Environment of Care
These should always be clear, accessible, and free of clutter/equipment.
What are hallways, doorways, emergency exits, and fire pull/extinguishers/medical gas shutoff?
This is performed by all before and after patient care, prior to contact with potentially infection material, and after removing gloves for any reason.
What is Hand Hygeine?
These cannot be unlabeled unless the medication to be administered immediately
What is a syringe?
Before providing care to a patient, you must verify that you have the right patient using two of these.
What are patient identifiers?
These cannot be allowed into patient care areas or clean storage areas.
What are cardboard boxes.
This should be used to ensure instruments are kept free of bio burden by pre treating after surgery in OR and prior to transporting to CPD.
What is enzymatic?
This must not be left in view in public areas.
What is PHI?
There are five of these to ensure safe medication administration.
Can you name all 5?
What are the five rights of medication administration?
Bonus: right patient, right drug, right dose, right route, right time
All staff must wear one, visible and above their waste.
What is an identification badge?
It is essential that these are not filled passed their full indicator lines.
What is sharps containers?
These are used for all instruments, light cords, cameras, etc when transporting from OR to Decontamination.
What are biohazardous closed, puncture proof containers?
Before we provide any type of care to patients, patients must read and sign this document at the time of their procedure.
What is the Surgical Consent?
This sheet explains how the thermometer that monitors the temperature of the medication refrigerator functions.
Bonus: Where is it located?
What is the med fridge thermometer IFU?
Bonus: Side of med fridge
This project to enhance documentation and ensure required information is included in charts for Medicare local coverage determinations will ensure TSC is not accused of committing CMS fraud.
Bonus Question: Where can this information be located?
What is TSC 2022 PI Project?
Bonus Answer: Badge Buddy or Glass case in hallway near PACU
The amount of wet contact time observed for surface disinfectants used for OR room turnover at TSC.
Bonus Question: Where can this information be found?
What is 1 min?
Bonus answer: Cavi Wipe container
All of these, are either accessed and labelled outside the patient care area or dedicated to a single patient and must be disposed of after 28 days after opening.
What are multi-dose vials?
Arthroscopy, pain procedures, incision and drainage, and total joints are all examples of some procedures that require obtaining this from the patient before the procedure is performed.
What is informed consent?
These carts/containers must be able to be locked.
What are any item with sharps, meds syringes, controlled substances, or hazardous supplies: emergency carts, sharps/med waste containers/anes carts/narc boxes/block carts
Doing this process before starting a patient procedure is important to identify any missing information, and prevent errors.
Bonus questions: What are all the elements of this process?
What is a time-out?
Bonus Answer: correct patient, birthdate, correct procedure and site that match consent, surgical site is marked and visualized, sterile indicators confirmed, relevant imaging correctly displayed, special equipment/supplies/implanted confirmed, allergies, antibiotic prophylaxis given, potential fire hazard, yes= refer to fire risk assessment.
This specific height in which nothing can be stored from the ceiling.
What is 18 inches?
This process should be used to disinfect medical instruments that cannot be passed through an autoclave machine.
What is high level chemical disinfection?
What is pre-op assessment, intraoperative nursing record, H&P, OR white board?
If medications on this list are given to a patient at our center, specific precautions must be taken, because they have a higher possibility of causing harm.
What is the "high alert medication list?"
The two acronyms and their meanings in the event of a fire.
Bonus: Where can you find this?
What is RACE: Rescue, announce, confine, evacuate
What is PASS: Pull, Aim, Squeeze, Sweep
Bonus: Badge buddy