Patient Safety
Before asepetic task, before patient contact, after patent contact, after bodily fluid exposure and contact with patient surroundings
What are the five moments of hand hygiene?
Electrical panels, fire extinguishers, pull stations or medical gas shutoff valves.
What are areas that should never be blocked?
____ is assessed using a numerical score 1-10.
What is pain?
Indicates a active shooter is in the hospital
What is a code Silver?
Must be worn above the waist at all times with the name visible. Picture should be clear and uncovered.
What is the proper way to display your name tag?
Right patient, Right medication, Right route of administration, Right dose, Right time- frequency, right documentation
What are the 6 “Rs” of medication administration?
National patient safety goal related to volume being audible and responded to promptly.
What is alarm management?
SBAR
What is Sibley’s preferred communication method?
Required to be completed everyday the unit is open for crash cart.
What is the daily log?
Electronic data base of IFUs (instructions for use)?
What is one source?
Name, MR#, DOB, or US SSN are verified prior to any treatment, med. blood draw, etc.
What are patients identifiers?
3 minute contact time.
What is the contact of grey wipes?
The process when lab calls value to the floor and RN reads the value back. Physician must be called with the results within 60min. The RN must ask the physician to read back the information.
What is the process for reporting Critical Lab values?
Called in the event of an Emergency Disaster that affects the entire hospital.
What is Code 100 ?
Right to refuse treatment, to be free from pain, to know their caregiver, to confidentiality, to billing information, to protective services, to be safe and secure.
Where are patient’s rights?
Provide an interpreter, use the Cyracom phone, video remote interpretation or contact communication Dept. for a device specific to needs of the patient.
What are language access services?
Take it out of use. Place a label on it to indicate out of order and enter a work order for maintenance or Biomedical via the intranet.
What are the steps taken if there is a problem with a piece of equipment?
Require documentation must be within 30 days of surgery and have updated interval note within 24 hours of admission.
What are the H&P requirements?
Is monitored electronically by a computer in maintenance.
What is temperature and humidity?
Resource for finding the proper way to clean up a chemical spill?
What is MSDS?
A pause before the first incision is made where patient, surgery and site is verified.
What is the time-out?
Is considered event related.
What is sterility?
Document that requires witness to patient signature.
What is a consent form?
Always exit the building via the nearest stairs. The exit plan is located at the elevator.
What is our fire evacuation route?
Increased OR efficiency – 90% On Time Starts, 15/20 minute turnovers Lean projects
Hand Hygiene compliance
Improve Hand off communication tool within peri-op services
Label all medications on the field
Improve Blood Access process
Achieve Press Ganey Pt. satisfaction score of 70% for out-patient services
Label all meds on the field
Decrease Surgical Site Infections
What are Performance Initiatives (PI) activities for our dept.?