Each shift, at time of patient self report of pain, after pain intervention, following a procedure, test or treatment
What is reassessment of pain
100
A dedicated team activated by Operator Services via a dedicated simultaneous priority broadcast pager system and a page will be made overhead
What is Code Blue
100
Decreases risk of Catheter Associated Urinary Tract Infections (CAUTI)
What is removing indwelling catheter as soon as possible?
100
Used to communicate patient-specific risk factors or special needs such as Fall Risk, Elopement Risk, DNR.
What are Color Coded Wristbands
100
A pain score of 7-10 indicates this
What is severe pain
200
Assess, monitor and detect physical injuries. Special consideration must be given to spinal precautions status, skin integrity status, neurological status, musculoskeletal status Assessment to include VS, with orthostatic hypotension evaluation if indicated. Notify physician immediately Reassess patient as needed or ordered. Identify and implement Fall interventions as needed. These are all part of what in the TMC Fall Prevention and Management Program?
What is Post fall intervention
200
Acute changes in heart rate less than 40 or greater than 130 Acute change in systolic blood pressure – less than 90 mmHg or greater than 200 mmHg Acute significant bleeding, or Acute change in mental status
What are reasons to call RRT
200
66. Scanning the bladder of a female assigned as a male gender on the bladder scanner should be done on this type of patient
What is a.female with a hysterectomy
200
Use of an appropriate tool to determine the need for a full evaluation for suicide risk by a Qualified Mental Health Professional (QMHP).
What is Suicide Risk Screening
200
Abuse & Neglect, elopement of a patient, suicide or potential suicide on the premises, sexual assault of a patient, wrong patient/wrong site surgery & retained foreign object after surgery or a procedure are examples of this.
What are Adverse Events
300
A patient at Risk for Elopement (1:1, cognitively impaired, lack of capacity, have a guardian or guardianship is pending, 96 hour mental health hold or pending hold status or are pending Alcohol/Drug Abuse Commitment) wears this color wristband
What is green
300
Physical contact, aggressive language or gesture, sexual overtones, body language or posturing, cursing, cohersion, intimidation, threats, bullying, harassment, conflict over visitation.
What is reasons to call the SAT team
300
Bladder scan results showing a residual over 400mL.
What is a reason to call the physician with results of the scan
300
Must include medication name, strength, quantity, diluents and volume (if not apparent from container), expiration date when not used within 24 hours, and expiration time when expiration time occurs within 24 hours.
What is labeling all medication, medication containers and other solutions (on and off the sterile field
300
Refers to a safety-support system of shared accountability where healthcare institutions are accountable for the systems they have designed and for supporting the safe choice of patients, visitors, and staff. In turn, staff are accountable for the quality of their choices.
What is Just Culture
400
Restraints utilized to promote healing by managing behaviors or activities that impede the provision of health care or present risk of self-injury to the patient.
What is health promoting restraints
400
The responsibilities of all staff during a code Pink
What is searching units and looking for suspicious activity
400
Time, catheter care, condition of urethral meatus and catheter, character and amount, patient and family education.
What is documentation of catheter care
400
All patients are screened for this healthcare concerns. Positive finding requires immediate 1:1 monitoring and a full risk screening by a licensed qualified mental health professional.
What is HI/SI Screening
400
An unexpected occurrence involving death or serious physical or psychological injury or the significant risk thereof which signal the need for immediate response and potential Root Cause Analysis.
What is a Sentinel Event
500
44. To help prevent future patient harm, enter this on all incidents, near misses, and unsafe conditions
What is Patient Safety event (PSE)
500
Respond to Condition H and provide background information on the patient ; meet any immediate clinical need. Notifies patient’s attending physician about the Condition H call and documents in medical record.
What is the responsibilities of the Primary Nurse in a Condition H
500
Patients with central venous catheters must be assessed and evaluated for signs of infection or other complications. How frequently would you assess for complications.
What is at least every eight hours
500
Process by which healthcare workers maintain and communicate accurate medication information across the continuum of care.
What is Medication Reconciliation
500
Enacted in 1986 to ensure public access to emergency services regardless of ability to pay. Under this act, Medicare-participating hospitals that offer emergency services have specific obligations to provide a medical screening exam when a request is made for examination or treatment for an emergency medical condition regardless of the individual’s ability to pay
What is Emergency Medical Treatment and Labor Act (EMTALA)