Cleaning and Prep
Describe some environment basics of jco prep?
No food/drinks out, appropriate professional appearance, ID tags visible, storage on shelves should be at least 18'' below sprinklers, no dirty tiles, O2 tanks labeled with Full tag and in cart/tray (not on floor), no shipping boxes, clear hallways, etc.
Define Race and Pass and locate fire extinguisher and alarms
Bonus: What number do we call to report an emergency?
R- Rescue
A-Activate
C- Contain (or confine)
E- Extinguish (or evacuate)
P-Pull
A- Aim
S-Squeeze
S-Sweep
Where are they located?
Extinguishers are every hallway
By elevator/stairwells are alarms
Bonus: 4911, #001 for overhead page
5 Rights of Medication Administration
1.) right patient *using 2 identifiers*
2.) right medication
3.) right dose
4.) right route
5.) right time
How to dispose of left over medication in a syringe?
Squeeze on 4x4, place in biohazard medication waste bag, place bag in black box and the syringe in the sharps
Where can you find the list of patient's rights and responsibilities?
Glass picture frame in lobby waiting area, by fam waiting room door
and online
Contact/Wet times for each of the following...
Grey top (Sani Cloth)
Purple top (Super Sani Cloth)
Orange Top (Bleach Sani Cloth)
Clorox Bleach
Grey top (Sani Cloth) -3 minutes
Purple top (Super Sani Cloth) -2 minutes
Orange Top (Bleach Sani Cloth) -1 minutes
Clorox Bleach -3 minutes
Caviwipes XL - 3 minutes
What is a Critical Notification for Glucose and what do you do?
Sugar <40 or lower
Press CRITICAL NOTIFIED and treat/notify provider
Where can we draw up medications and must be present?
Sterile field outside of med room, in designated sterile tray. Splash guard must be utilized next to a sink.
Preparation trays can be used in a patient's room
For how long is a multidose vial good for after opened?
28 days or manufacturers expiration date, whichever comes first.
How do you store and dispose of linens?
Clean linens/carts must be covered and zipped up
Pillows/gowns/towels stored in closets
Soiled linen in soiled linen bags and disposed of down shoot
Carry soiled linen away from body
How to tell if an instrument is sterile?
Bonus: How to tell if a instrument is disposable?
Closed package, no wrinkles, device is in open position, internal and external indicator changes color (purple or black), load label sticker with sterile date/time is present and dated after 1/1/2020
Bonus: Disposable instruments=outside US i.e. package will say "Pakistan", SSPakistan" or "Centurion"
**Time out must be performed before all procedures
Where do we locate blood bourn pathogen plan?
Online and posted where we draw up medications and in dirty utility room with phone number.
Also in tetradactyl.
Where do you locate the Look-Alike Sound-Alike (LASA) Medications list?
Policy and procedures manual under LASA medication policy.
LASA meds are identified with tall man lettering, labeled, abd in Epic
LASA list is updated annually.
Where do you locate the SDS
In tetradactyl, or online
Who can shut off medical gas zone valves?
Trained authorized caregivers/nurse managers
Where do you find the Manufacturers Instructions for Use aka MIFU?
OneSource located on the All Login Accounts page. Contains info on how to use, store, and clean a device
Also used to find information regarding electrodes
How to we verify a provider's credentials?
Today page->All log in accounts -> E>Priv and search provider
If not to be used immediately, how should medication be labeled?
Name, strength, quantity (diluent and volume), expiration time when it occurs in less than 24 hours.
How do you file a SERS?
Today page. Left hand side=SERS.
Bonus: Do you document in a patient's chart when a SERS occurs?
Explain Donning and Doffing in the correct order.
Donning- Gown, Mask, Goggles/Shield, Gloves
Doffing- Gloves, Goggles, Gown, Mask, ***Wash Hands
How to handle used instrument
Bonus: What does the Pre-Klenz prevent?
1. Remove any nastiness (debris, chunks, packing, etc).
2. Put in dirty leak and puncture proof biohazard container in an open position
3. Spray all areas of instrument with Pre-Klenz or enzyme cleaner
Bonus: Biofilm!
Exposure/Emergency Plans
pterodactyl or online
Emergency response plans located above Shelly's desk
Defib by bathrooms
Stretcher=lower lobby hallway by PT
MedSled= Stairway
Eyewash Station- How to use it?
Checked and documented daily.
Eyes are rinsed for 15 minutes
Where do you find information about the chemicals used in your department?
SDS (Safety Data Sheet) in tetradactyl and online
What are our current OKR goals and quality projects?
-Same day scheduling
-Vaccine double checks
-Healthy lives/ Healthy Planet (HTN, DM, ED utilization)
-Cutting cost, waste management