What are the Multi-Drug Resistant Organisms of concern at SFGH?
100
It contains a “snap shot” of all medications ordered on a patient within the San Francisco Health network and it can be accessed from the LCR or eCW. It is updated every 24 hours and can be utilized for Medication Reconciliation.
What is the Enterprise Medication List (EML)?
200
• Name,
• Strength
• Amount
• Quantity
• Diluent
• Volume
• Preparation date
• Expiration date
What is required to be on the label of a medication or solution once removed from their original package?
200
Two different nurses calculate dosages of anticoagulants then compare to see if they arrive at the same answer.
What is an independent double check?
200
They are all suicide risk screening indicators.
What do the following have in common: depression anxiety, psychosis, PTSD, panic attacks, bipolar disorder, acute postpartum depression, substance abuse, other psychiatric problems?
200
Three evidence based practices to prevent Multiple Drug Resistant Organisms.
What are Hand Hygiene, Standard Precautions and Antibiotic stewardship?
200
Krames.
What is one source for patient teaching information?
300
Any time a medication or solution is transferred from the original packaging to another container
When does labeling occur?
300
1. Why the patient is taking Heparin, Warfarin or Enoxaparin.
2. What signs and symptoms the patient should look for.
3. Why it is so important to keep any follow up appointments
4. If the patient is on heparin it’s important for them to keep a steady diet
5.It is important for the patient to let their other providers know the anticoagulants they are taking.
What are 5 things that need to be taught and documented to patients on anticoagulant therapy?
300
They are all examples of patterns of speech that may indicate a person is thinking of suicide.
What do the following comments have in common?
"My family would be better off without me."
"I wonder what it's like to be dead."
"Maybe I won't be around."
300
They are all measures for CLA-BSI prevention. (5)
What do following 5 things have in common?
1. Assess and document indication for the line, site condition and dressing condition
2. Hand Hygiene prior to any line access or site care
3. Scrub all hubs and ports for 15 seconds with alcohol
4. Use Central Line Dressing Change Kit
5. Maintain Aseptic Technique during dressing changes
What are alternatives to pharmacological interventions to prevent DVT’s?
400
Sterile packs include pens and labels.
How is it possible to label on a sterile field?
400
The lab calls the nurse with a critical value on a patient on anticoagulation therapy. The nurse writes it down and reads it back.
What is required when getting critical lab values?
400
If the answer is Yes don't leave the patient alone, ask for assistance, engage with the patient and contact Psych.
As the Nurse or Provider what do you do after asking the patient:
• Do you feel depressed?
• Do you feel like hurting yourself?
• Do you have a plan?
400
They are measures to reduce preventable surgical morbidity and mortality. (5)
What are:
1. Prophylactic antibiotics prior to surgery
2. Discontinued ABO's 24 hours after surgery end time
3. Appropriate hair removal (No razors)
4. Urinary Cath removed POD 1 or POD 2
5. Temp Management
400
A patient's home medication was recorded as Coreg 25 mg twice a day on the admission order sheet when the patient was actually only taking 6.25 mg twice a day at home. The patient received four doses of the excessive strength.
What could have been prevented by performing a Medication Reconciliation?
500
A 69 year old male dies after being injected with an unlabeled — and deadly — fluid during a procedure to fix a damaged blood vessel.
What is example of a serious error due to not labeling medications correctly?
500
1. Standardized concentrations of IV anticoagulants
2. Anticoagulant usage monitored by a clinical pharmacist
3. All medication errors related to anticoagulants are reviewed and addressed to improve performance.
4. Only programmable infusion pumps are utilized for administration of anticoagulants.
What are policy and procedures SFGH implements to improve safety related to anticoagulant therapy.
500
• Call lights
• Bell cords
• Bandages
• Sheets
• Restraint ties
• Belts
• Plastic bags
• Oxygen and IV tubing
• Sharps equipment
In a typical non-psychiatric room, what common hazards to the patient at risk for suicide can be found?
500
Avoid unnecessary use and discontinue as soon as possible.
What is the best means of preventing CA-UTI and CLA-BSI infections?
500
The two correct patient identifiers.
What are the full name and date of birth or the full name and medical record number?