Self-Harm
What is an environmental risk assessment
Identifies potential self-harm risks that require removal or mitigation while serving a patient who screens positive for suicide risk. The assessment will provide guidance of environmental items that may be used for self-harm.
Specimens are handled using what precautions?
Standard precautions
How many safe behaviors are there?
5
Anyone who, honestly and in good faith, reports a suspected patient safety events must be protected from?
Retaliation
The needs of the patient come first
What scale is used to determine suicide risk severity?
Columbia Suicide Severity Rating Scale (C-SSRS)
When should a specimen be labeled?
during or immediately following collection
What are the safe behaviors?
1. Pay attention to detail
2. Communicate clearly
3. Speak up and respond respectfully
4. Hand-off effectively
5. Support each other
Following the occurrence of a patient safety event, the first priority is to?
How do we improve our patients experience?
by listening to them and seeking to understand their perspective, providing individualized and compassionate care, striving to alleviate avoidable suffering, respecting our inherent and rich diversity, building trusted and loyal relationsips
What are warning signs of suicide
irritability, increased anxiety, agitation, impulsivity, decreased emotional reactivity, acute signs of depression, complaints of unrelenting pain, refusal of visitors, crying spells, refusal of medications, hopelessness, helplessness, refusal to eat, feelings of worthlessness
When collecting a specimen, this must be received by two-person specific identifiers. What are examples of these identifiers?
Registered patient name (first and last name)
Medical record number
Date of birth
Laboratory information system (LIS) number
Asking questions, seeking clarity while listening to respond, limiting bias, defensiveness, and judgement and by responding in a _____ manner to others falls under which of the 5 safe behaviors?
Speak up and respond respectfully
Why is it important to report patient safety events?
It provides the opportunity to analyze process deficiencies and to continuously improve the quality of patient care.
What are Mayo Clinics values/
(hint: there are 8)
Respect
Integrity
Compassion
Healing
Teamwork
Innovation
Excellence
Stewardship
What are some risk factors for suicidal ideation and suicide?
Demographic (between 18-25 and above 70, male, native american, hispanic, white, asian, pacific islander, LGBTQ+)
Pyschologic factors (history of child abuse, psychiatric illness, trauma, hopelessness)
Physiologic factors (chronic or general medical illness/disability, tbi, chronic pain, taking antidepressants)
Socioeconomic factors (single, military, financial difficulties, unemployment, lack of education, access to firearms, loss of loved one, social isolation)
All tissues and all foreign bodies removed from patients in surgical services/procedural areas are sent where?
Surgical pathology lab or laboratory for examination
What is SBAR and which safe behavior does it apply to?
SBAR stands for situation, background, assessment, and recommendation.
SBAR applies to handing off effectively
What is the difference between a near miss and sentinel event?
A near miss is an event or situation that could have resulted in an accident, injury or illness, but did not, either by chance or through timely intervention.
A sentinel event is a patient safety event (not primarily related to the natural course of the patient's illness or underlying condition) that reaches a patient and results in death, severe harm (regardless of duration of harm), or permanent harm (regardless of severity of harm)
"Inspiring hope and promoting health through integrated clinical practice, education and research"
This is Mayo Clinics _________
Mission
A patient who has thoughts of taking action to commit suicide is experiencing ______ ______.
A patient who has the hope that death will occur is experiencing ______ _______ ______.
Suicidal ideation
Passive suicidal ideation
What is included in the documentation of a tissue collection?
Type of specimen, patient name, age, gender, health care organization, history and diagnostic studies required.
Date and time of collection.
Information pertinent to the specimen or source (do not use abbreviations in the source description).
Surgeon's/proceduralists name and contact number.
The RN performing the preparation and documentation of the specimen for transport
What does clear communication look like?
It is intentional, has minimal use of acronyms, respectful (non-judgmental and non-intimidating), leaves opportunity for clarification, verification of accuracy and understanding, having awareness of body language and tone
What is Comprehensive Systemic Analysis and when is it used?
Comprehensive systemic analysis is used when a patient safety event meets the criteria for a sentinel event.
Comprehensive Systemic Analysis is a process for identifying the basic or casual factors underlying variation in performance, including possible occurrence of a patient safety event. It is a root cause analysis that focuses on systems and processes.
What is the Bold. Foward.
empowers staff to solve, simplify and innovate so we can advance the way we care for people.