Safety 1st Documentation Counts Environmentally Speaking JC 101 Medication Musts!

100

What is the S.A.F.E. system?
This is the online system usd to record patient and visitor injuries or adverse events, including a potential event (also called a near miss).

100

What are Date, Time, and Signature?
These three elements are mandatory for all documentation entered into the patient record.

100

What is Environment of Care
This term defines our physical surroundings, i.e. the clinic, office, or hospital site in which we work and provide care to our patients.

100

What is Intradoc?
This is the online system that houses all of FAHC's policies and procedures.

100

What are medications and sharps, including needles, syringes, and scalpels?
The following items must be kept locked or under constant observation.

200

What is the use of 2 patient identifiers?
This standard is followed before administering meds or blood products, taking samples and specimens for testing, or providing any other treatments or procedures.

200

What is Advanced Directives?
This term refers to both a living will and a durable power of attorney.

200

What is Scope of Service?
This term describes the services provided at each site, the patient population served, location, and operating hours.

200

What is Point of CAre Testing/Waived Testing?
This is the term used to define specimen testing done outside the confines of the lab. May include blood glucose testing, urine pregnancy testing, or rapid strep testing.

200

What is Discard after 28 days, or with any suspected or visible contamination; Document expiration date on vial with first use?
This is the correct protocol for handling all parenteral multi-dose medication vials, with the exception of vaccines, skin test, and patient supplied meds.

300

What is in the presence of the patient, at the time of collection?
This is the correct process for labeling blood or other specimens collected in the clinic.

300

What is Universal Protocol?
The is the process in which the correct patient, correct procedure, correct site, correct patient position and availability of implants or special equipment is confirmed through pre-operative verification. It includes site marking and conducting a final time out immediately prior to an invasive procedure.

300

What are Hazardous Materials?
These are substances that may pose a health risk or physical hazard.

300

What is National Patient Safety Goals (NPSG)?
This is a list of Joint Commission identified safety requirements which highlight problematic areas in health care and describe evidence and expert-based solutions. A new list is published annually.

300

What is High Alert Medications?
This special category of medications require additional checking procedures prior to and during administration due to their high risk of causing injury when misused.

400

What is Critical Values?
This term refers to test values (laboratory, cardiology, radiology) which are defined by individual health care organizations and will typically include stat tests, panic value reports and other results which require urgent response. For laboratory results, it applies to both point of care and central lab processing.

400

What are Prohibited Abbreviations?
The terms OD, OS, Q.O.D. and Q.D. are examples of this.

400

What is Material Safety Data Sheets (MSDS)?
This information is located on the FAHC intranet. Each sheet describes in detail the chemical makeup and how to treat an exposure to the hazardous material we have on site. Cleaning solutions are a common item.

400

What is the Speak Up campaign?
Fletcher Allen Health Care has adopted this campaign as a safety strategy to encourage patient’s active involvement in their own health care.

400

What are: Name and strength of medication or solution Amount – if not apparent from container Expiration date - when not used within 24 hrs Expiration time – when it occurs in less than 24 hrs
The correct process for labeling secondary medication containers includes the following four points:

500

What is a Sentinel Event?
This is an unexpected occurrence involving death, serious physical or psychological injury, or risk thereof.

500

What are -Who was educated -Topic -What was taught -Methods used -Any identified barriers to learning -Outcomes/Level of understanding?
When providing patient education, the following 5 points must be documented.

500

What is a current TSP sticker?
The presence of this, located on a piece of medical equipment, ensures that it is safe for patient use.

500

What is Process improvement?
This is the collaborative and interdisciplinary approach used by FAHC for the continuous study and improvement of the processes of providing health care services to meet the needs of consumers and others.

500

What is Medication Reconciliation?
For this process a complete list of current medications is collected from the patient; the list is compared (office list, HISS discharge, medication list from Maple, medication passport, patient’s own recall/list) and differences are reconciled. The list of patient medications will be updated at each encounter (visit) and the comparison/ reconciliation process repeated whenever changes are made. The medication list will be communicated to the next provider of care and to any concurrent providers. The patient will receive a reconciled list of Medications at the end of every patient encounter (visit).

JOINT COMMISSION JEOPARDY

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