JC Basics
Patient Safety
Work Place
Documentation
Potpourri
100
Identify patients correctly, improve staff communication, use medications safety, use alarm safety, prevent infections, identify patient safety risk and Universal Protocol.
What are the National Patient Safety Goals for 2015?
100
Use TWO (2) identifiers when providing treatment. Inpatients: MRN and Name Outpatients: Name and DOB
What is the process of patient identification?
100
(1) Found in every induction room and in the outside hallway in Lunder under the tented signs. Bonus answer:(2) The shut off valves are located outside in the hallways.
Where are the fire extinguishers in the Legacy and Lunder Operating Rooms? Bonus: Where are the gas shutoff values in case of a fire?
100
Documented on the Universal Protocol form
Where do you document the huddle, time out, and post operative debriefing?
100
The data is collected and reviewed on a monthly basis. If there are any deficiencies than a plan is developed on how to improve that outcome. Medication labeling on sterile field Universal Protocol Back to basics: specimen handling
What quality performance data are collected in your area and how are you involved?
200
Surveyors analyze a hospital's systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
What is "tracer methodology"?
200
Hand washing with soap and water before and after each patient contact: Even if you used gloves wash vigorously for 15 seconds. Alcohol-based hand rubs may be used if there is no visible soiling and C. Diff is not suspected. Use of artificial or long fingernails is prohibited. LATHER UP!
How do you reduce the risk of health-care associated infections?
200
Information found under utilities on the Partners app menu. This is your guide to chemical safety and where to find information on hazardous chemicals.
Where do you find the MSDS sheets?
200
The Nursing Process Note is the place of care and the source of truth. The nursing admit note is the beginning of the care plan.
Where do you find the Nursing Plan of Care-the source of truth?
200
Through your initial basic education and orientation. Continuing education and in-services as well as documentation of annual mandatory training and competencies.
How are you competent to do your job?
300
Patient health information may only be used for purposes of treatment, payment, healthcare operations. 2 Don't discuss patients in elevators, hallways, lounges or locker rooms.Use blue bins to dispose of OR schedules and other patient information
What is HIPPA? Bonus:Name one way protected health information is kept private in your department.
300
I=clean II= clean contaminated III=contaminated IV=dirty/infected
What are the wound classifications?
300
R - Remove patients and others, A- Alarm, C- Contain the fire (close doors), E- Extinguish the fire when it is safe to do so or E - Evacuate P- Pull the pin, A-Aim the nozzle at the base of the fire, S-Squeeze the handle, S-Sweep the nozzle form side to side
What do RACE and PASS mnemonics stand for when there is a fire?
300
Patient name MRN Type of specimen: site and location Any special considerations
How do you label a specimen for pathology?
300
Gel pads, foam padding, Pink pad, Dolphin mattresses
What are interventions to prevent intraoperative pressure ulcers?
400
Surgical pre-verification, Pre-operative Huddle Surgical Time Out
What are the components of Universal Protocols?
400
Pharmacy uses TALL MAN lettering, visual warnings and physically separating medications.
What are sound alike/look alike (SALAD) medications? What are the steps taken to prevent errors?
400
Follow the directions of your nursing director, resource nurse or supervisor.
What is your role in a disaster that results in an influx of patients? Example: flu patients or mass casualty incident
400
Name of the medication Strength/COncentration Diluents and volume Preparer's initials Expiration date if not used within 24 hours (thrombin)
What labeling is needed for medications and solutions on the field?
400
"YES"
What signifies the site marking?
500
An unanticipated death or permanent loss of function not related to the patient's illness Examples: death after a fall or medication overdose
What is a sentinel event?
500
(1)1.0 (no terminal zeros) (2) .5 (always use a leading zero - "always lead never follow" (3) IU (international unit) (4) U or u (unit) (5) MS, MSO4,MgSO4 (morphine sulfate or magnesium sulfate) (6) x3d (for 3 days or for 3 doses) (7) qD or qoD (every day, daily or every other day)
Name 3 of the unapproved abbreviations.
500
Remove the device, sequester it and call Biomedical engineering. Submit a safety report and tag it with a completed yellow tag.
What is the process for equipment that malfunctions or fails?
500
Patients who precautions require hand washing with soap before Cal-Stat.
What patient population requires Contact Precautions Plus?
500
Prism
What is the Nursing handoff to the PACU?
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