Mish Mash- It matters to all of Us....
If you have these supplies in your space- What must you know about them...
Narcan: Hand sanitizer:
Location of Safety Data Sheets
Expiration Dates
The JC does not like to find these items in patient care areas
Staff Beverages (Except covered water)
Staff Food
Protected Health Information
Live Plants
Projectiles
When a patient expresses suicidal ideation the following must take place
CSSRS
Full Risk Assessment
Safety Planning
Discussion with parents
Collaboration with team
Documentation of all of the above
Direct supervision
What does JC expect to see whenever they see you?
Work Badge-Shoulder Height and visible
One thing in the Medication Room or Infirmary you never want to see over the fill line.
What is a Sharps container
This must be present in every note that you write about a patient.
What is Diagnosis
What safety training have you received recently?
CPI training -(Crisis Prevention Institute) training, particularly Nonviolent Crisis Intervention (NCI), equips behavioral health staff with techniques to prevent and de-escalate crises, focusing on safety and person-centered approaches
Safe Side - Suicide Prevention Training
If the JC finds this on your walls... you will be cited
Tape residue
PHI
Dirt
Paper that is not laminated
Documentation deadlines: Tx plan by: Psych Eval by: Tx plan review by: # of Therapist Sessions q-week:
Tx plan by: Signed by all parties by end of day 3
Psych Eval by: Completed by day 3
Tx plan review: q2 weeks from the date created
# of Therapist Sessions q-week: 2 individual /1 family minimum
When the JC Arrives to our Front Desk, Whom should you alert?
Program Director (in person if not acknowledged immediately on chat)
Medical Director
Whole Team on "Announcements Chat"
This was added to the weekly eye wash testing requirements.
What is Temperature of water.
These three things must take place before prescribing a new medication.
Informed Consent- educate patient on potential side effects
Consider Drug Interactions
Document Target Symptoms
Look at labs
Where can you find the MSDS Sheets
On-Line (URMC Intranet)
In Janitorial Closet
If the JC sees this watch out-
dust bunnies
cardboard boxes
space heaters
door stops wedges
Documentation must be completed/billed within what timeframe?
End of business day
What is the answer JC does not accept
what is: "I don't know" or
"Not my Job"
Who is notified when the medication room temperature or food frig goes out of range?
Who is Nursing Leadership and Charlene
You have this long to review results of your patient's tests
What is 24 hours
In a Fire Emergency on the unit what 4 things must take place:
What is: Rescue, Alarm, Contain, Evacuate
The places you are not allowed to store anything (Name 3)
Where is: Under the sink
Within 18 inches of the ceiling
In Corridors
Obstructing fire door
Obstructing fire extinguishers
This is what the acronym SMART means as it relates to tx planning?
What is:
Specific, Measurable, Achievable, Relevant, Timely
Before Documenting in a patient chart how many patient identifiers should you check to be sure it is the correct patient, and what are patient identifiers?
What is 2.
Name, DOB, EMRN
What do you need to know about sanitizing wipes and where can you find it?
Kill time
On the outside of the Canister
What list of medications do I need to be aware of in order to minimize errors in prescribing medications that are alike?
What is Look-alike/ Sound-alike Medications
How we incorporate standardized measures in directing patient care
RedCap Symptom Surveys q5 days
If you have to run out of your office to attend to patient care you must do this first-
Lock your computer screen
Close your door
When communicating with collateral contacts what 3 things must you remember?
1) **Patient can not be present for it to be considered collateral**
2) Must add .phrase ".caphscollateral" to note
3) Must add to time capture
When registering a patient what new step must you take?
Offer information about URMC Financial Assistance.
How long glucometer supplies last
Test strips expire in 6 months
Control Solutions expire in 3 months
One of the National Patient Safety Goals is Medication Safety. These are 3 of the DO NOT USE abbreviations...
What is:
- U,u
- IU
- Q.D., QD, q.d., qd
- Q.O.D., QOD, q.o.d, qod
- Trailing zero (X.0 mg)
- Lack of leading zero (.X mg)
- MS
- MSO4
- MgSO4
One of the New JC sets of Standards
Health Care Equity
Workplace Safety
What is not allowed in patient care spaces:
Door Wedges
Staff Food
Staff discussions about patients
Protected Health Information
How do we utilize data from standardized measures to inform our patient care?
How is:
--Administering Symptom scales on admission and every 5 subsequent days (redcap)
--Administering CSSRS whenever there is a undesirable change in safety
--Administering the CRAFT at intake to understand substance use history
In the case of a fire (on the 2nd floor)
A) Where can a patient in a wheel chair safely await assistance to be brought down the stairs?
B) How will the Fire Department know they need to be rescued?
Where is: the Area of Refuge
(Front or rear of the unit in the stairwell)
How is? Sound the area of the refuge alarm in the stairwell.
Areas of refuge are fire-resistance-rated and smoke-protected areas where those unable to use stairs can register a call for evacuation assistance and await instructions or assistance.
This is how controlled substances must be stored and how/when they must be inventoried. How many people need to be involved for the inventorying?
Where is: Stored in a double locked cabinet in locked room (med room).
At the beginning and end of each shift.
2 people
This is how many days from the admission we have for the psychiatrist to review and sign the treatment plan
When is: by the end of treatment day three from date of admission.
One of our unit's Performance Improvement Projects are:
What are:
Reducing No Shows and Crisis Visits
Increasing Parent Engagement
Toys in your space? You must know this and be able to explain it to JC...
The Cleaning /Disinfecting Policy and how you utilize it.
When using an interpreter four things must be documented. Name 3
What is:
1) Language of Interpretation Needed/Obtained
2) Interpreter Name/Agency/ID# (if remote service)
3) Summary of the information reviewed with the patient
4) In the event of a refusal of interpreter Service- Documentation of this EVERY time and who provided interpretation.
When the JC arrives to URMC/ Department of Psychiatry what two organizations' standards are they surveying us on?
Joint Commission of Accreditation
NYS Office Of Mental Health
This is how many people that are needed to waste a controlled substance and their responsibility.
What is: Two.
One to waste and document-
One to witness-
If there is a change in a patient's Safety the therapist or prescriber must complete this standardized tool and document it in the chart with an updated Safety Plan.
What does the Acronym stand for?
What is the C-SSRS
Columbia-Suicide Severity Rating Scale