Safety Culture & Communication
This is done prior to an elective intubation to ensure patient safety
What is a Pre Intubation checklist/Respiratory pause
To reduce exposure to unnecessary antibiotics we practice Antibiotic Stewardship in this way.
What is discontinuing antibiotics after 36 hours?
*decreased from 48 hours
What is the best way to prevent medication errors in handover?
What is review the MAR?
What is the best way to see what was ordered for your patient that day?
What is review and sign orders?
What does Med Rec stand for?
Medication Reconcilliation
This is a way to report errors and near misses. This information is used to learn and prevent future errors
What is an RLS?
NaCl > 0.9%, Sodium Acetate, Potassium and Calcium Chloride are all kept in Pyxis, or in a Resus cart only. This is for patient safety. What category of medications are these?
What are concentrated electrolytes?
What is the best way to decrease milk errors and prevent wastage of pumped and mixed milk ?
What is check the milk in the fridge with outgoing nurse
What needs to be done before giving medication or milk?
What is 2 patient identifiers?
Who fills out the med rec?
What is the physician/ NP
What should you do during care transition (admission, transfer and discharge)?
What is a handover report
This "HAM" isn't served for dinner.
It will prevent clots but can be dangerous if given in high concentrations.
What is Heparin?
What is best practice to ensure your baby is receiving the correct TFI?
What is indepenedetly review fluid infusions and rates with outgoing nurse
Should you ID your patient at shift handover?
What is YES
An online location where you can find additional med rec resources?
What is compassionNET?
List 3 moments in which a Med Rec is required
What is:
Admission
Discharge
Transfer
Using Programable pumps with dosing limits and automated alerts helps improve the safety when delivering these types of medications.
What are High Alert Medications?
HAMs
(epinephrine, dobutamine, dopamine, heparin, lidocaine, dextrose>20%, electrolytes, succinylcholine)
What is best practice when you have a baby with multiple IV lines?
What is have all lines labelled and also trace lines?
What is the last documentation you need to do in metavision at the end of your shift?
What is nursing handover outgoing report
Hospital staff can help provide information for the med rec? (nurses, doctors, CA, NP's). These additional people can also provide information
What is parents
At shift change and during any transfer, patient report and ID band checking is a Standard of practice. Where is this documented?
What is Handover report?
What’s one piece of information that the previous nurse could be waiting on?
What is outstanding lab work?
What needs to be written on the Dr's order sheet at shift handover?
What is ORDERS REVIEWED with two signatures
When are the 3 opportunities to complete a med rec?
What is admission, transfer, and discharge?