What patient identifiers are required for providing patient care, treatment, and/or services?
Name and Date of Birth, including barcode scanning for Medication and Blood Administration.
Does the MSHS still use color-coded Alert Notifications?
No. The MSHS uses Plain Language Notifications.
How long must someone wash their hands with soap and water?
20 seconds.
Name two unapproved/prohibited hospital abbreviations.
1. QOD: Every other day
2. MS or MgSO4: Morphine Sulfate or Magnesium Sulfate.
What needs to be reconciled on admission?
Medications and Allergies
What patient identifiers can be used to accurately identify a patient?
Name, Date of Birth, always checking patients wristband, and Barcode Scanning for Medication and Blood Administration.
What notification is currently used for suspected or actual infant abduction?
Infant/Pediatric Security Alert.
What protective equipment is used in Contact Precautions?
Gowns and gloves.
What safety measures are in place for patients having surgery?
Make sure you have the correct patient. Verify with the patient or family that this is the correct place on the patient's body. Have surgeon mark the correct side.
When would be another time during the patient's hospitalization that medications would have to be reconciled?
With transfers and at discharge
How many patient identifiers are needed for Blood Administration?
Three. Name, Date of Birth, and Barcode Scanning.
Who can take a critical test result via telephone regarding an inpatient on the floor?
Registered Nurse and/or Provider.
What percent is the Mount Sinai Health System goal for hand hygiene?
92%.
(But we aim for 100%)
Who should be called when you are concerned that there has been an acute change in your patient's clinical condition?
Rapid Response Team (RRT)
What lab results need to be drawn before giving Coumadin?
Protime and INR
What is the purpose of bedside hand off?
So new caregiver can ask questions and receive answers regarding patient's condition, treatment plan, etc.
Who would you call if physician is not answering?
Escalate to your Supervisor, Nurse Manager, Administrative Coordinator and contact the patient's Attending Physician.
How often should we assess the need for a urinary catheter (Foley)?
Daily.
What measures can you take for fall prevention?
Falls Risk Assessment, purposeful hourly rounding, non-skid footwear, and bed alarms.
What needs to be on label of syringes, bowls, IV's, and cups if not discarding after procedure?
Name of medication, strength, amount, diluent if applicable, and expiration date.
How can patient care orders, laboratory forms, work lists, consents, etc. be compared or matched for patient identification purposes?
Patient's verbal confirmation including wristband identification using required patient identifiers, patients Name, Date of Birth, and Barcode Scanning for Medication and Blood Administration.
The Lab must notify Critical Test Results to a RN and/or Licensed Provider within ____ minutes.
30 minutes
What are the elements of the central line bundle to prevent central line associated blood stream infections?
Proper insertion via aseptic technique;
Curos® cap changed, in place and clean;
Dressing changed at least every 7 days;
Dressing dry, intact, dated and initialed;
Biopatch® in place;
Daily CHG bathing of patient.
How can you identify patients at risk for suicide?
By doing a Suicide Risk Assessment.
What is needed at discharge for patients going home on medication?
Reconciliation, give & explain the final list at discharge and document.