Joint Commission
Quality Metrics
Patient Experience
Infection Prevention
EPIC
100

Code Pink indicates

infant/child abduction

100

A patient on the highest level of fall precautions has at minimum these 5 items in place

Yellow gown, yellow socks, bed/chair alarm, up with assistance, always within arm's reach

100

Who completes the upper left corner of patient communication boards & what 3 names/phone numbers are listed there?

PCT.

Nurse, Tech, & Charge Nurse

100

Foley care is preformed how may times every 24 hours?

At least once per shift and also as needed if foley is soiled

100

How often is hygiene (oral care, bathing, linen change) offered/completed & charted in epic?

at least once per shift

200

MSDS (Material Safety Data Sheets) are located where

the source
200

On an air mattress, what layers of bedding should be under the patient?

1 flat sheet & 1 chucks pad

200

Who completes the upper right corner of patient communication boards & give an example of what would be listed in this box

RN.

Examples include:  PT/OT, ECHO, pain control, etc.

200

Prior to donning gloves, what should occur?

What is hand-hygiene?
200

A patient in non-violent restraints (soft wrist restraints, posey bed, bilateral elbow immobilizers or bilateral mitts) requires observation every _____ minutes & documentation every _____ hours.

15 minutes & 2 hours

300

Can a PCT be delegated to titrate O2?

No

300

These 2 items can be used to help prevent skin breakdown around the ears

Mepilex & oxy ears

300

What are our unit's 2 patient experience goal categories?

Overall rating & medication side effects

300

A patient with active shingles should be on this type of isolation precaution

airborne precautions
300

How often is Braden Scale documented per shift?

1 x

400

What is the purpose of a red outlet?

emergency power supply - only outlets that function during power failure

400

When a patient refuses VTE prophylaxis, the primary RN provides education.  If the patient refuses again, the charge nurse provides education.  If the patient refuses again, what is the next step?

Notify provider (MD/PA/NP) & document in epic.

400

Doctor/Nurse consistency has been positively impacted by what new process?

MDRs

400

Who do you call when your patient's central line dressing is not intact?

PICC

400

An adult in violent restraints requires RN/PCT observation & documentation every _____ minutes as well as RN documentation of care needs every _____ hours.

15 minutes & 2 hours

500

What does RACE & PASS stand for?

RACE:  rescue, alarm, confine, evacuate

PASS:  pull, aim, squeeze, sweep

500

T/F:  You may use Venelex with an Alevyn

False!  Using Venelex & Alevyn together will trap in moistere, increasing the potential for skin breakdown.

500

Whose responsibility is it to answer & respond to a call light (even if it is not your assigned patient)?

Everyone's!

500

How long is the following IV tubing good - 

Primary Line?  Secondary Line?  Blood Tubing?

Primary line:  96 hrs

Secondary line:  24 hrs

Blood tubing:  4 hrs

500

T/F:  If EPIC determines a patient to be a high fall risk, the RN can downgrade that to a low fall risk

False.  If EPIC determines a patient to be a low fall risk, the RN can upgrade that to a high fall risk.

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