Medication
CSMC Policy
Core Measures
People
6 South Specific
100

Patient Name

MRN

Date of Birth

What are patient identifiers?

100

The acronym SKATE is used for this code

What is code RED

100

Provided to patients and families prior to discharge

What are discharge instructions?

100

Medical Director of 6 South

Dr. Michelle Hamilton

100

Frequency every staff member is responsible for reading their emails

What is once every shift at work

200

Must be documented within 60 minutes of administration

What is a pain reassessment?

200

Notification time that One Legacy referral needs to be notified

What is within 1 hour

200

Time it takes for Sani-Wipe Cloths to dry

What is 2 minutes?

200

Executive Director of Critical Care Services

Who is Todd Griner

200

Quiet time hours for 6 south during dayshift?

What is 3-5pm

300

White/Blue Bin

What is IV Medication disposal bin?

300

Housewide goal timeframe that patient transfer should be completed within

What is less than 45 minutes?

300

Frequency CP's and RN's need to collaborate during the shift to ensure that all patient needs are being met

What is every 4 hours?

300

Dr. Vidang Nguyen

Dr. Andriana Nikolova

Dr. Gaurang Vaidya

Who are the heart failure fellows?

300
Frequency ACLS and BLS needs to be renewed?

What is 2 years

400

Not wasting full dose in Pyxis

No returning narcotic in pyxis

Not documenting administration in MAR

No Narcotic Handoff

What are common narcotic discrepancies?

400

Hospital initiative form to be used for when patients have opioid overdose

What is Post Narcan Rescue tool?

400

3 Different Ways to prevent a CLABSI

What is Hand hygiene

CHG Daily Bath

Aseptic Dressing Change

Scrub The Hub

CUROS Caps

Line Necessity Review

Cap/Tube change

Shaving Beards

400

David Marshall

Who is the CNO

400

Location of 3rd crash cart on 6South?

What is the 6SE clean utility room

500

This medication must be administered and documented within 30 minutes of checking

What is lispro insulin?

500

3 Reasons why you may do a MIDAS

What is an RRT

Code Blue
Clode Brain

Behavioral Issue

Communication Issue

Dr. Strong

Fall

Etc.


500

-Pain Control

-Room Clean

-Quiet at Night

-Communication about medications

-Discharge Information

-Responsiveness of Staff

-Communication with Nurses

What are HCAHPS metrics?

500

CEO/President of CSMC

Who is Tom Priselac

500

Location to document the MCS/Heart Transplant Bundle

What is pre-op checklist