Safety
Proper hand off of patients
What is bedside shift report?
Announcing an inability to accept patients of a certain type (med-surg, ICU, behavioral health)
What is diversion?
60 minutes
What is the length of time you have to start antibiotics for sepsis?
Done before any po meds are given
What is dysphagia screening?
10 minutes
What is door to CT for stroke or door to EKG for chest pain?
Bathroom, pain, positioning, placement of items, questions
What are elements of intentional rounding?
Immediately upon assessment of high risk suicide risk
What is beginning monitoring for safety? Can include rooming and security screening but must include Q 15 minute checks
Dressing intact with bio patch or chlorhexidine gel, alcohol caps on tubing, tubing dated
What are the elements of the CLABSI bundle?
Patients over the age of 50 with weakness, palpitations, tachycardia, syncope, difficulty in breathing, or shortness of breath and patients over 30 years old with pain between the umbilicus and jaw excluding obvious trauma.
Who are patients in need of an EKG on arrival?
60 minutes
What is the door to balloon time for cath lab patients?
Stretcher in low position, call light in reach, yellow socks, door signage
What are elements of fall precautions?
Fines of over $100,000 per violation for large hospitals
What is the possible penalty for an EMTALA violation?
Blood cultures, lactic acid, IV fluids, antibiotics
What are the elements of the sepsis bundle?
Frail patients, admission holds, and those with wounds documented on admission
What are patients at risk for HAPI who need a skin integrity assessment?
15 minutes
What is the frequency of sitter checks for behavioral health patients?
Recommended part of the armband scanned for point of care testing
What is the linear bar code?
Medical screening exam completion
What is used to determine if a patient is LWBS or AMA?
Indication documented, order present, security device in place, catheter care, position of drainage bag and tubing
What are the elements of the CAUTI bundle?
Only watching the patient, accompanied in restroom, monitor eating and utensils, documenting Q 15 min, communicating issues to RN
What are sitter responsibilities?
30 minutes
What is the goal for thrombolytics for ischemic stroke?
Must be reported to the Georgia Drugs and Narcotics Agency within three (3) days of its discovery
What is the theft, loss, or discovery of any unaccounted-for controlled substances? This includes undocumented waste.
Within 250 yards of the Hospital’s main buildings
What is the definition of hospital property for EMTALA purposes?
Increases 3-5% each day in hospital
What is your risk for UTI when you have an indwelling urinary catheter?
Conduct post fall huddle with all staff involved and ensure SAFE report is completed
What is the role of the charge nurse after a patient fall?
12 hours
What is the frequency NIHSS should be reassessed for stroke patients or CSSR reassessed for behavioral health patients?