Time Outs
What is a timeout?
A pre-procedural verification process
Where should ID badges be worn?
By all staff above the waist and visible by all passing
What length needle is used for subcutaneous injections
5/8"
When a flu vaccine isn't used, how long can you keep it?
If not used, need to discard by end of day.
(Make sure to label date and time it was opened)
How often do patients need to sign consent to treat?
When is a timeout performed?
Immediately before a procedure is done
Using flat tool to unlock bathroom doors
What length needle is used for intramuscular injections
1" - 1 1/5"
30 days after opening
What is a chaperone vs observer
A chaperone is a healthcare team member who can witness during sensitive exam.
An observer is an adult (usually parent/guardian) chosen to be present for sensitive exam
What does a timeout include?
Correct patient, correct site, confirm procedure to be done
When is it okay to prop a badge reader door open?
Never
What do we do when our sharps containers are full?
Place them in soiled holding where trash bins are so they can be disposed of properly
When does a multidose vial of medication expire after opening?
Can minors consent to receive cares related to contraception, STD/STI exam/diagnosis/treatment or HIV testing without a parent/legal guardian?
Minor can consent to exam and testing related to these cares. Parent/legal guardian has to consent for HIV if under 14 y/o
When should a timeout be performed?
How do you follow up on an incident report to get updates?
You may ask your leader for a follow up
If you are poked by a sharp, where do you document the incident?
Readyset
When do gloves expire?
3 years from manufacturing date
Is signing mychart consent the same as release of information?
mychart only pertains to mychart access. ROI form specifies information verbal or via paper allowed to outside institutions and parents (if patient over 18 years old)
Why is a timeout important?
To prevent wrong procedure, wrong site, wrong person.
To allow everyone in the room participating to understand what will happen and be present for procedure
What does hand sanitizer NOT kill?
norovirus, cryptosporidium, C. Diff
How do you recap a needle?
You don't.
If you must, use scoop method
If an item has an expiration month and year, when does it expire?
End of month
What happens when you have a minor bringing their child for care?
Under special circumstance the minor or married emancipated minor can consent for treatment for their child