Look before you touch
Think before you act
They're not Flintstones!
That's a long way down
It's for the patients
100
How many patient identifiers do you use? What are They?
-Clinicians must check 2 patient identifiers before performing any clinical treatment, procedure, or service -Name and Medical Record number (MR#) are the most common. Name and MR# most are the most common.
100
Can you describe the VORB process?
-Verbal orders must be signed by the physician with 72 hours. -Verbal orders must be "read back" to the prescribing physician and documentation of such in the chart as the following: V.O./R.B. Dr. Smith/ N. Nurse, RN
100
What information does the nurse need to place on an IV tubing and IV bags?
-Date -Time-up -Initials
100
What is used to signify a fall risk patient and where is it placed?
Yellow or Green magnet on doorframe
100
True or false. Laundry bags must go directly to the soiled utility cart, not left lying on the floor?
True
200
Before connecting a patient to a medical device, you must check that........?
The inspection sticker has not expired.
200
After contact with a pt that is positive or suspected positive for C-diff the nurse must then wash his/her hands with soap and water for how long?
15 seconds
200
When should meds/solutions be labeled?
-Label all meds, med containers, and solutions on and off the sterile field in preoperative and other procedural areas. -Any med/solution removed from the original container and not used immediately must be labeled.
200
Name two other items used for fall risk patients.
-A pair of yellow socks -A yellow blanket -A yellow magnet on the frame of the patient's door -Two fall risk stickers placed on the patient's chart
200
What do you do if you have a patient that is or becomed suicidal?
A) Listen, Show concerns, and learn the warning signs Get help B) Contact MD to obtain an order for a psychiatric consultation.(MWHC has a Psychiatric Consultation/ Liaison Service available to coordinate the provision of mental health and/or chemical dependency will be provided be consultation and referral.) C) All of the Above
300
Can you descride the Time-Out process?
-A time-out will occur prior to the introduction of the anesthesia (including general/ regional, local, spinal). -The team will pause and verbally confirm the patient, procedure, laterality, site, correct pt position. -The time-out will include active communication among all team members. All team members must be in agreement. Any differences or disagreements in staff responses must be resolved for the case to proceed.
300
Where is the Look-Alike, Sound-Alike medication like posted on the unit?
It’s located in the unit's medication rooms.
300
What should you include when labeling a med/ solution?
-The medication name, strength, amount (if not clear from the container). -Expiration date when not used within 24 hours, and expiration time when expiration occurs in less than 24 hours.
300
What other items besides the yellow wrist bands MUST be used for fall risk patients?
-A pair of yellow socks -A yellow blanket -A yellow magnet on the frame of the patient's door. -Two Fall Risk stickers placed on the patient's chart. -Bed alarm -Chair alarm
300
Name three things every patient has; including respect of:
-Patient rights -Cultural diversity -Psychosocial -Spiritual help/ guidance -Personal Values -Beliefs -Preferences
400
What do you do if your patient has an adverse drug reaction?
-Notify MD and follow orders. -Complete SAFE report.
400
What type of hands-off communication do you use?
SBAR (Situation, Background, Assessment, Recommendation)
400
When should you discard the meds/soluions?
A) Any medications or solutions found unlabeled should be immediately discarded. B) All labeled containers in the sterile field are discarded at the end of the procedure. C) All of the above
400
True or False? The Risk Management Team's main goal for 2012/2013 is to decreasing risk concerns throughout the organization through staff utilization of situation awareness, critical thinking skills, speaking correctly, and debriefing
True
400
MWHC performance Impovement (PI) is used to change processes or develop ideas. PDCA helps us change somethng or change a process. What does PDCA stand for?
P-plan D-do C-check A-act
500
Do you give your patients on Coumadin educational materials at discharge? Where do you document this?
On the IPOC and other areas of pts chart. Education can be documented in Soarian.
500
Describe how critical results of test are communicated to the physician? How do you document this?
Notify the physician as soon as you receive the result and have the physician read beck the result and any orders. Document the critical result read back and physician notification in the pt’s. medical record.
500
Where should medication errors be documented?
In a SAFE report
500
What should you do if you see a risk concern in an area where you do not work?
-Complete a SAFE report. -Contact your PCS/Manager -Call the ethics/regulatory hotline
500
Do you know your codes? "Name that code!!!!!!" Code Blue- Code White- Code Pink- Code Yellow- Code Orange- Code Purple- Code Green-
Cardiac Arrest Infant Abduction Infant Cardiac Arrest Incoming Trauma Extreme Trauma Hostage Situation Bomb Threat Activate Incident Command
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