Environmental Safety
What is your responsibility when working with hazardous materials?
Know what hazardous materials are in your workplace.
Always read the label before handling.
Use appropriate PPE.
When and where should identification badges be worn?
Must be worn at all times on the chest.
What do you do in the event of a fire? (Facility wide... not OR specific)
Close all doors. Wait for further information or "all clear".
What elements MUST be included in every consent to be considered complete?
Hospital name.
Name of responsible practitioner performing the procedure.
Signature of the patient/consenting person with date and time signed.
What are the 5 moments for hand hygiene?
How are gas cylinders to be transported with a patient?
In an appropriate carrier... with a rolling stand, bed holder, bed gurney with holder, wheel chair holder.
Never carry unsecured or transport on top of a patient's bed.
What is our model for improvement?
Plan, Do, Study, Act (PDSA)
Plan the test. Test the change/collect data. Analyze the data/develop conclusions. Make a decision to adopt the change/revise it/stop it. Begin another cycle.
What do you do if a fire occurs within your immediate area?
RACE
Rescue, Alarm (*85999), Contain, Extinguish
When is an update to an H&P required?
An H&P should be completed within 30 days prior to inpatient admission or registration of the patient.
An update is required within 24 hrs AFTER the patient physically arrives for admission/registration but PRIOR to surgery/procedure requiring anesthesia.
What is the duration for performing hand hygiene using a hand rub?
20-30 seconds
All items are to be stored at least _____ inches from the ceiling and bottom of sprinkler heads.
18 inches
What type of potential safety issues should be reported?
Near misses/close calls (caught error before reaching patient), adverse events, medication errors/missed doses, failure to identify patients/wrong patient or test/wrong site or side, labeling errors/lost specimens/blood transfusion reaction, abuse and neglect, hospital acquired pressure ulcer and falls.
What are the steps for use of a fire extinguisher?
PASS
Pull the pin between the handles.
Aim at the base of the fire.
Squeeze the handles together.
Sweep from side to side.
What elements must be included in an H&P?
Chief complaint, history of present illness, review of systems, clinically relevant past social/family medical history, medications, allergies, physical exam, pertinent labs & imaging.
What type of precautions are used when there is anticipated exposure to blood, body fluids, excretions, secretions, or non-intact skin from the patient, environment, or contaminated equipment?
Standard Precautions
How do you obtain a Safety Data Sheet (SDS)?
LCMC links icon & sign in to account.
TOP LINKS
Hazsoft - Safety Data Sheets
How do you report an actual or potential safety issue?
Complete an Occurrence Report, use the Patient Safety Link icon on your desktop, or call Risk Management at *81666.
Horizontal Evacuation - preferred method; move to a safe location on the same floor.
Vertical Evacuation - move to a different floor or to another building.
What marking is used to denote the correct site by the surgeon/proceduralist?
What type of precautions are followed when treating a patient with C-Difficile?
Contact Plus Precautions, in addition to Standard and Contact Precautions.
Hand hygiene performed with soap and water; equipment/surfaces disinfected with sporicidal disinfectant.
DO NOT USE alcohol-based hand sanitizer and alcohol/quarternary ammonium disinfectants.
What is your responsibility if you come across a hazardous materials spill/release?
CLEAN
Confirm material released, contain spill if able. Secure the area.
Leave the area/evacuate if possible inhalation hazard. Restrict access.
Ensure appropriate care to those exposed.
Access SDS.
Notifiy the Hospital Safety Officer at 504-415-9549.
What are the 5 key communication behaviors utilized when interacting with patients?
AIDET
Acknowledge - warm smile/friendly greeting
Introduce - "manage up" yourself/others competence
Duration - provide with time expectation
Explanation - update on what to expect from you/others
Thank you! - thank them for choosing your facility
Who is able to shut down the zone valve to the medical gas system in the OR?
What happens if there are distractions or a disagreement/error during the Time Out procedure?
The Time Out is restarted after clarification and/or re-verification.
What type of precaution requires the surgical team to wear a fit-tested N-95 mask prior to patient room entry in a negative-pressure room?
Airborne Precautions