Environment of Care/Life Safety
National Patient Safety Goal (NPSG)
Provision of Care
Infection Prevention
Medication Management
100
All equipment has this on it and is updated during the timeframe required by manufacturer.
What is a Biomed sticker?
100
This is the verification process conducted before the start of any procedure.
What is time out?
100
Patients are assessed/reassessed within this time frame.
What is every shift or with change in condition?
100
Ultrasound gel must be dated for this many days once opened.
What is 90 days?
100
Nurses should utilize this individual/patient specific item to eliminate medication cross-contamination.
What is a pill splitter?
200
These individuals are authorized to cut off the valves that support oxygen, vacuum and medical air.
Who are nurse managers or designee, fire department, facilities, and respiratory therapists?
200
Prior to blood administration, one of these two verification processes must be used to identify correct blood product and patient.
What is a 2 nurse/provider double check or use of bridge?
200
When assessing pain, it is important to document the current pain scale, the pain target, and this third actionable component.
What is pain intervention(s) provided?
200
Once opened, unused EKG electrodes are dated to be discarded within this many days.
What is 30 days?
200
Nurses must complete this and document it with the administration of each new medication.
What is medication information/education?
300
Storage locations cannot have equipment/supplies stored higher than this distance from the ceiling/sprinkler.
What is 18 inches?
300
This information is obtained by the nurse from the patient when admitted to the hospital or seen in the outpatient setting or ED.
What is Medication list?
300
Comprehensive IPOC documentation should include these 3 components to meet required IPOC standards.
What are long term target/goals, short term target/goals, individualized for each patient, interventions, documented every shift, initiated within 24 hours? (Any 3 of these)
300
These two types of isolation are ordered for fever and respiratory symptoms.
What are contact and droplet precautions?
300
Administration of certain High Alert medications (see policy for specific list) requires this to be completed and documented.
What is independent double check?
400
This is when mattresses, stretchers, and other non-approved items are placed in the hallway preventing safe exit in case of fire.
What is a blocked egress?
400
These are the three minimal components to verify as part of a pre-procedure time out.
What is correct patient, correct procedure, and correct site?
400
Handoff communication is completed at this purposeful location.
What is at the patient's bedside?
400
These are 3 instances when staff should practice hand hygiene.
What are going into or leaving a pt. room, before putting on or removing gloves, when they are visibly soiled, after bathroom use, and before and after eating? (Any 3 of these)
400
Morphine IV and Dilaudid IV ordered for the same patient is an example of this.
What is therapeutic duplication?
500
Gaps and lack of integrity in these are a life safety issue.
What are fire doors?
500
You are called a potassium of 6.9 - this policy must be followed.
What is the Critical Results policy?
500
Physicians must complete this within this time frame for all procedures or surgeries.
What is the H&P completed or updated within 24 hours?
500
Food trays that are removed from isolation rooms should not be placed on these.
What are isolation carts?
500
The Strengthen Opioid Misuse Prevention act of NC limits the days of post surgical opioid prescription for this many days.
What is 7 days?
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