Safety Rounding
Who is responsible for SAFETY rounding?
What is the nursing care team to include RN, LPN, and PCT
What is the #1 way to stop the spread of infection?
What is hand washing?
What does BEFAST stand for?
What is
balance
eyes
face
arms
speech
time
What is sepsis?
What is an overwhelming response to a bacterial infection?
How long does the nurse have before the transfusion must be started from the time the blood left the blood bank?
What is 30 minutes?
How are safety rounds communicated to the patient?
What is during the admission process with the patient, with each shift change bedside shift report, and PRN.
How do you stop the chain of infection?
What is standard precautions?
What test/screening must be completed and passed prior to any oral intake?
What is the dysphagia screening?
Name 3 populations at highest risk of sepsis.
What are
infants and children
elderly
immunocompromised
What department does NOT use physical restraints?
What are the 4 P's?
What is Pain, Potty, Position, and Pumps?
Name 3 ripple affects of an HAI?
What is
increased risk of severe illness or death
increased length of stay
increased cost to patient and health system
Decreased reimbursement
reputational damage
Name 3 signs of a possible stroke that a patient may exhibit?
What is
loss of balance or coordination
sudden vision changes in one or both eyes
sudden facial droop, numbness, weakness, or uneven smile
sudden numbness or weakness on one side of the body
sudden trouble speaking, slurred speech, or difficulty understanding
Why is early sepsis recognition so important?
What is severe sepsis and septic shock are medical emergencies?
The Safe procedural and Surgical verification process is a foundational process to ensure what 4 things?
What is
right patient
right procedure
right site/side
right physician
What communication tool is located in every patient room that should be updated Qshift and PRN?
What is the white board?
What are the 5 moments for hand washing?
What is
before touching a patient
before clean/aseptic procedure
After body fluid exposure risk
After touching a patient
After touching a patient's surroundings
name the 2 types of stroke
What are ischemic or hemorrhagic?
How frequently does mortality rate increase by 7.6% in a septic patient?
What is every hour?
Name 5 things Multi disciplinary rounds prevent or aid?
What is
improved care coordination
decreased length of stay
reduced mortality
fewer ventilator acquired infections
fewer catheter related bloodstream infections
fewer urinary catheter infections
fewer adverse events
Name 3 benefits from utilizing SAFETY rounds
What is:
decreased call light use
improved clinical outcomes
reduction in hospital acquired infections
decreased fall rates
improved responsiveness
improved patient experience
more efficient bedside shift report
What are the 3 most common PPE used in a healthcare setting?
What type of periodic assessment should be completed on a potential or confirmed stroke patient?
What are neurological checks?
What is the name or acronym of the tool used to identify a patient going septic?
What is SPOT? Sepsis Prevention and Optimization of Therapy
How often should you be working on your initial CBSO?
What is every shift, with each preceptor, and completed before you are off orientation
Name 5 cues in the room to make personal connections to your patient?
What are books or magazines, program on TV, visitors, personal blanket, flowers, hand made pictures, personal clothing/socks/shoes, or a personal accent
What PPE is required when entering a patient room with the flu and what type of precaution are they under?
What is
Droplet precautions and hand hygiene, gown, gloves, level 1 or level 3 masks?
Why is the last known normal time important for care of the stroke patient?
What is the treatment plan is based on this time frame and type of stroke?
What data does the SPOT system monitor to assess and evaluate the patient's risk for becoming septic?
What is
vital signs
lab values
Name the 3 end of life resources
What is
Chaplain services
palliative care
hospice services
What does the acronym SAFETY stand for?
What is set up scheduled tasks, anticipate, Focus on p's, Explanation, thank them and time, and you!
What is the time frame goal to screen your patient for risk of colonization or infection?
What is 24 hours?
A 72 yo female patient is brought into the ER by her adult son at 6:41am with slurred speech, new onset facial droop, and numbness on the left side. What is important to note about this patient's symptoms?
What is the last known normal, specifically noting did she wake up like this or onset after awake and normal?
What is the goal time for completing a sepsis screening on a SPOT alert patient?
What is 60 minutes or less?
Name 3 parts to the nurse's role for antibiotic stewardship
What is
appropriate use
consults
dose optimization
IV to PO
Renal adjustments
Antimicrobial resistance
Pharmacy works closely with infectious disease physician to monitor