Safety of Equipment Use
How do you know if an IV pump is safe for clinical use?
Check for a sticker that indicates it has been checked by Clinical Engineering and deemed safe
Where is the Red Book?
In the nurses station behind the HUC desk, and the icon is located on every desktop computer
Finish this sentence: Patients who are assessed as a high or moderate suicide risk should have an in-person companion _________________
Within arms reach at all times
Once opened how long is QC vial good for?
How long for strips?
90 days or expiration date, whichever comes first
180 days or until expiration date, whichever comes first
What is the quality focus on 4West currently and where is it identified?
Hospital Acquired Pressure Injury, Visual Management Board
If the tank is clean and has >1000 psi
Bonus question? How do you know the oxygen tank is clean?
Where are the fire pull stations on the unit?
Near the stairs by the 4West day room and next to the supply room behind the nurse's station.
What patients should be screened for suicide risk using a validated screening tool?
Patients who are 12 years or older who meet any of the following criteria:
primary diagnosis or complaint of a psychiatric or behavioral disorder, presenting with injuries resulting from a suicide attempt, presenting with physical or behavioral indications that may warrant further screening, 12-17 with history of depression
For bleach wipes?
Two minutes
Four minutes
*both found on the container
How do you visually identify patients are at high risk for falls:
Interventions you put in place:
Yellow arm band, yellow light on call bell outside of room
Bed/chair alarm, side rails up, bed in low position, mobility level on whiteboard, padded floor mats if indicated
Where would you find information on how a device, supply, instrument, or device is to be used and how to use these items safely?
Check the Manufacturers IFU's, located on OneSource.
"Check nursing station computer for instructions."
Look for blue lights on the wall-they are located under theses.
Where do you document constant visual observation of a moderate or high risk suicide patient?
Suicide Prevention Observation Flowsheet-found in Knowledge Link***
Effective 3/26 documentation will be in EPIC
How long can CHG wipes be stored in the wipe warmer before they need to be thrown out? and how can you tell it's been that long?
84 hours- can tell when the red dispose light comes on in the warmer
What is the appropriate action if you are exposed to blood or body fluid?
Found in policy tech: search exposure "IPC Managing Blood and Body Fluid Exposures"
Page 1523 to initiate the triage process
Fill out a Be Safe report
What does the colored sticker from Clinical Engineering on some devices mean?
That the device requires preventative maintenance, and it is due by the end of the month indicated on the sticker.
Name two places to store oxygen and which tanks go in each location
Storage closet across from 4167-safe ready to use oxygen >1000 psi
Soiled Utility Room-empty oxygen tanks <1000 psi
How frequently do non-violent restraint orders need to be reordered?
Violent Restraints for adults?
Every Calendar Day
Every 4 hours
When it is >2/3 full you should call EVS for a new bin.
What is the standard Operating Procedure for pre-cleaning and transporting reusable contaminated instruments?
Can be found in policytech: type "Instrument", policy comes up first, then there is an SOP-also located in the red biohazard container in the TIMU supply room
1. collect at point of care in red biohazard container (located in TIMU supply room) immediately
2. Create a clean workspace
3. Perform Hand Hygiene, don ppe
4. Apply pre-Klenz: Spray with Pre-Klenz by spraying evenly, ensure instruments are coated
5.. transport bin to sterile processing decontamination area
4. container should be cleaned with appropriate hospital disinfectant
What are the steps you would take in the event of a device failure in which there is harm or potential harm to the patient?
Take measures to provide care to the patient
Take action to minimize damage to equipment and environment
Notify attending physician
Impound equipment
Keep any disposable products involved including packaging
Call Clinical Engineering for pick up
Document via Be Safe
Name 2 places you could find a patient's advanced directive.
EPIC-chart review-media tab
What are the steps for discontinuing a restraint?
Remove restraing, document removal of restraint on restraint flowsheet, complete nursing care plan
Discontinue order by RN as per protocol or by LIP
What are the steps to take when storing patient-supplied food in the refrigerator?
Apply label with patient's name and MRN
If food is packaged with expiration date no additional steps
If no packaging with expiration date, write an expiration date on label that is 3 days from the date of initial storage (mm/dd/yy)
What initial steps should you take if you have a suspected transfusion reaction?
Located within the "blood transfusion guidelines" on policy tech
Stop transfusion
Maintain venous access with KVO NS
Recheck patient ID and product label
Check vital signs/assess and treat patient appropriately
Notify blood bank
Notify LIP
More detailed steps in guidelines/transfusion reaction immediate actions chart within guidelines