AMBULATORY
Ambulatory II
EOC
PATIENT SAFETY GOALS
SAFETY
100
Describe the process your clinic follows when a patient must be transferred to a higher level of care, e.g. ED?
ANSWER: Staff should articulate how transportation is arranged and by whom; the hand-off process (SBAR, use of ambulatory transfer form, dictated notes, verbal report, and call report to the receiving area).
100
When educating patients to medications, what important points should teaching include? ons.
ANSWER: A. Importance of follow-up monitoring. B. Compliance. C. Drug food interactions. D. Potential for adverse drug reaction and interactions.
100
which Tier do you find Environment of care policies
What is Tier 1
100
Should be given within 1 hour of incision and discontinued in 24 hours after surgery.
What is SCIP antibiotic
100
3333
What is the number to dial for a security emergency or fire at HVSH
200
Have staff demonstrate accessing SRS: A.    Patient incident (e.g., fall) B.    Staff injury C. ADE
access through: staff.dukehealth.edu or Duke Health System Intranet or OESO Duke online (dropdown box under SERVICES)
200
How do you know the patient and/or caregiver understands the information they have been taught? Who can the patient/caregiver contact if they have questions following discharge?
ANSWER: Patient and/or caregiver can articulate and/or demonstrate information imparted. Contact information should be provided prior to discharge that includes contact person and phone number."
200
prevention of pollution, compliance with environmental regulations and continuous improvement
What is recycling program ( department specific)
200
First and last name and date of birth
What is two patient identifiers ( very specific)
200
Facilities has taken some or all of the smoke and fire detection system out of service temporarily to perform maintenance.
What is " Safety System Status Zero"
300
4. Does your clinic perform invasive procedures? If so, can you describe the universal protocol procedure used? 1. Describe the role of each team member and how they actively participate during a time out.
Elements should include: A. Pre-procedure verification including H&P, signed consent form, pertinent test results B. Marking the procedure site by the provider, with initials of person present at procedure. C. Conducting/documenting a time-out that includes pt. identity, correct site, and procedure to be done. .
300
E. Where is patient education documented and by whom?
In back of the chart (Educational documentation) or blue form
300
MSDS safety sheet
What is the sheet that provides information regarding substances we work with each day.
300
Completing all documentation on postop medication
What is med reconsiliation
300
You have a 2 sided patient form ,what must be added to both sides of the form to be considered compliant
What is a patient sticker
400
If control drugs are delivered to your clinic by a courier or nurse , what process does your clinic follow to verify the accuracy of your order?
ANSWER: The nurse and courier, or another nurse inventories the content of the package to verify that order is correct and packages are properly sealed. Signatures of those doing the verification are captured on the IR 100 form or separate clinic form and filed. "
400
What is your clinics Performance Improvement Project? Where is it located?
Your Performance Improvement Project is: Improving Communication and it is posted in the mail room.
400
Must be worn in a clearly visible location on the upper chest or shoulder area at all times while on DMC property.
What is ID badge
400
Correct patient, correct side, correct site
What is Universal Protocol
400
A near miss or actual incident occurs what online program do you document this in
What is SRM
500
Following the initial administration of a medication (e.g. allergy injection, new medication, etc), who is responsible for monitoring the patient’s response and for how long should monitoring be?
Answer: Per clinic specific...answer per majority clinic pooled is 15-30 min monitoring
500
Desribed your role related to falls prevention? How do you hand off/communicate to other staff members pts. risk for falling? Who is your falls champion?
excerses vigilance to identify pts. who may require assistance walking or standing, if unsteady assist to safety, leave door open if pt. is alone, educate pt and family on falls prevention & (if fallen-have pt. triaged, fill out SRS) share handoff info via pt. transfer form, IDX, yellow falling star cards. Leslie Koonce is your Falls Champion.
500
This is the product used to clean a small formalin spill and where is it found
What is Aldex specimen container
500
Medication and solutions shall be verified 2 ways
What is verbally and visually
500
Polices can be accessed here
What is on line
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