Safety 1st
Documentation Counts
Environmentally Speaking
JC 101
Medication Musts!
100
This is the online system used to report patient and visitor injuries or adverse events, including potential events (near miss).
What is the UOR system?
100
These three elements are mandatory for all documentation entered into the patient chart.
What are signature, date, and time?
100
This term defines our physical surroundings, i.e. the clinic, office, or hospital site in which we work.
What is Environment of Care (EC)?
100
This is the online system that houses all of KFH policies and procedures.
What is Kaiser Policy & Procedure Intranet?
100
The following items must be kept locked or under constant observation at all time.
What are medications and sharps (including needles, syringes, and scalpels)?
200
This is KFH standard is followed Whenever administering meds or blood products, taking samples and specimens for testing, or providing any other treatments or procedures.
What is the use of two patient identifiers?
200
This term refers to both a living will and durable power of attorney.
What is Advanced Directives?
200
This term describes the services provided at each site, the patient population served, location, and operating hours.
What is Scope of Service?
200
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.
What is Point of Care Testing or Waived Testing?
200
This is the correct protocol for handling all parenteral multi-dose medication vials, with the exception of vaccines, skin test, and patient supplied meds.
What is discard after 28 days, or with any suspected or visible contamination; with documented expiration date on vial with first use?
300
This is the correct process for labeling blood or other specimens collected in the clinic.
What is labeling in the presence of the patient, at the time of collection?
300
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.
What is Universal Protocol?
300
These are substances that pose a health risk or physical hazard.
What are Hazardous Materials?
300
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 TJC list is published annually.
What is National Patient Safety Goals (NPSG)?
300
This special category of medications require additional checking procedures prior to and during administration due to their high risk of causing injury when misused.
What are High Alert Medications?
400
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.
What is Critical Values?
400
The terms OD, OS, Q.O.D. and Q.D. are examples of this.
What are "Do Not Use" (DNU) Abbreviations?
400
This information is located on the Kaiser Permanente 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. It is commonly known by the acronym MSDS.
What are Material Safety Data Sheets?
400
KFH has begun to include patient / members into quality and opertaional processes through a committee
What is the Patient Family Centered Committee campaign?
400
The correct process for labeling secondary medication containers includes the following four points:
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?
500
This is an unexpected occurrence involving death, serious physical or psychological injury, or risk thereof.
What is a Sentinel Event?
500
When providing patient education, the following 5 points must be documented .
What are: -Who was educated -Topic -What was taught -Methods used -Any identified barriers to learning -Outcomes/Level of understanding
500
The presence of this, located on a piece of medical equipment, ensures that it is safe for patient use.
What is a current equipment safety sticker?
500
DOUBLE QUESTION: Must have both answers correct. This is the collaborative and interdisciplinary approach to the continuous study and improvement of the processes of providing health care services to meet the needs of patients and customers as well as the tool used to accomplish this.
What is Process Improvement? What is P-D-C/S-A?
500
For this process a complete list of current medications is collected from the patient; the list is compared (patient’s own recall/list, KPHC list, etc.) 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. 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).
What is Medication Reconciliation?
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