National Patient Safety Goals
Individual Rights OR Documentation
Pain Management
Infection Prevention
Process Improvement OR Environment of Care
100
4 patient identifiers
What is Patient name, date of birth, medical record number, and patient financial number
100
2 ways to handle an ethical issue
What is 1. Discuss with direct supervisor 2. Discuss with dept manager or director 3. Speak with Compliance Officer (see intranet) 4. Call Comply Line
100
3 designated times where pain is ASSESSED
When is: 1) Upon admission 2) At the beginning of each shift 3) Prior to administration of pain medication 4) Pain is assessed before AND after any intervention
100
Name 5 times you (as the healthcare professional) would disinfect your hands by washing your hands or with alcohol handrub?
When is: 1) Upon entering or exiting a patient room 2) When hands are visibly soiled 3) Before putting on and after removing gloves 4) After picking up or touching any potentially contaminated item 5) After using the restroom 6) After sneezing or coughing 7) Before/After meals
100
Name 2 process improvement projects in your department.
What are Program Development (i.e., nurse-facilitated group) and Processing of Belongings?
200
The 7 rights of medication administration.
What is RIGHT: Patient, Medication, Dosage, Route, Time, Documentation, Knowledge "Please Move Dirty Rags To Dirty Kitchen"
200
Staff members qualifed to interpret for patients
Who is Banner Certified Language Interpreters?
200
2 designated times where pain is REASSESSED
When is: 1) Patients without pain are reassessed Q8-12H 2) Patients with pain receive ongoing reassessement AND documentation Q4H and PRN 3) Patients are reassessed wihtin 1 hour after receiving PRN pain medication
200
3 evidence-based practices that we use to prevent infections
What is 1) Hand Hygiene 2) Contact precautions placed on patients with MDRO(MRSA) 3) Clean ALL shared equipment after each use with disinfectant wipe (Sani-Wipe/Bleach wipes)
200
Describe RACE
What is Rescue, Alarm, Confine, Extinguish
300
ROLE PLAY RUMBLE!!! DOUBLE POINTS! Describe to your "surveyor" how we manage medications from home at admission and discharge.
What is: -Special Cascade Pyxis -Secured bag signed by staff and patient -Special binder with document of home meds -At Discharge: Whether form is present in binder or not, Cascade pyxis is checked for meds from home. -Tracking sheet if meds taken while in hospital signed by nurse and patient.
300
Frequency of Behavioral Health treatment plan updates/reviews.
When is within the first three days of admission, then within the first 7 days, then every 7 days after that.
300
Where pain management is documented
Where is the MAR and IPOC!
300
The product used for cleaning an area contaminated by C. Diff.
What is Sani-Cloth Bleach?
300
The location of the Code Triage plan.
Where is Banner intranet, click BTMC links, then click on Disaster Response Plans
400
Methods used to determine which patients are most likely to commit suicide.
What is we utilize multidisciplinary assessments at time of admission with components to establish risk (ideation,plan, intent, preparation, prior attempts, protective factors, etc). Physician orders suicide risk level, evaluated q shift at minimum.
400
Frequency of IPOC updates.
When is Every Shift, with information to reflect changes in pt's condition
400
5 elements assessed when looking at a patient's pain
What is location, quality, duration, intervention, and response to pain.
400
Appropriate directions are found here for isolation precautions
What is Isolation Precautions Door Sign OR the Banner intranet under Infection Prevention and Control Department?
400
The reasons for calling 1-6666
What are Code Blue, Code Red, Code Gray and rapid response
500
2 high alert meds used in your area AND 3 ways to protect patients who receive high alert meds.
What are opiates and insulin? AND 1) Medications are double-checked by pharmacist prior to dispensing 2) Second Nurse verification 3) Perform 7 rights 4) Use 2 patient identifiers (Name and MRN) 5) Use of Barcode Medication Administration (BCMA)
500
The frequency of psychotropic medication consent form updates.
When is at admission and whenever a new psychotropic medication is added.
500
DOUBLE JEOPARDY!!! The process used to decide which prn med is used first when there is more than one ordered for the same indication.
What is First Logic? Review the MAR for most appropriate order related to purpose, time, max doses and clarify with physician if needed.
500
Name 2 ways you would know a patient being received from another area was on contact precautions.
What is 1) SBAR handoff communication 2) An icon will appear in the EMR with the order for precautions.
500
DOUBLE JEOPARDY!!! The product name, active ingredient, and drying times of these items:
What is 1. Super-Sani Cloth; NH3&alcohol; 2 minutes 2. Sani-cloth AF3; NH3, no alcohol; 3 minutes 3. Sani-Cloth Bleach; Bleach; 4 minutes
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