Infection Prevention
All vials used during sterile compounding must be wiped off with this type of wipe prior to drawing up the contents.
What is an Alcohol wipe
The following closets which are commonly used by Environmental Services staff must always be secured
What are Janitor Closets or EVS closets
Discrepancies observed in the count of this class of medication must be immediately investigated
What are controlled substances or What are narcotics
These must remain clear and unobstructed at all times
What are exit corridors or exits
The Joint Commission was formerly called this and is still referred to by many by this five letter acronym
What is JCAHO or what is The Joint Commission on Accreditation of Health Care Organizations
OSHA requirements for eye wash stations is that they must be accessible within this number of seconds of a hazard
What is 10 or what is 10 seconds
This four-letter acronym is what we need to remember to do in the event of a fire.
What is RACE
This process must be performed on admission and discharge and involves looking at the list of medications that the patient has been taking prior to admission, with the medications that will be provided during hospitalization and also at the time of discharge
What is MEDICATION RECONCILIATION?
These devices which are commonly used to keep food warm for parties and events are not allowed on the premises as they pose a potential fire hazard
What are sternos or what is a sterno
A TJC focus on zero complications of care, zero falls, zero infections, zero missed opportunities for providing effective care, zero overuse and even zero lost revenue.
What is Zero Harm
The single most important procedure for preventing the spread of infection
What is handwashing
The C in the four-letter acronym which tell us what to do in case of a fire stand for this action which may involve closing doors
What is CONTAIN
This class of drug used by anesthesia as a paralytic must be dated with this number of days for expiration once removed from the refrigerator for use
What is 14 days
This four- letter acronym tells us how to use a fire extinguisher. Each letter stands for a particular action.
What is PASS
Pull Aim Squeeze Sweep
This type of patient safety event results in death, permanent harm, or severe temporary harm and TJC requires that a facility has a process in place to address them when they occur
What is a sentinel event
Following point-of use cleaning, surgical instruments must go through this process as soon as possible after use with a product intended to loosen soil.
What is presoaking? or spraying with Pre-Klenz or presoak solution
Portable Fire extinguishers are required to be inspected on this frequency
What is monthly
Medication Reconciliation should be completed within this number of hours after patient admission
What is 24 hours
These two words must be announced overhead by the operator before reopening doors and entering into hallways after a fire alarm activation.
What is ALL CLEAR
Widely recognized as the Gold Standard for suicide screening in the US.
What is the Columbia Suicide Severity Rating Scale
document provided by the manufacturer to inform the use on a device or product's intended purpose, proper use, precautions necessary and method of cleaning if applicable.
What is an IFU or Instructions For Use or MIFU
The segregation of these tanks into full and empty is an important part of patient safety and is part of an Environment of Care standard.
What are oxygen tanks
Medications that bear a heightened risk of causing significant patient harm if they are used in error and require special labeling.
What are High Alert Medications
In the event of an active shooter, all staff are advised to do these three things
What is Run Hide Fight
A structured interdisciplinary team process to identify root causes of an event that resulted in an undesired outcome and develop corrective actions. It is usually led by the Risk Management Department
What is the Root Cause Analysis or RCA