Precautions
This is the number one way to prevent the spread infections.
What is Hand hygiene (hand washing, hand sanitizing)?
Device used to keep a urinary catheter in to decrease movement and prevent infection.
What is a urinary catheter securement device?
This day of the week when central line dressings are changed in the hospital.
What is Wednesday?
Two independent nurses are required to sign-off or badge tap as part of this process for selected medications on the high alert medication list. This includes verifying the patient, drug, dose, concentration, rate, route, infusion pump programming, appropriate lab values/vital signs, and time of administration.
What is an Independent Double Check / Dual Signature?
To call a code violet, dial this from any hospital phone
What is #2888?
These safety behaviors are used to prevent patient harm.
What is ... ARCC it Up, SBAR, 3-Way Repeat Back, Phonetic Numeric Clarify, STAR, Stop When Uncertain, Validate and Verify, Cross Check, Coaching ?
This is the number of days to send acknowledgement letter.
What is 7 days?
The primary court proceeding conducted to answer questions about an individual’s knowledge of a safety incident.
What is Deposition?
This is the acronym for spotting signs of a stroke.
What is BEFAST? Balance... Eyes... Face... Arm... Speech... Time
There were this many Total blood products issued at Lourdes in 2022.
What is 2789?
These are the minimum infection prevention measures that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in every setting where healthcare is delivered.
What are standard precautions?
This occurs when 2 health care workers are present during the insertion of an indwelling urinary catheter (foley) to aide in the identification of breaks in aseptic technique and documentation in the EHR.
What is the "buddy system"?
This is included on all IV tubing labels communicating when the tubing was changed.
What is a date?
Certain high alert medications for patients less than this age will require a nurse independent double check prior to administration.
What is 18 years old?
A report is entered in this application on BSMH Central when a patient is verbally abusive.
What is Safecare?
Application on BSMH Central where Near misses and Good Catches are recorded.
What is SafeCARE?
This is the number of days to send a resolution letter.
What is 30 days?
The most commonly found error when reviewing an incident during litigation.
What is Missing or incomplete documentation?
This is the number one reason a patient falls.
What is going to the bathroom?
When given one platelet pheresis the patient should have an increase platelet count by _______.
What is 30-60,000?
PPE that is worn upon enter to a patient's room in "Contact or Contact Plus" Isolation Precautions.
What is gown and gloves?
These are alternative methods for urinary management that prevents the need for an indwelling urinary catheter (foley) insertion and reduces the risk of infection for patients.
What are ...bedside commode...urinal...incontinence garments to manage incontinence...timed toileting ...bladder scan prior to intermittent straight catheterization...external urinary catheters...use of scales for assessment of urine volume...
When the patients is receiving a continuous infusion the IV administration set in use is replaced no more frequently than every 96 hours but at least every 7 days. (excluding blood, blood products or fat emulsions infusions)
What is how frequently to change a primary and secondary continuous IV administration infusion set (IV tubing)?
This electrolyte infusion requires a dual signature review/badge tap by two independent nurses for doses greater than or equal to 4 grams.
What is Magnesium infusion?
When workplace violence occurs, it should be report to ___________.
What is Charge nurse or house supervisor?
True or False: a SafeCARE can be entered directly from EPIC.
What is TRUE?
She is the patient advocate for Lourdes Hospital.
Who is Cat Hovis?
The name of the process of gathering information on an incident during litigation.
What is Discovery?
When a patient falls a set of __________ need to be documented in the EHR.
What is vital signs?
The current platelet transfusion guideline is _________on a patient receiving an invasive procedure.
What is <50,000?
This Isolation is ordered when a patient is admitted when with concerns for Tuberculosis.
What Airborne IIsolation Precautions?
These are elements of the CAUTI Prevention Maintenance Bundle.
What are...Catheter Care with soap and water at least every 12 hours and after every bowel movement and PRN...A continuous, closed (sealed) drainage system... Securement device in place... Tubing without kinks or dependent loops using the sheet clip... Collection bag is positioned below the level of the bladder to facilitate drainage ... Collection bags emptied at least every 8 hours and PRN when move than half full.
