SAFETY
FALL PREVENTION
PAIN
PLAN OF CARE
RANDOM
100
What are two ways to identify patients?
1. Name & Medical Record Number (INPATIENT) 2. Name & Date of Birth (OUTPATIENT) During Epic downtime, use Name and Date of Birth. For newborns also use time of birth.
100
How often is fall risk assessed & documented?
• On admission • Transfers • Change in Patient Status • Once a Shift • After an invasive procedure • After a fall
100
What pain scores are associated with mild, moderate & severe?
• Mild: 1-3 • Moderate: 4-6 • Severe: 7-10
100
When is the care plan initiated?
• Nursing Care Plan is initiated within 24 hours of admission and updated every shift
100
What is the difference between translation & interpretation?
• Translation is written • Interpretation is verbal
200
What strategies has LPCH developed to promote patient safety?
- Mission Zero - Monthly Error Prevention Strategies - ICare (reporting of adverse events)
200
Examples of patient safe handling tools that we use?
• Steady • Hover Mat • Handi-tube
200
Name some non-pharmacological treatments for pain relief
• Heat or cold applications • Position changes for comfort • Distraction • Waffle cushion • Music
200
Why is the care plan important?
•Clarifies patient needs for safety, comfort, support, hygiene, etc. •Facilitates multidisciplinary member communication
200
Who is allowed to interpret for non-English speaking patient and family members?
• LPCH discourages family/staff members to translate/interpret information to the patient/family • Please use the hospital interpreters, the interpreter phones and iPads. • If the family member still insists on doing the interpretation, still offer them our services and document their decision to decline.
300
Where do you find patient safety data?
On the Intranet → Applications Portal → Analytics Dashboard
300
What are some interventions for high risk falls?
• Educate patient and family - Orient to call light system including what to do during emergencies - Call light always within reach - Call for assistance with ambulations as needed - First time voiding - ALWAYS TWO staff including one RN - Non-skid footwear • Bed in lowest position and wheels locked • Upper side rails raised • Evaluate medications
300
How is the plan for pain management communicated to the care team?
•In daily rounds •Patient’s Interdisciplinary PLAN OF CARE
300
What is the care plan?
• An individualized, interdisciplinary communication tool for patient’s current health goals
300
How do you know if a patient is on isolation precautions?
•Patient orders •Displayed on the Header •Icon on Patient list •Signage on door •RN to RN Handoff
400
What is the difference between an adverse event and a sentinel event?
Adverse Event: Any harm to patient. Examples: Patient falls, giving the wrong med, mislabelled labs, etc Sentinel Event: Results in permanent harm or serious temporary harm and even death
400
What morse fall score is considered a fall risk?
A Morse Score greater than 45 is considered a fall risk
400
How often is pain assessed & documented?
• On admission • At the beginning of the shift • With vital signs • Whenever the patient complains of pain • Within an hour of pharmacological/non-pharmacological intervention • Hourly while on PCA & PCEA
400
How do you "LOOK" at the care plans for a patient? (Not edit/update)
Summary can be found in Patient Chart → Chart Review → Snapshot → Care Plan/Pt Education (Care Plans are listed by discipline. Patient Education is at the end)
400
How often and with what do we use to clean a glucometer?
•Clean between each patient use •When visibly soiled •Use Purple Sani-Cloth, let dry for 2 minutes before next use
500
What is Mission Zero?
1.Goal: to decrease and, ultimately, eliminate preventable harm. 2.Accomplished by improving the culture of patient safety through introducing and sustaining evidence-based changes to the way we perform our standard work.
500
What do you do when a patient falls?
• Assess the patient for injuries • Notify Provider • Update Safety/Mobility Needs in EPIC • Reinforce education to patient and family on calling for assistance...DOCUMENT • Complete Occurrence Report (ICARE)
500
What tools do you use to provide pain education & where do you document this?
• 0-10 scale & FLACC • Any time a patient is prescribed a NEW medication, print out Micromedex and educate the patient on this new medication • Document education in EPIC
500
How is the Care Plan individualized?
• Updated with active problems, RN to RN handoff in EPIC, and discussed in Family Centered Rounds • Also use free-form text in the comment section of the care plan.
500
What is nursing shared leadership (NSL)?
• Nursing Shared Leadership is a model for shared decision making within the department of nursing • In collaboration with unit managers, bedside nurses have the ability to make an impact patient care • 7 councils: ◦Clinical Practice - Roselle ◦Quality Improvement & Safety - Lisa L. ◦Nursing Informatics - Rachel ◦Research - Jie ◦RR&R - Michelle ◦UCC - Julie ◦Education - Charlyn
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