Documentation
CDPH Survey
Infection Prevention
Great Place to Work Survey
Unit Highlights
100

What risk assessment tool does PHGSH utilize for skin documentation? 

Braden Scale

100

How often do nurses have to review and update the Plan of Care?

Once per shift

100

What does CAUTI stand for? 

Catheter associated urinary tract infection

100

If able to, what is the top "thing" that the staff could change at PIH Health?

Pay

100

Name one individual who received an employee of the month this year 

Martha Martinez, Althea Brown, Nora Martinez, Emily Balceda, Raymundo Medina, Jovana Vasquez, Andrew Han, Jackie Cortez, Sophia Sy, Maria Lea Cuevas, Irma Covarrubios, Cynthia Arballo

200

Stool documentation: how often do you add a single time column on the I&O Record?

EVERY time patient has a bowel movement and at end of shift if none

200

What flowsheets contain the required parameters to document the Plan of Care?

Plan of Care, Assessment and Interventions

200

How many CAUTI events did we have for FY 2024? 

Two Events

200

What percentage of staff at PIH Health Good Samaritan Hospital voted the organization as a "Great Place to Work"?

68%

200

Name an employee who graduated or received a professional certificate/license. 

Ashley Fennessy, Patricia Cebreros, Cynthia Arballo, Maria Christie Billones 

300

What is the Braden score range that is considered as high risk for pressure injury?

Score is 18 or less

300
How often should an IV/CVAD be assessed per policy?

Q4hours

300

What are criteria for a patient to be in enhanced barrier precautions? 

Indwelling device or chronic wound such as..... 

300
What category scored the lowest in the TCU?

Community

300

Who is a new addition to our team in the last two months?

Daniela Somera, Casey-Ann Taylor, Jazmynne Williams, Shihwan Kim

400

How do you add acronym expansion in EMD?

Preferences > Acronym Expansion > Import from Other User > find user > select acronym/s you wish to add > Click OK

400

What is the time frame to implement Stat orders?

ASAP no later than 1 hour

400

What is one component that should be documented for a patient in enhanced barrier precautions and where? 

Education in Adult Education Outcome Record in Patient Education under Isolation Precautions

Intervention in Isolation Precaution in Fall/Safety/Precautions Intervention in A&I Flowsheet

400

What was the greatest contributor to low scores in the TCU?

"You can count on people to cooperate"/Cooperation

400

Name the employee who was nominated for a Daisy Award.

Jiah Guarachado

500

You weighed a patient at 61kg . You noticed admission weight 4 days ago was 53kg, what will be your next steps? 

Do not document until weight is verified/rechecked. Check what scale was used from the last weight; RE-weigh patient and discuss with primary nurse/DS on what factors affected the weight and may need to consult RD and notify MD

500

What documentation is required when caring for a patient with a G-tube?

G-tube, ostomy site, residual, type and rate of feeding, flushes, feeding tolerance, dressing change, intake amount, plan of care, oral care

500

What are 2 areas of opportunity/things that we could have done differently to help prevent the CAUTIs?

Multiple answers 

Ex: Early removal, appropriate culturing, pericare, appropriate source for order 

500
How much of a difference was the TCU rated as a "Great Place to Work" than the hospital?

13% higher/more.

500

What are our total admissions for the year from September 2023 to September 2024?

552

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