Joint Commission 1
By giving this document the hospital ensures that patients are informed of their rights upon admission.
What is patients receive a Patients' Rights Package?
Who can order building evacuation?
Who is CEO & OAK/RCH FD
Hand hygiene is performed in the following instances.
What is upon entering and leaving a patient room; between patient contacts if more than one patient in a room; between glove changes even when working on the same patient; Before or after contact with patient; before donning and after removing gloves, before handling an invasive device, after body fluid exposure, and as needed such as after sneezing or coughing, and before handling food or oral medications.
This is when Multi-dose vials expire.
What is 28 days from opening (date vial with date opened and 28-day expiration date)?
These elements, at a minimum, must be included in a time-out (Universal Protocol) before any invasive procedure.
What is everyone involved in procedure STOPS all work and activity and verify:
Patient identification (name, DOB, MRN)
Correct surgical procedure
Patient Consent
Surgical location, side, site
In a medical center, this is how you would test a defibrillator.
What is run test while plugged in and set to 30 joules?
Maximum allowable pressure for a full medical gas cylinder.
What is over 1800 PSI (pounds per square inch)?
These are fall and injury prevention measures that our hospital follows. (Name 2)
What is bed in low position, wheel locks on the bed, stretcher, wheelchair, yellow fall risk sign, yellow wristband, yellow gown, yellow non-slip socks, or patients may use personal footwear: proper fitting, low heel, soft sole shoes/sneakers; purposeful rounding, call bell within reach, night light on, use of a Fall T.I.P.S. poster?
When a patient care error occurs, the following steps are taken.
What is ensure the patient is safe and report the incident to your supervisor and complete an eRRF?
What do you do if you pull medication from a vial into a syringe and have to put the syringe down. You are not immediately administering the dose.
What is label syringe with the date and name and dose of the medication or fluid in the syringe before placing it down?
Are verbal orders acceptable?
What is verbal orders are not acceptable except in an emergency situation?
However, in an emergency situation a RN may receive verbal orders from the prescriber. The practitioner shall sign or write the orders immediately after the crisis and or event is over but within 24 hours.
What does RACE stands for?
What does PASS stands for?
What is Rescue, Alarm, Confine, Extinguish or Evacuate?
What is Pull, Aim, Squeeze and Sweep
When a chemical spill occurs in your office, you would take the following actions.
What is contact Safety Director, review the SDS manual, ensure the area is secure, and seek assistance from EVS and/or Facilities team?
The staff which are responsible for assuring that the patient's rights are respected and maintained at all times.
What is every team member?
These methods are used to protect patient's privacy and confidentiality.
What is Log out of computers when not in use or when unattended, medical records only accessed when required by job duties, do not leave papers with patient information unattended, provide information only to those permitted by the patient and do not discuss patient information in common areas?
When the Hospital is in lockdown, all staff are advised to...
What is shelter in place?
If a patient wants to report a complaint or grievance, this is where you would refer them.
What is refer them Guest Relations, Unit Manager, Department Leader, Nursing Director, Head Nurse, Hospital Administrator, external agency (i.e CA DOH, TJC, California Office of Public Advocate, etc.)?
Sharp containers should be replaced when the following condition is met.
What is when they are 3/4s full?
What are two health equity focus areas that we are working on as a hospital?
What is Asthma, Diabetes, Breastmilk, (what others do you know?)?
These steps would be taken to report workplace violence.
What is Call hospital security and after the event is resolved enter an eRRF and complete any WPV forms needed?
OAKLAND
3780 Howe St., Parking & Security Office
Oakland, CA 94611
Main Line: 510-752-7777
Department Fax: 510-752-7617
Business Hours: 24 hours / 7 days
RICHMOND
901 Nevin Ave, 1st floor
Richmond, CA 94801
Main Line: 510-307-1744
Department Fax: 510-307-2431
Business Hours: 24 hours / 7 days
Can a family member or friend be used to interpret for a patient or legal guardian?
Discourages the use of adult friend/family to assist in communication, especially when exchange of medical information takes place.
The hospital promotes patient safety by reducing errors in documentation associated with the use of this list.
What is "Do Not Use Abbreviations" -a standardized list of unapproved abbreviations.
-U,u (Unit)
- IU (International Unit)
- Q.D., QD, q.d., qd (Every day)
- Q.O.D., QOD, q.o.d, qod (Every other day)
- Trailing zero (X.0 mg)
- Lack of leading zero (.X mg)
- MS (Write Morphine Sulphate)
- MSO4
- MgSO4 (Write Magnesium Sulfate)
These are the 6R's (six rights) for Medication Safety.
What are
Right Medication
Right Dose
Right Route
Right Time
Right Patient
Right Documentation?
DAILY DOUBLE!
How staff are educated and assessed for competence in the use of restraints.
Department of Nursing education is responsible for training on use of restraints during staff orientation and at a minimum annually thereafter. On-going in-services education programs customizable to individuals' roles and responsibilities.
Competency of staff must be demonstrated and documented annually in their personnel records.
The amount of time it takes to scrub your hands when washing your hands over a sink.
What is a minimum of 20 seconds?