Patient SAFETY MEDpardy

Can't toUcH This..ouch

100

What is NCCS’s hand hygiene compliance rate?

80%

200

You should perform hand hygiene before touching blood or contaminated items. True or False?

False

300

What should you do if you have visibily soiled hands? How long should you perform hand hygiene?

Perform handwash with soap and water for at least 40 to 60 seconds

400

What is WHO’s 5 moments of hand hygiene practiced in NCCS?

• Before touching a patient • After touching a patient • Before performing clean/aseptic task • After contact with body fluid • After touching patient’s surroundings.

Don't FALL for Me

100

Patient who is aged __ and above should be identified as having a risk for fall.

70 years

200

At what point should patient be assesed for fall risk? What do you use to assess fall risk?

1) At every visit and contact point 2) Fall risk protocol.

300

How do you identify patient is at risk for falls? What is given to patient after identification of risk for falls?

1) The use of a fall risk 'cococnut tree' signage card/sticker 2) A fall risk advice slip is given to patient.

400

What do you do when you found the floor to be wet? What do you need to write if a patient slipped and fall? Who is it submitted to?

1) Display the ‘Caution Wet Floor’ signage & get housekeeping staff to clean the floor 2) An Incident Report 3) Respective supervisor/NM.

Better SAFE than Sorry

100

What should you do to ensure a correct procedure/treatment is done to any patient? Give an example.

Use 2 patient identifiers to verify the correct patient 1) name 2) NRIC 3) Address 4) Date of birth.

200

When do you use 2 patient identifiers? Give 2 examples.

• Registration procedures • Doctors' consultations • Procedures or treamtment • Administration of medications. • Administration of blood/blood products • Taking of blood sampling/other specimens for test • Hand over of patients.

300

What should you do when you spot a fire?

R.A.C.E.S • Rescue anyone in danger; away from site of fire, if safe to do so • Alarm should be raised by breaking the glass of fire alarm call point • Call NCCS Call Centre at ext 8000 to report location & extent of fire • Extinguish fire using the fire extinguisher • Shut gas supply, doors & windows to contain fire & smoke.

400

What kind of abbreviations you must avoid when writing down verbal or telephone orders? Give 2 examples of abbreviations.

'High Risk Do Not Use' Abbreviations List. • U - Unit • IU - International unit • SC - Subcutaneous, Subcut • ug - mcg.

MED Alert!!

100

Do we have policy on High-Alert medications? Where can you find the policy on High-Alert medications?

1) Yes 2) NCCS Intranet - Institutional Policy.

200

Give 2 examples of High-Alert medications in your clinical area.

• IV Potassium Chloride • IV Calcium Chloride 10% • Calcium Gluconate 10% • Magnesium Sulphate 49.3% • Lidocaine HCL 2%.

300

How and where are these high risk drugs stored?

1) High-risk drugs are stored under lock and key 2) Segrated 3) The use of "High-Alert" stickers as caution.

400

What is the process for handling unused IV concentrates that were dispensed by Pharmacy for a particular patient? What about small amount of expired IV concentrates?

1) Patient's unused IV concentrates will be returned to pharmacy 2) Small amounts (glass ampoules/vials) of IV concentrates will be thrown into the sharps box.

500

How often do you monitor the fridge temperature for storage of drugs? What is the out of range temperature and what are the initial corrective actions you will take?

1) Daily except on Sunday, PH 2) 2 - 8 degress celsius 3) Do not record temperature. Reset & Check 15 minutes later. If still out of range, record in red ink & contact Maintenance Dept, ext no. 8222 to check the fridge.