Patient Safety & Identification
What two patient identifiers are consistently required, with an exception for newborns?
Name and Date of Birth.
Name two of the "Five R's" of medication administration.
Right Drug, Dose, Patient, Time, & Route. (Any two are acceptable)
What is stated about gloves as a substitute for hand hygiene?
Gloves are not a substitution for hand hygiene.
What does the "C" in RACE stand for?
Contain.
How often is the Vital Sign Flowsheet completed for a Med/Surg patient?
Every 8 hours (0800, 1600, 0000).
During a Universal Protocol/Time Out, what four specific items must be verified?
Correct patient, procedure, laterality, and site.
What specific information must all IV solutions be dated and labeled with?
Patient's name, medication name, dose, amount, and rate.
What type of PDI wipe and contact time is used for glucometers (when not on isolation) and WOWs?
Purple PDI wipe, 2 minutes.
Which code is announced for an Adult Cardiac/Respiratory Arrest?
Code Blue.
An individualized Plan of Care Flowsheet must be documented within how many hours of admission?
Within 24 hours.
What is a "ligature risk (point)," and what tool is used to mitigate it in patient rooms?
Anything that could be used for hanging or strangulation (e.g., call bell, sheets); mitigated by a Room Observation Checklist.
Where must the defibrillator on a code cart always be plugged?
Into a red outlet (no extension cords).
What is the rule regarding PPE in hallways?
No PPE in the hallways!
What internal phone number should be called to activate any of these codes?
2600.
After all interventions (pharmacologic or non-pharmacologic), within how many minutes should pain medication administration be reassessed?
Within 60 minutes.
For Level I (Non-Behavioral/Non-Violent) restraints, how often must the patient be monitored, and how often must an RN assess the patient?
Monitored every 30 minutes, and RN assesses every 2 hours.
Besides the Five R's and barcoding, name two other medication safety measures Huntington Hospital utilizes.
Lexicomp for drug information, do not use abbreviations list, Alerts in Sunrise, Guardrails for Alaris pumps, Lookalike/sound alike (LA/SA) medication lists, High Alert meds. (Any two are acceptable)
By what distance must clean and dirty equipment be separated?
6 feet apart.
What specific emergency does Code MTP signify?
Transfusion Emergency.
For PCA, how soon after initial setup should pain be assessed, and then how frequently afterward?
Within 15 minutes of initial setup, then every 4 hours and as needed.
For Constant Observation, how often must the prescriber renew the order, and what kind of assessment is required for renewal?
Every 24 hours, with a face-to-face assessment (phone orders are NOT acceptable).
Medication reconciliation is performed at what three key points in a patient's care journey?
On admission, during hand-off, and at discharge.
Orange 4-minute PDI wipes are used for what specific patient equipment, especially for which type of patient?
Zoll devices, tube feeding pumps, IV pumps, venodynes, EKG machines, wheelchairs and stretchers; for all ISOLATION patient equipment.
What is the difference in meaning between Code Green and Code Green Active?
Code Green is Security STAT, while Code Green Active is Security STAT, violence with a weapon.
Besides being completed each shift, when else must a Progress Summary be documented?
Upon patient expiration, discharge, or transfer.