Medications
What should always be checked before giving any medications?
Two patient identifiers
What does the Joint Commission require hospitals to collect about every patient to identify disparities?
Race, Ethnicity, and Preferred Language
How long are insulin vials good for?
28 days
Name the number one patient safety goal.
Improve accuracy of patient identification
How often do we check VS during blood administration?
15 min before, 15 min after initiation, and at the end.
Which high-alert medications requires an independent double check and what is the process?
Bivalrudin, U-500 insulin, Continuous opioid (PCA), alteplase (cathflo)
What is one example of a social determinant of health that can affect patient outcomes?
Housing, food access, transportation, education
How long are QC (quality control) good for after opening?
3 months
What tool do we use to prevent falls?
John-Hopkins fall risk assessment
What should never be documented in the patient's chart after a safety event?
That an incident report was filed
Name a strategy to reduce medication errors at the bedside.
Barcode scanning, checking identifiers, patient education, avoiding interruptions during med pass
Hospitals must provide qualified interpreters for patients, what are three things that we must document in the flowsheet in EPIC when we use interpreters?
Language, information interpreted, interpreter provider service, interpreter name or number, type of resource (audio/visual)
Where are the fire extinguishers and oxygen panel located on our unit?
Hallway and at nurses station
What is the minimum number of patient identifiers required before a procedure?
Two (name, DOB, or MRN)
When do we document IV pain re- assessment and when do we document PO pain re- assessment
30 min and 1 hour
What are the 5 rights of med administration?
Right patient, right med, right dose, right time, right route
Name one initiative of Tufts MC for health equity
Improving A1C management for Black patients
Increasing post-partum depression screening for non-English speaking patients
Increasing SDOH screenings in ED, inpatient, and ambulatory
Increasing MyTuftsMed app access for non-English speaking patients
What acronym is used for fire safety response?
RACE (rescue, alarm, clear, extinguish)
What is the purpose of time - out procedure?
How often do you document non-violent restraints and violent restraints?
Q2H and Q15 min
What is the contact time for purple top wipes and orange tops wipes?
Purple top-2 min
Orange top-3 min
How do we document a critical result?
Basic assessment at the bottom - provider notification
Describe the process for suicide 1:1 observation patients.