Joint Commission
Triage
Quality
Misc
Restraints
100

28 days

What is the date of expiration for open solutions

100

10 minutes or less

Time to get EKG for patient with chest pain

100

30 to 60 minutes

Reeval time after pain meds

100

Location of cleaning instructions for the CoPilot

On wall in Sterile Supply cleaning room

100

Timeframe of order for adult restraints

What is 4 hours?
200

An unexpected occurence that results in death or serious injury that must be reported to CNO immediately

What is a Sentinel Event?

200

Patient who needs a prescription only-ESI Level?

ESI 5

200

Person required to watch a suicidal patient

Safety sitter

200

After cleaning the IV pump you place in store room and cover with this

PLastic bag

200

15 minutes

How often the tech/RN documents checks on patient

300

Incorrect med orders, trip hazards found before reaching the atient

Good Catch

300

Cardiac arrest, stroke, Stemi-ESI Level?

ESI 1

300

ICU patient needing accurate I&O;s; severe wounds, end of life

Criteria for placing a foley

300

During a code-where do you find the intubation equipment

Red bag on top of crash cart

300

Type of restrain order not allowed

What is prn

400

Door to EKG<10 min, hypertension follow-up, PPH, Good Catches

2026 Performance Improvement Projects

400

Kidney stone needing CT, IV fluids, pain meds, lab-ESI level

ESI 2 (due to elevated pain and # resources

400

Name of form used when taking critical lab results

Critical Value Reporting form

400

Any unplanned descent to the floor

What is a patient fall?

400

Cords, wires, sharps

What are things needing to be removed from suicidal patient room

500

Sing Happy Birthday while you do this

Hand Washing

500

Patient needs tetnus shot and bandaid-ESI Level?

ESI -4

500

This form must be done within 24 hrs of admit and updated each shift

Care Plan

500

Patient taken directly to CT (name of code)

What is a code white

500

1 hour

What is timeframe required for MD to evaluate patient

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