Emergency Codes
What do you do if a child/infant abduction alert is activated?
Monitor all stairwells, elevators, and exits for missing child and abductor
Check persons carrying large bags or bulky clothing
Per the CDC, what is the single most important way to prevent the spread of infection?
Hand Hygiene (washing)
How do you improve the accuracy of patient identification?
Two patient identifiers including name and date of birth
What is the length of the order for violent restraints for patients older than 18?
Four (4) hours
When is a sharps bin considered full?
Change out when 2/3 full.
What must the primary nurse do in a Cardiac Arrest situation?
Stay in the room, provide patient information to the team
What type of isolation should be started if apatient is admitted with any type of nausea,vomiting, or diarrhea?
Special contact precautions
When a critical value is reported to the nurse, what is the timeframe in which that result must be relayed to the provider?
30 minutes
What must be completed by the Authorized Clinician within 1 hour of VIOLENT restraint initiation?
Face-to-Face evaluation
What are the Red Outlets used for?
In the event of an interruption of electrical power, red outlets are backed up by generators and used for critical medical equipment only.
What if you don’t feel comfortable with a role that is assigned to you during a cardiac arrest?
Ask for a new role!
Name three things that should be done to prevent a CAUTI?
Daily and prn catheter care, peri-care, daily CHG bath, daily review of indwelling catheter necessity, remove as soon as possible.
Give 3 examples of safe medication practices?
Barcode scanning
eMAR
Label all medications
Only remove 1 patient’s medications from the Pyxis at atime
Verify name and date of birth prior to administration
Use override for emergency situations only
What is the frequency of nursingassessment/documentation for non-violentrestraints.
Upon initiation and Q2hrs
When does a glucometer control test vial expire?
90 days after opening or expiration on bottle,which ever comes first
Where are the rapid response protocols located?
In the Code Binder/Rapid Response book on the side of the code cart
How do you know which patients need to beplaced in isolation/are in isolation?
EMR- VIP field, hx of MDRO, status board inMeditech, sign communication outside room
This is completed prior to starting an invasive or surgical procedure including bedside procedures
Time Out
Name all components assessed on a patient in restraints.
Circulation checks, skin assessment, ROM/positioning Nutrition/Hydration, Hygiene/Elimination, and a Safe Environment.
When is a Comprehensive Pain Assessment completed?
admission/arrival
when patient reports pain in excess of his/her acceptable pain level
minimum of once per shift
Where is the RRT documented?
Meditech Hospitals: In the ‘Rapid Response Team Called’ Intervention
Name three components of the CLABSI prevention bundle?
Hand Hygiene before use, daily CHG bath, dressing changes q7days or prn, daily review of line necessity, scrub the hub before accessing, Swab caps on all ports, educate patient and family about line.
How and when do we identify people at risk for suicide?
All patients are screened in triage and/or in admission
Patients with positive screening immediately receive a full Suicide Risk Assessment with results called to physician
How often is a patient in Violent Restraints monitored?
Continuously by PSA with documentation every 15 mins
What interventions are implemented for apatient who is high risk for falling? (name 4things)?
Yellow gown, yellow sticker, falling leaf indicator outside room magnet, bed/chair alarms, gait belt, non-slip socks