These 2 things are included on the central line dressing, communicating when the dressing was changed.
What are date and initials?
These IV solutions are restricted to stocking in the inpatient pharmacy or areas where delays in administration could harm a patient (e.g. cardiac bypass).
What are concentrated electrolyte solutions?
The name of the de-escalation program used.
What is CPI?
This is when a Rapid Response be considered.
What is anytime caregiver is uncomfortable with the status of the patient; Shortness of breath/Respiratory Rate, Exertional Dyspnea; Chest Pain/Unstable Angina/Pulse Rate/Palpitations; Low SpO2; Bleeding/Suspected bleeding; Hematemesis; Mottling/Diaphoresis/Pallor; Generalized Allergy Symptoms; Uncontrolled or new pain; Mental Status Change/New onset restlessness, confusion, agitation; Change in level of consciousness; Seizures; Low or High blood pressure; Low or high glucose; Change in EKG; Fever or hypothermia; Threat of suicide or attempt; Poor urine output; MEWS score/PEWS score.
A concern that is resolved while a patient is still here.
What is a complaint?
The estimated national incidence rate per week for wrong-site surgeries, including wrong patient, wrong procedure, wrong site, and wrong side.
What is 40 per week?
When a patient or visitor presents coughing or sneezing you should offer a mask, educate and encourage frequent _____________.
What is Hand Hygiene?
This transfusion guideline states a stable patient should be transfused when the Hgb less than 7.
What is the RBC transfusion guideline at Lourdes Hospital?
PPE that worn upon enter a patient's room in "Droplet" Isolation Precautions.
What is a mask?
When collecting a urine specimen from a patient with an indwelling urinary catheter (foley) that has been in place for 3 or more calendar days, the catheter is removed and replaced as indicated prior to the aseptic collection of urine from the sampling port of the device.
What is UTI Evaluation in a patient with an urinary catheter?
The central line dressing, tubing and end caps are changed for all patients presenting with a central line on arrival within ____________ of admission and documented in the EHR.
What is 24 hours of admission?
This oral antineoplastic/chemotherapeutic agent generates a warning in EPIC for providers and verifying pharmacists if ordered more than weekly.
What is oral methotrexate?
In 2017, the Bureau of Labor Statistics reported this percentage of workplace violence is against women.
What is 70%?
This is when the hypoglycemia protocol is implemented.
What is when a patient’s blood sugar is less than 70?
A patient calls with concerns about their care after they have discharged.
What is a grievance?
The most commonly litigated safety incident in hospitals.
What is HAPIs- Hospital Acquired Pressure Injuries?
This policy is located on BSMH Central, provides guidelines for healthcare workers who insert, manage, maintain and/or remove central venous access devices (CVAD) within a BSMH hospital.
What is "Adult Central Venous Access Device: Care and Management"?
Lourdes Massive Transfusion Ratio is ____________.
What is 4:4:1?
Eye protection (goggles or face shield), procedure mask, gown and gloves is worn in a patient's room who is in this Isolation Precaution.
What is "DROPLET PLUS" precautions.?
The protocol using an assessment/reassessment of the indwelling urinary catheter (foley) by the nurse where the catheter no longer meets indication for use and the catheter is promptly discontinued.
What is nurse drive foley catheter removal protocol?
The purpose and need for central line is documented every ________ . When no longer essential, the provider is consulted for an order to remove any unnecessary lines as soon as possible.
What is every shift and prn ?
These infusions, in addition to medication infusions, are required to be administered using Guardrails in the Alaris pumps.
What are IV fluids?
Ask a question, make a Request, voice a Concern, use Chain of command forms this acronym.
What is "ARCC" it up?
The name of the Act that protects reporting of patient safety events during litigation.
What is PSQIA- The Patient Safety and Quality Improvement Act of 2005?
Computer key boards and telephones have more ______ on them than Public toilets
What are GERMS?