Their goal is to support a culture of safety by mitigating potential medical errors and improving patient outcomes through chart reviews, unit rounding, and supporting the peer review process for both nursing and providers.
What is QPS?
This is a high risk, low volume area and important to be familiar with the policy
What is Suicide Risk Screening & Suicide Precautions for Patients Policy
The patients agreement to allow something to happen made with full knowledge of the risks involved and the alternatives
What is Informed Consent?
Improves patient safety, reduces communication errors, increases patient involvement, and promotes accountability and continuity of care
What is Bedside Shift Report?
The single most important step we can take to keep from getting sick and spreading illness
What is Hand Hygiene?
They allow us to collect factual information about the events that occur so that we can identify patterns, and implement risk reduction to prevent similar events in the future.
What is an occurrence report (Midas)?
Reported to a Provider within 60 minutes from the time the result is obtained and document provider communication in the flowsheet.
What is Critical Value Policy?
Written instruction relating to the wishes of that patient for their care in the event they are incapacitated.
What are Advance Directives?
What is SBART?
These have specific cleaning instructions, must be cleaned with Bleach, and is frequently asked about by surveyors from JC and DOH
What is Glucometer Cleaning and Disinfection?
Review of an event and determine if there is potential for a serious safety event or potential patient harm.
What is reviewing an occurrence report?
To provide restraint or seclusion in a manner that protects the patient's health and safety and preserves his or her dignity, rights, and wellbeing
What is Restraint and Seclusion/Patient Safety Devices Policy
Any staff member, patient, or visitor can call or request this
What is a Rapid Response?
Must be infused with medication hanging in a lock box
What is Controlled Substance Continuous Infusions?
Designed to reduce the risk of transmission of microorganisms from sources of infection by utilizing controls during the care of all patients.
What are Standard Precautions?
A process that identifies potential knowledge deficits or broken processes before they reach a patient and cause harm
What is a Great Catch?
All PIV inserted outside of CHS or by EMS must be removed within 1 hour of inpatient or observation disposition selection and "ED to floor bed request" order placement
What is Peripheral IV Catheter Insertion, Maintenance, and Extravasation Management Policy
Only used for patient-related communication and is not part of the patient medical record
What is Secure Chat?
Drugs/Chemicals regulated by the government due to their potential for abuse, addiction, and risk to public health
What are Narcotics & Controlled Substances?
Precautions that require an isolation mask
What are Droplet Precautions?
A formal, confidential, process that is used to analyze a serious safety event and identify any underlying process failures that contributed to the event.
What is an RCA (Root Cause Analysis)?
Completed on admission, once a shift, and if a patient has a fall or a significant change in status
What is Fall Risk Assessment and Prevention Policy
Where all CHS policies are found
What are M-Files?
Always identify patients with 2 patients identifiers prior to administration
What is Medication Administration?
If something doesn't seem right, it probably isn't right.
What is See Something, Say Something.