Infection Prevention/Control
What are some of the infection prevention and control practices that have been implemented in our clinic to prevent the spread of infection?
Patient hand hygiene, curos caps, mandatory flu vaccination, PPE use for standard precautions
Where can you locate the organizations list of high alert meds and sound alike meds?
BSW Connect, under Policies & Procedures.
What is the wet contact time for bleach sani wipes (orange top)?
4 min or "I check the manufacturers directions or product label before using"
What are some patient safety strategies we use at Baylor?
Stop The Line, SBAR Communication, Rapid Response Teams, Barcode Scanning, Fab 50, Suicide Prevention.
Should every piece of medical equipment have a sticker on it?
YES!
How do you report a safety or security concern?
Contact Public Safety at 214-820-4444.
What do you do if medical equipment is involved with patient injury?
Midas.
How do you know what PPE to use if patients get placed on isolation?
Signage posted outside of patient room; can contact epidemiology with any questions
What are some of the risk reduction strategies that are in place to reduce error when giving high alert meds?
Formulary considerations, storage, prescribing restrictions, smart pumps, independent double checks.
What is the wet contact time for the gray top wipes?
3 mins or "I check the manufacturers directions or product label before using"
How can quality or patient safety concerns be reported?
Midas or contacting the patient safety manager or risk management.
What do you do if you find equipment that breaks down or falls?
Place "Defective" notice on equipment and contact HTM.
How would you respond to a hazardous waste spill?
Contain the spill by covering the spill and closing the door, evacuate people in the immediate area, contact public safety to secure the area.
What does IFU mean?
Instructions for Use.
How do we receive info regarding infection prevention practices in our clinic?
Huddles, practice change alerts
What process do you follow when medication expire?
Pharmacy removed all expired meds, contact pharmacy.
How do you know if a medical device can be resued?
Packaging will indicate whether an item can we reprocessed for reuse of if it is single use.
How are patients informed of their rights?
Guide To Care Consent.
What should you do if you find that a "Service" sticker is expired?
Contact HTM.
What does RACE stand for?
Rescue, Alarm, Contain, Extinguish
How do you properly clean the glucometer?
With germicidal wipe; wipe all surfaces; 3xs up and down and 3xs back and forth.
What are standard precautions and why are they used?
The minimum infection prevention practices that apply to all patient care regardless of infection status; meant to protect healthcare professional from exposure to blood and bodily fluids.
What are the required elements for a medication order?
Patients name, drug name, the dosage, the route and frequency of admin, time & date that the order is written. Must be diagnosis or condition on file.
How should clean linens be handled and transported?
Covered at all times.
What actions do you take when a patient informs you that they wish to formulate an advance directive?
Contact Pastoral Care Department.
What should you do if you find equipment with no sticker?
Contact HTM.
What process is used to report equipment malfunctions or failures?
HTM: 214-820-4646
How often do you clean the glucometer?
Between every patient use and if visibly soiled.
What is the MOST effective way to decrease the spread of infection?
Hand washing!
Under what circumstances do you take verbal orders?
We minimize the use of telephone and verbal orders but are used in limited situations like an urgent situation.
Whose responsibility is it to report infection control issues and who should be notified?
All employees and to Infection Prevention and Control.
Describe the process for obtaining informed consent?
The performing physician informs patients of risks benefits, alternatives, nursing assists completion of consent.
How do you know if equipment is safe for use?
Locate the "Serviced" sticker and confirm the due date has not passed.
Where is the Emergency Operations Plan located?
BSWH Intranet under the Emergency Management section.
What is the max temp for the blanket warmer?
160 degrees.
What are transmission based precautions?
Intended to supplement standard precautions in patients with known infection.
How have you been trained in the medication admin safely?
Follow the 5 Rights.
How frequently should temps be checked in all patient care refrigerators?
Daily.
How do we tailor communication for patients with language barriers?
VRI, CLI, or Masterword.
Is regular preventative maintenance and testing done on clinical alarm systems?
Yes.
How have you been trained in emergency management procedures?
Annually via online Learn competencies.
Do we do any sterile processing in the clinic?
Kristin Heather are the only ones; refer all questions to them.
What are the 4 categories of transmission based precautions?
Airborne, contact/contact enteric, droplet, enhanced droplet/airborne contact
What actions are taken when there is a suspected adverse reaction to a med?
Notify the provider and enter a MIDAS event. Also should be documented in the medical record.
What is the wet contact time for the purple top wipes?
2 mins or "I check the manufacturers directions or product label before using"
If surveyor asks a question you are unsure of what is your answer?
"Let me direct you to my manager."
Which stickers are used on medical equipment and what do they each mean?
Round blue dot: identifies equipment that has passed the initial inspection but does not need routine maintenance; Colored rectangle: date the equipment was serviced and the next due date for maintenance; Defective Confirmation notice: identifies if repairs/service is needed; Electrical Safety Check: identifies non hospital owned equipment.
What is your role in an EOP activation?
Initiate DEOP located in the red Emergency Response Guide.
What are the 7 hospital national patient safety goals?
Identify patients correctly, improve staff communication, use medicines safely, use alarms safely, prevent infection, identify patient safety risks, and prevent mistakes in surgery.