Universal Protocol
Falls prevention
Medication Safety
Promoting Safety Behaviors
Miscellaneous
100

Step one of Universal Protocol

What is "Patient Verification"

100

Tool used to assess patients risk for falls

What is the "Hendrick II Falls assessment"

100

When administering pain meds we do this his 30 minutes after an IV or IM dose and 60 minutes after a PO dose.

What is reassessment of patients pain level?

100

We do this when we help others to do the right thing, and expect that they will help us do the right thing

What is " peer coaching"

100

before and after donning gloves

What is foaming or washing hands?

200

Responsible for marking the site /side for a procedure

Who is"The practioner" performing the procedure

200

Time frequency for assessment of patients falls risk

What is upon admission and at least qshift or change in condition.

200

This is done when a pateint refuses a medication on the refused med list.

What is "notify physician"

200

This quote : "The world is not a dangerous place because of those who do harm,but because of those who look on and do nothing" was written by ....

Who is Albert Einstein?

200

This is used to elevate safety concerns

What is chain of command?

300

the least number of people who can perform time out?

What is "Two"

300

Tone all personal alarms should be set at?

What is "4"

300

In the perioperative and other procedural settings both on and off the sterile field, this must occur when any medication or solution is transferred from the original packaging to another container

What is labeling the medication

300

This safety tool helps us to practice self checking and paying attention to detail.

What is " STAR" Stop, Think ,Act and Review

300

Done between each patient use of low lying equipment.

What is cleaning ?

400

This is the very LAST STEP TAKEN before beginning an invasive procedure

?

400

What is every two hrs X24hrs

The frequency of neuro signs for any fall that is Unwitnessed •Unreliable patient history regarding baseline mental status •Patient is on anticoagulants •Patients with disease entities causing them to be at high risk for bleeding •Head Injury

400

This is done when any medication or solution found unlabeled.

What is immediately discard?

400

the safety behavior we use when we display a questioning attitide and try to stop and resolve when questions arise.

What is "validating and verifying?

400

Obtaining a patients medication history at admission and comparing all changes through hospitalization to discharge to create a new home medication list for patient

What is medication reconciliation?

500

First action to take to start time out.

What is stop all activity?

500

Following any patient care activity this should occur.

What is reactivation of bed alarm.

500

Requirement for high risk pain medications before administering

Two licensed staff must verify the dose and medication to be administered.

500

Tool used to communicate concerns,clinical and non-clinical

What is SBAR-Situation, background,assessment and recommendation or request.

500

SVH two patient identifiers

What is name and Date of Birth

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