany patient to ED and remain with patient until care is assumed by ED 4) Communicate findings to recieving clinician 5) Ensure accurate and timely documentation 6) In Wellness Clinic, if client leaves... call 911 7) Contact MRP 8) Contact OPMH Manager
Where is the annual education found that staff must complete?
LIME
What is the definition of a CODE BLUE?
A hospital code used to indicate a patient requiring immediate resuscitation; it includes any situation involving CARDIAC or RESPIRATORY arrest or one in which a health care practitioner feels that cardiac or resp arrest is impending in adults