Pain
This must be documented after 1 hour after administering pain medication to evaluate effectiveness
What is pain reassessment?
This type of precaution is used for patients with infections spread by large respiratory droplets.
What are Droplet Precautions?
This alarm system must be activated for patients identified as high fall risk.
What is a bed and/or chair alarm?
This must be completed and documented on admission to identify a patient’s risk for developing a pressure injury.
What is a Braden Scale assessment?
This acronym reminds staff of their role during a fire emergency.
What is RACE (Rescue, Alarm, Contain, Extinguish/Evacuate)?
This must reflect not only the pain score but also the patient’s functional goal for comfort.
What is a patient-specific pain goal
This device requires strict sterile technique during insertion to prevent bloodstream infections.
What is a central line?
This structured rounding approach includes Pain, Potty, Position, Possessions, and Pumps.
What are the 5 Ps of hourly rounding?
This type of injury develops during hospitalization and is tracked as a nursing-sensitive quality indicator.
What is a Hospital-Acquired Pressure Injury (HAPI)?
This acronym identifies the correct way to use a fire extinguisher.
What is PASS (Pull, Aim, Squeeze, Sweep)?
This documentation must include location, quality, duration, and aggravating/relieving factors.
What is a comprehensive pain assessment?
This infection is associated with indwelling urinary catheters and is tracked as a nursing-sensitive quality indicator.
What is Catheter-Associated Urinary Tract Infection (CAUTI)?
This must occur immediately after a patient fall to evaluate injury and contributing factors.
What is a post-fall assessment?
This support surface is used to reduce pressure for high-risk patients.
What is a pressure-reducing mattress or specialty bed?
These must be labeled, secured upright, and stored properly to prevent injury or explosion.
What are oxygen cylinders?
If a patient reports uncontrolled pain, this action must occur and be documented.
What is provider notification and further intervention?
The Joint Commission expects hospitals to track and analyze these infection events to improve patient safety.
What are healthcare-associated infections (HAIs)?
This type of event is analyzed by leadership to identify system improvements in fall prevention.
What is a root cause analysis (RCA)?
This nutrition-related factor significantly increases the risk of pressure injury development.
What is poor nutritional status or low albumin?
This equipment must have a visible inspection sticker indicating it has been tested and is safe for patient use.
What is biomedical equipment?
If pain is documented as severe but no intervention or reassessment is charted, surveyors consider this a documentation failure of this principle.
What is “If it wasn’t documented, it wasn’t done.”?
This is the single most important action to prevent the spread of infection in healthcare settings.
What is hand hygiene?
This must be documented if a patient refuses fall prevention interventions such as bed alarms or assistance with ambulation.
What is patient refusal documentation with education provided?
This must be completed within a defined timeframe after admission to ensure early identification of skin breakdown.
What is a head-to-toe skin assessment within 4 hours of admission?
The color orange alerts staff to a material spill requiring special precautions.
What is a HazMat (Hazardous Materials) response?