Patient Safety Goals
Name 2 ways to correctly identify a patient
Name and DOB
What gauge IV is best for blood transfusion?
18 - 20 g
Before getting a patient OOB after surgery, what should you check first?
VS, dizziness, safety
What does SBAR stand for?
Situation, Background, Assessment, Recommendation
Where do you find hospital policies and procedures?
On the Intranet > Policy database = PolicyTech
When should you perform hand hygiene?
Before & after patient contact, before performing a procedure, after exposure to fluids, after touching patient environment
Stop transfusion immediately
What position reduces fall risk during transfers?
Bed at lowest position, brakes locked, close to patient
What's the safest way to give a verbal order?
Read back and confirm with the provider
Your patient is suddenly unresponsive, what's your first action?
Call a rapid response or code, start CPR if no pulse
What's the first thing you do if your patient is a fall risk?
Place call bell within reach, bed low, bed alarm, non slippery socks, patient/family education.
How soon must blood be started after it's received from the blood bank?
Within 30 minutes
What is the difference between the yellow versus the red wristband?
Yellow - patient is a fall risk
Red - patient fell during hospital stay
What are the 5 Ps of Purposeful Rounding?
Pain/potty/positioning/personal belongings/personalization.
You find a patient without an ID band, what is the correct action?
Do not provide care that requires identification until a new ID band is applied; notify your charge nurse/unit associate to reprint ID band IMMEDIATELY.
The NPSGs require staff to report and learn from Sentinel Events. What is a Sentinel Event?
An unexpected occurrence involving death or serious physical/psychological injury, or risk thereof.
Name at least 2 signs of transfusion reaction
Fever, chills, back pain, rash, SOB, hypotension
What is the Johns Hopkins Highest Level of Mobility (JH-HLM)?
JH-HLM scale is a standardized tool developed to measure and communicate a patient's highest level of mobility achieved during hospitalization. It is used daily to set goals and track progress.
During patient handoff, what 3 things must be included for safe communication?
Patient identifiers, current status (VS/assessment), and plan of care (meds, labs, pending tasks).
What must staff do if they are involved in or witness a patient safety event or near miss?
Complete ORIGAMI immediately.
Name 3 Joint Commission National Patient Safety Goals for 2025
Improve the accuracy of patient identification, Improve Staff Communication, use Medicines Safety, use Alarms Safely, Prevent Infection, identify patient safety risks, Improve health care equity.
What fluid is compatible with blood transfusion?
NS only
List 5 interventions for Fall Prevention
Orient patient, call bell within reach, non-skid socks, all belongings within reach, bed low position, bed alarm on, patient/family education, avoid clutter, frequent toileting/never leave high risk alone in bathroom, offer BSC, purposeful rounding, high risk with yellow risk band, restraint alternative, sitter if appropriate, etc.
Which meds are considered High Risk- High Alert? Name 3.
Insulin, Heparin, Opioids, Chemo drugs, Concentrated Electrolytes
Name 1 lesson you learned this week that will help you keep patient safe.
All answers accepted :)