Fall Prevention
This is the tool used to gauge a patient's risk for falling.
What is the Morse Fall Scale?
These levels of Risk require a 1:1 Patient Safety Attendant [PSA].
What are Moderate and High Risk?
This is the most effective way of preventing transmission of disease.
What is hand hygiene?
This is how often patient in nonviolent restraints should be offered toileting, food, drink, and assessed for discontinuation.
What is at least every two hours, and continually?
Should you test the Life Pak plugged or unplugged
Unplugged- to ensure that the Life Pak is charged
This is the number of oxygen tanks it is safe to transport in your patient's bed,
What is Absolutely None?
This is what you do if your patient falls.
What is ensure the patient is safe, notify the provider, post-fall vital signs, and consider more fall prevention interventions?
This is when a suicide risk assessment should be performed.
What is on admission for a behavioral health complaint, and for all patients - every shift if positive, and as needed?
This is how long you should perform hand hygiene with hand sanitizer.
What is at least 20 seconds or until it is dry?
These are the two basic kinds of restraint
What are Violent and Non-Violent?
OR
What are Physical and Chemical?
This is why a family member is not an acceptable translator for a patient.
What is because they haven't been certified with medical terminology?
True or False: It is better to admit you don't know something and find the answer than guess.
What is Absolutely!
This is what to do if someone who Isn't a patient falls.
What is call a Code First Responder?
True or False: Once a patient screens as at-risk for suicide, you must continue assessing their risk level every shift.
What is False? Once a provider deems the patient not at risk, you do not need to document again unless you have new concerns.
What is the approach to infection control that treats all body fluids as if they were infectious
Universal/Standard Precautions
This is when you need a new order for non-violent restraints.
What is every calendar day, and within 24 hours after the initial restraint order?
This person is responsible for turning off the oxygen in an emergency.
Who is the Charge Nurse?
True or False: It is acceptable to trial your patient out of restraints as long as they are reapplied within 30 min if needed.
What is Absolutely Not?
These are five things that might make a patient higher fall risk.
What are...?
History of Falling, Tethered Devices, Use of an Ambulatory Aide, Oxygen/IV tubing, Secondary Diagnosis, Alterations in Gait, Mental Status, Medications...
This is when you document the patient's room/environment in the "Suicide Safe Environment" intervention.
What is on initiation of suicide precautions, every shift, and after any change in assignment?
These are the two main reasons to put isolation signs on patient doors.
What are
1. Alerting staff/visitors to know what type of PPE to wear and how to clean the room properly
2. Preventing the spread of infection?
This is how often to document in Restraints Documentation.
What is Every Two Hours?
This is how much oxygen needs to be in a tank to be considered safe for use.
What is 500 PSI?
These individuals may call a Rapid Response.
Who is Absolutely Everyone?
This is when you assess your patient's Fall Risk Level.
What is on admission and every shift?
This is the level of privacy a PSA can afford a suicidal patient when toileting.
What is None?
Give the correct components of contact, droplet, and airborne isolation.
Standard: Hand Hygiene
Contact: Hand Hygiene, Gloves, and Gown
Droplet: Hand Hygiene and Mask
Airborne: Hand Hygiene, N-95/PAPR [regular mask for visitors], Closed door, Negative Pressure
And All of them need dedicated/disposable equipment when possible!
What is needed after the application of non-violent restraints?
What is a Second Tier Review?
This is when you document Vital Signs for a blood transfusion.
What is prior to beginning, fifteen minutes after the transfusion starts, and after the transfusion is complete?
This is when it is best to reach out to a provider if you have a concern.
What is Absolutely Any Time?
These are five things that can reduce someone's risk for falling.
What are...?
Nonskid Footwear, PT/OT Consult, Family Involvement if confused, Exercise, Bed Rails, Bed Alarm, Instruction to "Call, Don't Fall!", Patient Belongings Within Reach, Medication Review, Do NOT Leave Alone in the Bathroom...
This is the sheet filled out by the PSA and the intervals.
What is the Patient Safety Monitoring Tool and q15mn?
These should be cleaned/ every 6 months, if visibly soiled, or after every isolation patient.
What are privacy curtains?
This is the amount of time a provider has to do a face-to-face assessment of a patient in violent restraints.
What is under an hour after application?
These are the required wet contact times for each color of germicidal wipe.
Purple: 2 minutes
Gray: 3 minutes
Orange[bleach]: 4 minutes
True or False: Nursing can do a CIWA assessment without a provider order.
What is Absolutely!
This is the program used to turn on the yellow Fall Risk indicator light over a patient's door.
What is HillRom Nurse Smart Client?
This is the name of the suicide assessment used by nursing.
What is the Columbia - Suicide Severity Rating Scale [C-SSRS]?
This is why soap and water is the only appropriate hand hygiene for Contact+ isolation.
What is because Clostridium difficile spores can survive hand sanitizer [and stomach acid!], but the friction of rubbing dislodges the spores from your skin to be rinsed away with the soap?
This is the Joint Commission definition of a restraint.
What is any method (chemical or physical) of restricting the freedom of movement of an individual served to manage their behavior?
This is why food and drink are not allowed outside of designated areas [and why Nutrition Rooms are staff only!]
What is risk for contamination?
This is what to write in the patient chart about Safety Event Reporting.
What is Absolutely Nothing?