Patient Safety
Daily double: What is the screening tool we use for delirium?
4AT (I hope you didn't make Meg cry- hehe)
What drugs are considered high risk?
Anti-biotics
Potassium and other electrolytes
Insulin
Narcotics and opioids
Chemotherapy
Heparin and other anticoagulants
What standard aims to improve infection prevention and control measures to help prevent infections and the spread of antimicrobial resistance through the appropriate prescribing and use of antimicrobials? Standard Name and Number required for full points
Standard 3: Preventing and Controlling Healthcare-Associated Infections
What is the handover tool utilised at Calvary?
ISBAR
What is the MET call number?
2222
Soon 5 will no longer work
What standard ensures that patients receive comprehensive health care that meets their individual needs, and considers the impact of their health issues of their life and wellbeing? Standard Name and Number is required for full points
Standard 5: Comprehensive Care
Which standard ensure that clinicians safely prescribe, dispense and administer appropriate medicines and monitor medicine use? Standard name and number is required for full points
Standard 4: Medication Safety
What is the single most effective infection prevention intervention? Hand hygiene
Hand hygiene
True or False: A patient should be involved in clinical handover?
TRUE
Explain the CARE program?
Call
And
Respond
Early
A phone held by AHHM in which families that are concerned about their loved ones can call for a review.
List 4 risk assessment tools used in Calvary
1. Waterlow
2. FRAT
3. 4AT
4. Nutrition Score
Etc
What is the universal blood donor group?
O negative
You have a patient with Chicken Pox, what precautions should be implemented?
Airborne
DAILY DOUBLE
Give 3 reasons bedside handover is so important?
- Patient safety/Identification
- Allows patient and families to contribute to plans in their care
- Gives patient and families an update on medical condition and plan
- Allows for patients and families to ask questions as required
What standard ensure that acute deterioration in a patient's physical, mental or cognitive condition is recognised promptly and appropriate action is take? Standard Name and Number is required for full points
Standard 8: Recognising and Responding to Acute Deterioration
What standard ensures that systems are in place to maintain and improve the reliability, safety and quality of health care? Standard Name and Number is required for full points
Standard 1: Clinical Governance
Which standard aims to improve outcomes for patients by using strategies that optimise and conserve their own blood, as well as ensuing that any blood and blood products that patients receive are safe and appropriate? Standard name and number are required for full points
Standard 7: Blood Management
What are the five moments of hand hygiene?
Moment 1: Before touching a patient
Moment 2: Before a procedure
Moment 3: After a procedure
Moment 4: After touching a patient
Moment %: After touching a patients surroundings
What standard ensures that consumers are partners in the design, delivery and evaluation of health care systems and services; and that patients are given the opportunity to be partners in their own care? Standard Name and Number is required for full points
Standard 2: Partnering with Consumers
You have a patient with a MOLST stating "Not for MET calls", you are worried about a patient, and don't feel the RMO has prioritised your concerns appropriately, what are your escalation options?
- Escalate concerns to TL
- Escalate to Registrar/Consultant
- MET call: a MET call is always available for a worried clinician for acute reasoning despite MOLST
List 5 causes of delirium
1. Pills
2. Pain
3. Puss (Infection)
4. Pee
5. Poo
What are the 8 rights of medication administration as per the CPHB policy?
1. Patient
2. Medication
3. dose
4.Route
5. Time
6. Documentation
7. Reason
8. Response
What 2 steps should you do if you see a family member or another health care professional standing at the nurses station in a yellow gown?
1. Tell them to take it off and wash their hands.
2. Provide education on correct infection control techniques, even if they say they are "clean". Yellow gowns and gloves should not be seen in common areas.
What standard ensures effective communication between patients, carers and families, MDT and clinicians, and supports continuous coordinated safe care for patients? Standard Name and Number is required for full points
Standard 6: Communicating for Safety
As per the MEWS chart, what is the escalation pathway for a patient with a MEWS of 7?
- Notify TL
- Registrar to review within 30 mints
- If not review after 60 mins consider MET
- Vital signs 1/2 hourly for 1 hour
- Commence fluid balance chart
If patient improves decrease vital sign frequency to
- Hourly for 4 hours
- 4th hourly for 24 hours
RN/RM and RMO to escort this patient