Emergency/Disaster
This large yellow binder is located on all units.
What is the Emergency Response Binder?
The only acceptable value recorded on the count sheet for each item counted.
What is numeric value?
Checkmarks are not to be used unless it is an exceptional circumstance where there is no space and documentation of the rationale is completed.
Before initiating a blood transfusion in the OR, this legal process must be completed and documented.
What is obtaining and reviewing written informed consent for blood transfusion?
This is the manual used for IV drug information.
What is the Parenteral Manual?
Before contact with patient/their environment, before clean or aseptic procedures, after body fluid exposure risk, and after contact with patient/their environment.
What are the 4 moments for hand hygiene?
This is the number of Emergency Response Codes that correspond to a colour.
What is 10?
Double point question
If an incorrect count cannot be resolved, the MRHP must be notified immediately and this action must be taken.
What is an intraoperative X-ray?
The TSIN wristband was cut off because the Anesthesiologist needed to place an arterial line, what would you do?
What is document TSIN Band Removal and Reapplication in the intra-op navigator by selecting the TSIN Band section?
The Story board shows this category of medications that can pose a health risk to staff from occupational exposure.
Bonus: What are the 3 categories?
What are Hazardous Medications – more info at end
Bonus: Known, Potential, Reproductive
In addition to routine practices, this IPC precaution requires PPE of gowns, gloves, facial protection (mask and eye protection).
What is Contact and Droplet Precautions?
Call this number in the event of a Code Red or a Hospital Code Blue.
What is 66#?
A relief count is required when this nursing role is relieved permanently; The surgical count must be reviewed when this role is relieved permanently.
What are the scrub nurse and circulating nurse?
How is the Massive Transfusion Protocol initiated?
What is call blood bank with verbal order from anesthesia to initiate protocol?
This is completed for every medication/solution on the sterile field, and should include:
What is label, includes medication name and strength, if applicable the diluent and amount used?
DOUBLE POINTS IF YOU SHOW ME THE ANSWER!
This Resource Manual supports healthcare providers to manage the care and placement of patients with known or suspected diseases and is applicable to acute care emergency, inpatient, and ambulatory medical surgical and outpatient settings. It is organized alphabetically.
What is The IPC Acute Care Resource Manual – Diseases and Conditions Table?
This is who to notify in a Code Brown if the spill is an unknown substance or if there is no spill kit.
What is Notify FME Operations Centre?
Supervisor, UM, is also an acceptable response
When an item is removed from the sterile field during a surgical procedure, this must occur to ensure accuracy of the count.
What is circle off the item and initial it?
A perioperative transfusion reaction is suspected, while the Anesthesiologist is responsible for medically managing, what is something we are concerned about?
What is ensure line/bags are isolated and sent up to the blood bank for isolation?
First thing – ensure anesthesiologist has stopped transfusion!
This is the verification process whereby a second health care professional conducts a verification of another health care professional’s completed task
What is Independent Double-Check?
Initiation and/discontinuation of isolation precautions should be completed during which phases of care?
What is preoperative or postoperative care?
This tool has important information regarding the hazardous materials used in your day to day work with quick reference cards for each product provide quick details for First Aid, PPE and warnings and more!
What is the Safety Data Sheet Look Up?
Packages of sponges or sharps found to have an incorrect number must be removed from the sterile field, bagged, and isolated; this additional reporting process must also be initiated.
What is complete a Medical Device Incident/Problem (MDIP) report in the Reporting and Learning System?
If a patient has two TSIN Bands, only this type of band must be removed before surgery.
Bonus: To follow up, this report should be completed.
What is an expired TSIN Band?
Bonus: What is RLS completed. Follow the continued crossmatch approach:
1. Before the current T&S expires, collect a new T&S
2. Leave the existing TSIN band on the patient
3. Once the new T&S is complete, remove the older band
Medications, solutions, and irrigation fluids administered intraoperatively by the surgeon or nursing staff shall be documented in the patients' health record. Documentation shall include:
What is:
1. Name of medication/irrigation
2. Dose/concentration
3. Volume
4. Location
5. Method of administration
6. Name of person who administered it.
When this alert appears, it means there’s a discrepancy between the isolation precautions currently ordered and those expected or practiced in the OR.
What is Isolation Mismatch?