Quality
Customer
NPSG
Policies/Procedures
JC Prep
200

Patient that is never left alone while ambulating or in bathroom

What is a High fall risk patient -red arm band

200

KDMC's 5 key priorities

What are Quality, Customer, Culture, Finance, and Community

200

Ensures the patient gets the correct medicines and treatment

What are 2 patient identifiers?

NPSG 1 -Identifying patients correctly

200

Frequency of documenting strict I & O's

What is every 4 hours?

200

What to do in the event of a fire

What is RACE?

R=Rescue

A=Alarm

C=Contain

E=Extinguish

400

Information patient must verbally recite to ensure accuracy of PTA meds

What is drug name, dose, and frequency?

400

KDMC's mission

What is To care. To Serve. To heal

400

Procedure performed prior to and after patient contact

What is hand hygiene?

NPSG 7 - Preventing Infection

400

Procedure to ensure that VS are transmitted in a timely manner

What is having only one patient chart in EPIC open at a time and logging out of EPIC when not in use?

400

How to operate a fire extinguisher

What is PASS?

P=Pull the pin

A=Aim the nozzle at the base of the fire

S=Squeeze the handle

S=Sweep from side to side

600

Norton scale of 14 or less (high risk for skin breakdown) requires this activity

What is turning every 2 hours while in bed or every 1 hour while in the chair?

600

How patients rate their stay on AIMS

What is NRC survey?

600

Procedure for a Creatinine value of 5.7

What is Critical Lab reporting -physician notification and critical lab note

NPSG 3 -Improving staff communication

600

Nurse driven foley catheter removal exclusions

What are catheters ordered by urologist or nephrologists?

600

Expiration date of Glucometer strips and QC solution

What is 180 days (6 months) for test strips and 90 days (3 months) for QC solution

800

Maximum amount of time a PIV should be left in

What is 7 days?

800

How patients are always admitted to AIMS

What is AIMS Registry?

800

First intervention performed if patient voices they wish to harm themselves

What is Stay with the patient and seek additional staff assistance for further interventions?

NPSG 15 -Identifying patient safety risks

800

Policy for when to change central line dressings

What is 24 hours after placement, every 7 days on Wednesday, and prn?

800

KDMC's Compliance and Privacy Officer

Who is Heather Marcum?

1000

2 PI projects for AIMS

What are Falls and PTA Med Reviews?

1000

SPIRIT Standards

What is Sensitivity, Privacy, Information, Responsiveness, Introductions, and Teamwork?

1000

Lowest telemetry alarm limit setting allowed per policy

What is 40 bpm?

NPSG 6 - Alarm safety

1000

Procedure for accurate daily weights

What is standing weight only unless bed weight is pre-approved by charge nurse?

1000

4 A's of Code Silver

Code Silver is Armed Aggressor/Active Shooter

What are Accept (that it is real), Assess (what your options are), Act (Run, Hide, or Fight), and Alert (security and/or law enforcement)

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