Regulatory & Quality
Policies
ACRONYMS
Rounding
Patient Care
100

Privacy

What is HIPPA?
100

At least 2 hours before the start of your shift

When should you notify the CTM about an absence?

100

DSO

What is the Director of Shift Operations?

100

Pain, Potty, Position, Periphery, Pump

What are the 5 P's?

100

Every 2 hours 

How often should patients be turned?

200

Accrediting organization for hospitals

Who is The Joint Commission?

200

Hoodies, non-UH branded items, fleece, winter coats

What are prohibited jackets in the dress code?

200

CTM 

What is the Clinical Team Manager?

200

Hourly during the day and q2 at night

How often do you round on patients?

200

This key should stay at bedside

What is the key for mechanical restraints?

300

Examples include CLABSI, CAUTI, Falls, Pressure Injuries

What are hospital acquired conditions?

300

Reading, social media, texting, shopping, watching movies, school work

What are things you cannot do while sitting 1:1?

300

PSE

What is Patient Safety Event?

300

"Let me help you to the bathroom, I have the time"

What is an example of addressing potty in the 5 P's?

300

Intake and Output, restocking rooms, filling water pitchers, emptying trash prn

What are tasks that should be completed every shift?
400

Corporate compliance modules, annual skills

What are annual education requirements?

400

Unprofessional, disruptive, and inappropriate. Interferes with operations, discredits UH, is offensive to peers or patients.

What is inappropriate conduct?

400

BERT

What is the Behavioral Emergency Response Team?

400

White board

Where to sign off on hourly rounding?

400

B/P, Pulse, RR, Temp, O2 sat

What are vital signs?

500

MRN, birthday, name, photo

What are examples of protected health information (PHI)?

500

Green wristband & green gown

What are elopement precautions?

500

EPSM

What is Enhanced Patient Safety Measures?

500

Verify the bed alarm is set

What should be done for fall risk patients?

500

High BP, Low BP, Hypoglycemia, Fever, High HR, low HR, High Resp, Low Resp

What are abnormal findings that should be reported to the nurse immediately?

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