Goal 1
What is IPSG goal 1?
To identify patients correctly using two identifiers.
Would you take verbal orders if on call doctor is in cafeteria for break?
No I should not take verbal orders in this situation
Do you have high alert medication in your hospital? What are they?
YES. NEAT-CLIN
What is IPSG goal 4?
To ensure safe surgery
What are the 5 moments of hand hygiene?
Before touching the patient
Before performing any aseptic procedure
After touching the patient
After touching the patient's surrounding
After the procedure or exposure to body fluids.
What is IPSG goal 6?
Reducing the risk of harm by Assessing Risk of Fall
What are the two identifiers?
Patient's Name
Medical Record Number
When you take verbal orders?
Only in cases of code blue emergencies or when doctor is scrubbed in a surgery
Show me the List of high alert medication/LASA? Or how can you access the list of high alert medication and LASA?
Retrieval of list from portal.
Tell me what do you do to ensure safe surgery or procedure provided to your patient?
To ensure correct site, correct procedure, correct patient
Time-out/Sign-out
How do you ensure the patient's are safe from hospital exposure infection?
By performing hand hygiene
and Using Bundle's like CAUTI and CLABSI
How do assess the patient's on risk of fall?
By screening patients on arrival in hospital in inpatient and outpatient setting
When are patient's identified?
Prior to any procedure, medication, transfusion or diet.
Tell me the process of receiving verbal order?
Using green sticker. Write the order and read back with confirmation
What measures are taken to improve the saferty of High alert medications?
By keeping under lock-key.
By putting in separate bag with Label showing High-alert medication/LASA
And verification by two nurses before administration
Could you tell me what is Time-Out?
Pause before the incision: Verify followings during the Time out process: Correct Patient Name & MR# (from patient ID ban; Procedure to be performed from Consent Form; Correct Si; Availability/presence of correct implants, special equipment ; Essential Imaging display
Who should perform Site marking?
The person performing the procedure must mark the site. If resident/fellow is performing the procedure then only he can mark the site. Involve the patient in the marking process (ensure he/ she is not sedated).
Can you enlist patient's who are at risk of fall?
<5 years or >65 years
Patients receiving any medications that can cause dizziness, drowsiness and hypotension, e.g. antihistamines, narcotic analgesics and other pain medications, Digoxin, Antihypertensive medications and Anti-epileptics.
All post-op patient's for 24 hours.
In case of orange alert, how are patient's identified who are brought to ER?
Special series of MR numbers is generated.
You received a call from lab about critical test result, what would you do?
Use of red sticker, read back, documentation of intervention and person informed.
Do you keep concentrated electrolytes on your floor?
Yes. May tell MGSO4.
Is time-out required for IV cannulation and catheterisation?
The time out must be completed for all procedures that require cutting, removing, altering, or insertion of diagnostic/therapeutic scopes regardless of the location. This definition does not include IV cannula, urinary catheterization, wound dressing
What symbol should be used for site-marking?
Always use “Star” sign for site marking
What scale is used to assess the risk of fall?
Morse scale and Little Schimdt's
How to check patient ID in outpatient setting?
By confirming patient's name through their verbal response, seeing the payment slip.
How do you communicate patient care/Hand-over?
Use of SBAR and IPAS
What are 6 Rs?
Right patient, Right medication, Right Indication, Right dose, Right Time, Right Route
What is sign-out? Show me the documentation of time-out and sign-out perform to your patient?
After the procedure ends, team checks the patient ID, procedure performed, swab instruement check, specimen sent and identify any faulty instruments.
What if patient refuses site marking?
Use alternative process, i.e., marking the site on diagram present in the form
What is standard fall protocol?
Place call bell within reach.
Orient the patient about the emergency call
Patient’s bed is at a low level when unattended and the brakes are in the locked position.
Place the patient’s necessary items within reach of the patient on side table/ bedside trolley.