Patient Safety Goals/survey
Environment of Care
General, Security
General
General 2
100
2 patient identifiers (name, date of birth or name and medical record number). Never the patient's room number.
What is are accurate patient Identifiers.
100
Dietary (red top) 1 min Standard (purple) 2 min C-Diff (blue) 3 min
What is dwell and air dry times for cleaning products
100
PASS P - pull A - aim S - Squeeze S - Sweep
What is put out a fire.
100
Process used for handoff and receiving report S B A R
What is SBAR situation background assessment recommendation
100
Check for Paul Gann consent Double check of blood Have to use within 4 hrs
What is blood administration
200
When information is received from labatory, radiology, pathology. Document results, read back results, notifty licensed caregiver within specified timeframe. Document in chart
What is critical lab results.
200
Horizontally, through double doors.
What is how would you evaluate
200
Lime green - entry to general area, ambulatory. Lime green checkered - visitor failed health screen, mask offered, permits entry to general area, ambulatory, departments, units monitor visitor. Neon Pink - permits entry to common/public areas or escort to employee health or secruity appoitment. Blue Strip - permits entry to inaptient care units
What is visitor armbands.
200
A family-activated patient safety program created to be a resource for parents to call for help when they are unable to get help from the staff around them.
What is condition help
200
Emergency power supply, these are the only outlets that function in a power failure at the hospital
What is red outlet
300
Providing input to supervisors, serving on project teams, assisting with data collecting or reporting, etc.
What is How are you involved in performance improvement (PI) projects/activities?
300
hand hygiene
What is primary method of preventing the spread of infections
300
1. Model to manage the hospital's repsonse to a diaster. 2. signify an event directly affecting the hospital 3. event has occured in the community and casualties are likely, but not yet directed to the hospital 4. event has occured in the community and casualties are on their way or have arrived at the hospital
What is HICS (hospital incident command center 2. code purple 3. triage phase 1 4. triage phase 2
300
CLABSI's, IVH, hand hygiene,
What is some of the Performance improvement projects being addressed in your area.
300
Admission assessment must be completed within what time frame. 2. H&P completed
What is 72 hrs 2. 24 hrs
400
1.What brought the patient to the hospital 2. Show me the pain score for the patient over the last 2 shifts. 3. What is the plan of care or goals for the patient. What type of discharge planning has been done
What is questions the surveyor may ask
400
1. bioharzard waste, don't stack things on this 2. all non-RCRA pharmaceutical waste 3. Sharps, broken glass, scissors, needles, staples 4. confidential information
What is Red bin 2. white or blue bin 3. sharps container 4. confidential trash containers for PHI (protected health information), shredding PHI
400
Department emergency response plan. George page, both Unit and hospital ones.
What is DERP
400
5 rights right medication right patient right time right dose right route
What is insuring you are giving the right medication
400
By keeping patients and families informed of what is going on, informed of the risks, benefits, alternatives, outcomes of treatment and including them in the plan of care. Involving them in care, doctors call every day with updates.
What is involve the patient and family in patient care decisions
500
Can you show me an assesment on the patient Can you show me where the physican's progress notes, social worker, case manager notes are consent forms H&P
What is walk through the patient's record
500
Rescue Alarm Contain Extinguish nearest fire alarm, fire extinguisher
What is RACE
500
A- adolscent B - baby under 2 yrs old C - child 2-12 weapon, hostage bomb threat managing agressive behavior hazadous material spill/release
What is code pink code silver code green code gray code yellow
500
DON't Guess! Courteously tell them that you do not know and offer to find the answer for them. Remember your resources, you can refer to the various pages within the George page or ask your Charge nurse or colleague.
What is asked a question by a surveyor to which you don't know the answer.
500
Attend to the patient's medical, emotional, spiritual needs. Notify approriate supervisors and complete patient safety alert
What is responding to serious errors and medical adverse events.
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