NPSG
PI
IC
Safety
Policy
100

The most effective way to prevent infection 

Hand Hygiene

100

Document that stores monthly data on measures

QAPI Workbook

100

These items are worn by staff to protect against hazards in the environment

Personal Protective Equipment

100

This is to be completed 1x per shift once per quarter 

Fire Drill 

100

Concern reported by a patient regarding care or treatment provided 

 Grievance

200

This process matches the patient with the right treatment

2 patient identifiers

200

A 6-12 month initiative to improve an area of concern

Performance Improvement Project

200

This organization provides guidelines on hand hygiene

CDC

or 

WHO

200

The 4 step process to follow if you encounter a fire

Rescue/Remove

Alert/Alarm

Contain/Confine

Extinguish/Evacuate

200

The max amount of time that an adult can be in a restraint or seclusion without needing another physician order

 4 hours

300

Practitioners are notified of these results within 30 minutes 

Critical Lab Results 

300

This is a goal set typically set for a workbook measure

Target Rate

300
Staff complete this list to ensure the cleanliness of the facility and patient areas

Daily Cleaning Schedule

300

This form provides information on each chemical used

Safety Data Sheets

300

This list of requirements ensures patient are treated with dignity and respect

Bill of Rights

400

This intervention may be used to monitor a patient who is at risk for suicide

Therapeutic Observations

400

What is one of your PI Projects? 

Site Specific

400

This process requires 2-3 minute cleaning time to kill bacteria on a surface

Sanitizing Wet/Contact Time

400

This is anything that can be used to attach a rope with intention of strangulation 

 Ligature Point

400

Permission form that allows for administration of controlled substances

Informed Consent

500

Process to manage a-fib, deep vein thrombosis or heart valve implant 

Anti-Coagulation Therapy

500

A review process to determine the cause of a sentinel event

Root Cause Analysis

500

This means that dirty items are stored with clean items and have the potential to transfer germs

Cross Contamination

500

Safety completes this quarterly review to identifies risks and things to fix

Environmental Risk Assessment

500

This describes how practitioners assess high risk patients who may self-harm

Comprehensive Suicide Risk Assessment

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