manage the meds
safety
leadership
this and that
care and treatment
100
1/17/2012 thorazine 100 mg po QD signed: J White MD for extra 100 points credit three things to be changed
What is an example of how not to write an order and sign it. What is note the time written, change QD to daily and specify for what reason the med is ordered ie psychosis?
100
Screen on admission, enter information in data base, obtain cultures, provide education, cohabitate or contain
What are ways to decrease risk of spreading MDROs?
100
approve changes to bylaws, rules and regs, approve hospital committee work, recredential peers
What are functions of the Medical Executive Committee?
100
Readback
What is the process required in giving a telephone order, taking a lab result over the phone or giving a verbal order? Or what is giving an order verbally or on the phone,waiting till someone writes it, then reads it back to me and I say correct?
100
Within 48 hours?
What is the time frame for signing telephone orders?
200
On patient discharge instruction sheet: Zyprexa 10 mg Q AM and 20 mg HS Inderal 10 mg po tid
What is the incorrect way to write meds on a discharge form?
200
RACER
What is rescue activate alarm, contain, extinguish, relocate or what are steps in code red?
200
Participate in committees, answer surveys, participate in chart audits, attend grand rounds
What are ways we keep practice up to date and strengthen safety in the organization?
200
discharging on more then one standing antipsychotic, compliance with med reconciliation practice, improving handoff communication, assessing the appropriateness of medical care delivered, analyzing results of audits related to the completion of required elements of documentation
What are recommended quality indicators specefic to the Medical Staff?
200
Within 60 hours
What is the time frame for completing a psych eval?
300
Pt may use Ventolin inhaler 2 puffs q 4 hours PRN Shortness of breath
What is the incorrect way to write a med for self administration order?
300
ask pt their name, ask birthdate, scan wrist band have someone who knows the pt identify them
What are ways to complete two step identification before doing procedure or drawaing blood or giving meds?
300
update current problems, add new findings, enter interventions
What is the MD leadership role in treatment planning process?
300
QD, QOD, trailing zero, U
What are examples of abbreviations not to be used in the organization?
300
within 30 days
What is the time frame for completing a discharge summary?
400
coumadin
What is our high alert medication?
400
remain on unit, listen for further instructions, if in the area, evacuate put locked doors between you if possible
What are steps in code grey?
400
Go to scene, assess pts, write orders for transfer or discharge, communicate care needs to next providers
What is the role of the MD in a code black or red?
400
NPSG
What is national patient safety goals?
400
talking with pt or guardian, explaining risk and benfit of treatment including alternative treatment, discussing when treatment changes, before meds are ordered
What are elements of informed consent?
500
Dose, name of medication, route of administering, frequency of giving, reason for giving
What are components of valid med order?
500
upon admission, when reviewed by the pharmacist, if transfered to a new unit or attending, on discharge
When does medication reconciliation occur?
500
credentialing
What is the process for ensuring competency on hire and reassessing same every two years?
500
SBAR
What is the way we hand off communication of care or situation, background, assessment, recommendations?
500
Within 1 hour and then every two hours thereafter if needed?
What is the time frame for writing orders for restraints?
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