Where are policy and procedures located
Intranet under Policy Stat
What is the wet/kill time for the Purple top, Grey top, and Orange top Wipes
Purple = 2 minutes
Grey = 3 minutes
Orange = 4 minutes
How often should the Code cart be checked
Once a day
An oxygen tank is considered Full and in Use if it has _____ or more PSI
500
In the case of a fire on a clinical unit the decision to shut off the oxygen supply can be made by this person
The charge nurse
True or False: A restraint order may be written as a standing order or as a PRN order so its there when you need it
False
A multi-dose vial is good for how long once it is opened
28 days
Who is your director of Safety and Security
Mike Beshada
What is the approach to infection control that treats all body fluids as if they were infectious
Universal/Standard Precautions
Sharps containers should be secured and not filled more than _________ full
3/4
Conducted immediately prior to any invasive procedure
What is Universal Protocol - Time out

What are the National Patient Safety Goals 2022
Identify Patients correctly, Improve Staff Communication, Use medications safely, Use alarms safely, Prevent Infection, Identify Patient Safety Risks, Prevent Mistakes in Surgery
An initial restraint order should not exceed _______ hours
24
When do you reassess pain med effectiveness after administration
PO meds - 1 hour, IV meds - 30 minutes
These are two unique patient identifiers used for EVERY patient
Date of Birth and Name
Gloves, gowns, masks, face shields are all examples of what
PPE
How far away from ceiling sprinklers can items be stored
18 inches
The maximum number of O2 cylinders allowed in a storage area
12
Name the 6 'rights' when administering medications
Right Patient, Right Drug, Right Route, Right Dose, Right Time, Right Documentation
What is the maximum amount of time a behavioral/violent restraint for a patient 18yr or > can be ordered
4 hours
True or False - BCTA is used only when administering PRBCs
False - it should be used with all blood products
This is where you go if your patient doesn't understand English and requires an interpreter
The Language Line
This is the most important task to prevent spreading of infections
Hand Washing/ Hand Hygiene
These must never be blocked
Fire Doors, Fire extinguisher, Exits, and Oxygen shut off valves
What is needed on the bottom shelf of any clean/non-sterile storage location to prevent splashing of dirty water when floor is cleaned
Solid bottom shelving
What prevents a proper fit for an N95 mask
facial hair, jewelry, glasses, weight loss
True or False: Restraints not applied within 30min of the order require a new order
True - restraint orders are NOT PRN
A technique that uses uppercase lettering to help differentiate look-alike drug names
Tall man lettering (TML)
This group of documents are located on the intranet, and helps guide and instruct personnel regarding patient care, treatment and services
Policy and Procedures
Which wipes do you use to clean the glucometer
Bleach (orange top) wipes
This type of storage material/packaging is not allowed in storage rooms, nutritional or patient care areas
Corrugated cardboard
True or False: If you want your medical results, you may freely access your own chart in Expanse
False
What does PASS stand for
Pull, Aim, Squeeze and Sweep
True or False: If you discontinue restraints then require them again, you do not need a new order if the old order has not expired
False-Old order expires when the restraints are discontinued
Name a High Risk Alert Medication
Insulin, Potassium, Anticoagulants, Narcotics, Anti-infectives
What is the appropriate response when you don't know an answer for a Joint Commission surveyor
"I will find that answer for you" - then seek answer from leadership - Never say "I don't know"
What does IFU stand for
Instructions for Use
What items can be stored under the sink
None (all sink cabinets should be empty and locked)
These are the 3 "rights" covered by the time-out process
right patient, right procedure, and right site
What does RACE stand for
Rescue, Alarm, Contain, and Extinguish (Escape).
How often should a patient be offered toileting, food, drink when in behavioral/violent restraints
every 15 minutes
What elements are required in an order for pain medication
Medication name, dose, route, frequency, indication and parameters
What is our Mission Statement
" Above all else, we are committed to the care and improvement of human life"
What is the wet/kill time for the Bleach (Orange top) wipes
4 minutes
Who do we report stained or broken ceiling tiles to
Engineering
COVID-19 will need these isolation precautions and PPE
Airborne/Droplet precautions
PPE - Mask, Gown, Gloves, and Eye Protection
This is performed to evaluate a patient's environment for self strangulation
Ligature Risk Assessment
If a behavioral/violent restraint is applied, how soon does the LIP need to complete a face to face evaluation of patient
Within 1hr
_____ is the process to review current medications including over-the-counter and herbals
Medication Reconciliation