Emergency Standards
How do you call RRT (Rapid Response Team)
7-5555
How do you call security?
panic button or 704-355-3333
What are 3 charting expectations during your shift?
Rounding, vitals, I&Os, diet, safety precautions, ADLS, mobility, hygiene, glucose,
You are documenting in EPIC, notice a red exclamation mark next to the patients HR of 134, what does this mean, and what are your next steps?
Critical results, notify the nurse, and document.
Give 2 examples of Workplace Violence.
Verbal, physical. Involves a Patient, Visitor or Teammate. Racial/cultural Slurs, threats, bullying, shouting ect.
What mnemonic is used to identify a stroke?
BEFAST
Define the difference between non-violent and violent restraints.
Non-Violent: associated with non-destructive behavior. Applies to non-violent safety needs that impact or have the potential to impact the patient (interference with medical devices, attempting to ambulate/move/transfer with no regard to deficits).
Violent: Used for severely aggressive, violent, or destructive behavior that presents an immediate, serious, danger to the safety of the patient, teammates, or others and requires rapid assessment and intervention. Includes chemical restraints, mechanical devices, seclusion, and physical holds.
Name 2 common sources/reasons of lawsuits in healthcare?
You are receiving handoff from an off-going teammate, and the patient is lying visibly soiled in the bed, what do you do?
Chain of command, effective communication with teammate to complete the tasks together.
What is alarm fatigue?
Becoming desensitized to safety alerts, and as a result clinicians tend to ignore or fail to respond appropriately to alarms.
If a teammate or visitor is complaining of chest pain, what do you do?
Call RRT for a visitor/teammate
Due to ED response, it is important to distinguish. Especially if a pediatric patient is involved.
If they refused to go to ED, put in a Care Event
What does the "Blue Star" OR the "Orange Triangle" sign stand for?
Is a Visual Alert to heighten awareness of potential for risk to harm through the use of a visual que. Serves to notify healthcare personnel to take precautions upon entering the patient's room.
What does it mean to chart in real-time and why is it important?
To ensure the accuracy of the information and to reflect ongoing care. Delayed documentation increases the potential for omissions, error, and inaccuracy from memory lapse. Never chart in advance.
Other Considerations:
•Document only care, treatments, and medications that you've actually provided or administered
•Describe observations and behaviors of the patient rather than label the patient. Don't offer opinions or use subjective statements or judgments.
•You can always add a comment
•Notes are visible in MyChart so maintain professionalism
What can you do if you report a concern to a nurse for a patient, and you feel like your concern is not being addressed in a timely manner?
Follow chain of command, go to charge nurse.
1 reason why it is important to submit Care Events.
Help our organization understand where gaps in care are present and where improvements are needed
Decrease unintended harmful events from reaching our patients and teammates
Increase transparency among teammates, clinicians, units, and practices
Real – time error detection and prevention
Higher teammate engagement
Supports a culture of high reliability and achieve our goal of ZERO HARM FOR ALL
Who can initiate the code blue process?
ANYONE who is a BLS provider. Check for a pulse and breathing. IMMEDIATLY start compressions.
Hit the code blue button on wall, call 7-5555
Name 2 things you should NOT do as a Patient Safety Sitter.
Be on phone, do homework, curl up in a blanket, put your back to a patient, be positioned where you cannot see the patient, or have an appropriate/safe exit path, leave the patient unattended.
List 2 purposes of documentation.
•Evidence of Quality of Care
•Ensures continuity of care
•Performance Improvement
•Reimbursements
•Legal Protection
Reflects:
•Professionalism
•Competence
•Compliance
When is it appropriate to CUS at work?
I am Concerned, or Uncomfortable or is this Safety Issue
Being aware of beliefs/religion asks, respecting wishes, communication/interpretation services, providing dignity, dress attire/covers, new hair products, provided Chaplin services
Resources:
Culture Vision on People Connect, Lippincott Procedures,
You have a patient who is coding (Code Blue) and is on isolation precautions. What do you do FIRST before helping them?
Put on the appropriate PPE
When are mitts considered a restraint?
Mitts are considered a restraint when they are secured (tied) to the bed and/or when the patient is unable to utilize their hands. "You are restricting the use of their hands/fingers".
Thus - if the mitts are velcro so tightly around the wrist that the patient CANNOT remove the mitt, it is a restraint.
What is Legal Lighthouse on People Connect?
Legal Lighthouse contains resources to help navigate frequently-encountered legal issues in treating and interacting with patients
Except as otherwise noted, the guidance is based on North Carolina law
Nurse notifications are documented where?
Flowsheet, under provider notification.
You assisted a patient into the bathroom, when another patient's bed alarm starts going off. What are your next steps?
Stay with the patient in the bathroom. It is everyone's responsibility to answer and respond to bed alarms.
"Own the Zone", even if it is not your patient, you have a duty to respond.