Safety
Excellence Goals
Things to remember
Facility Codes
Safety First!
100
1. Designee notify HVAC company 2. Monitor room temps every 4 hours 3. Notify Medical Director 4. If temp higher than 81 degrees, open doors, operate fans, increase hydration, take temps of patients, transfer out if necessary
What is the proceedure for loss of Air Conditioning?
100
Discharged Loyalty Score May 2014- 100% Goal is 86% Discharged Loyalty Score for Excellence- 0% Goal is 50%
What is Customer Excellence?
100
What is the location of designated smoking area?
What is off facility property?
100
Code Green
What is the code for elopement?
100
1. Security codes on stairwells and elevators 2. Locking of exterior doors at 9 pm-6 am 3. Adequate lighting iin parking lot 4. Visitors signing vistation log 5. Photo identifcation for staff 6. Questioning any unusual behavior of visitors
What is facilities security plan?
200
R- Rescue A- Alarm C- Confine E- Extinguish
What is procedure for responding to a fire?
200
Adjusted Nursing Turnover: 55.1% Goal- 45.3%
What is Staff Excellence
200
Who is Melissa Grove?
What is the name of the Employee of the Month for July?
200
Code Blue
What is the code for medical emergency?
200
1. Approach individual causing the disturbance and attempt to calm them down 2. If the individual can't be calmed down, ask them to leave 3. Call the police department if individual does not calm down
What is how to handle disturbances within the facility?
300
"Pass" Pull Aim Squeeze Sweep
What is how to use a portable fire extinguisher?
300
Incidence of Total falls- 15.01%; Goal is 18.42% 30 Day Re-hospitalization Rate- 29.2% Goal is 12% In-House Acquired Pressure Ulcers- 1.88 %; Goal is 2.00% Antipsychotics without Diagnosis- 21.80%; Goal is 19.45% CMS Star Rating- 2
What is Clinical Excellence?
300
1. 1 West Lounge the new Satilite Rehab Gym 2. OT Kitchen to be the new Customer Relations Office 3. OT Gym to be a new Recreation Center 4. New flooring for 2C Dining Room and Lounge 5. August renovation to 2C Shower Room
What are the new changes coming to Brandywine Hall?
300
Code Red
What is code for fire?
300
1. Assess the situation 2. Call 911 3. Move all patients in room and close the doors 4. Minimize all noise 5. Hide behind large objections
What is the process if there is an intruder?
400
1. Bariatric patients will be assessed on admission for transfer status and an individualize evacuation care plan will be established based on their functional status 2. Staff should assist all patients who can ambulate or can be evacuated with minimal assistance first. Patients who require an assist of more than one person will then be evacuated from the facility by staff or emergency personel 3. Special Consideration patients would be lowered to the floor by staff on a blanket or sheet and then staff wil slide patient out of the room to a designated safe area.
What is the special consideration process for patients who are bariatric or require more than one person assist during a fire?
400
Average Medicare daily Census- 19, Goal is 19 Census Based on Operating Beds- 88.9%; Goal is 92.8%
What is Business Excellence?
400
Teju Adelaguya
Who is the new 1S Unit Manager?
400
Code Black
What is the code for Security Threat?
400
1. Communicate if patient is missing 2. Announce code green 3. Follow search protocal, use post it notes to tag areas that have been searched 4. If not found, notify police and follow facilities policy
What is Elopement Procedure?
500
1. Outside food delivery is to be delivered to the lobby. 2. Receptionist will page staff member for pick up 3. If patient, patient should either wait in lobby for delivery or cordinate it with staff. 4. If during high patient care time, please give receptionist money in advance
What is the new process for outside food delivery?
500
Name the green ghost from Ghost Busters
What is Slimmer?
500
Each manager assigned to a meal to assist in delivering trays to rooms
What is All Hands on Deck?
500
Code Gray
What is the code for tornado?
500
Found at nursing stations and contain emergency supplies. Kits contain: Radio, Flashlight, Self-stick tags, basic tool kit, trash bags, waterless hand cleanser, first aid kit..
What is Emergency Supply Kit?
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