Process Improvement
Medication
Staff Safety
100

Name one process improvement project your unit has been involved in.

QBL - QBL in vaginal deliveries is a project we started this year and continue to work on and improve.

100

2 patient identifiers

Name and DOB

100

Are you fit tested?

If you cannot tell TJC "Yes" then call workplace health ASAP to schedule an appointment
200

Name one process improvement project your unit has been involved in this year.

Malignant Hyperthermia - we have always had a MH cart and 5th floor staff complete MH training annually online.  For 2023 we have taken a more hands-on approach with discussion and demonstrations during our annual competency this last spring.  

200
Interval for pain reassessment

What is within 60 minutes after interventions?

- Document reassessments via the MAR not INET to keep timing consistent

200

State procedures for staff blood exposure.

What is follow flow chart?

- call hotline

- Draw staff labs

- Draw patient labs

300

One method St Luke's uses for PI Projects on the unit level.

What is Kaizen?

300

Describe the process for narcotic waste

What is 

- Find another RN 

- Pull the med

- Witness in pyxis

- Draw up the med to be wasted and waste in the charcoal container

- Take med to be given to patient in the original vial to the patient's bedside for administration.


300

Steps during a Code Silver

What is Run, Hide, Fight?

M
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