IPAC
This is where you will find your unit's hand-hygiene compliance rate.
What is the unit Huddle Board, your manager or IPAC
I have been involved in a quality improvement initiative and it was...
What is:
Development of checklist or other tools used on the unit to support practice
Tracking FIM completion/MDS
Updating unit protocols when we moved to the new building
Ensuring patients receive the right treatment is one of the reasons we do this.
What is checking for two patient identifiers, even for long stay patients too
Some ways you can communicate with patients that have a language barrier include:
What is:
911 Interpreters
In person translation
These are the dates of our Accreditation Survey.
What is November 18 - 20, 2024
These are the ways you know what PPE to wear when you go into a patient's room.
What is notification on the PRSM, the sub station whiteboard
I contribute to safety on my unit by...
What is:
Participating in huddles
Speaking up when I see a safety concern
Filing an incident report in STARS for safety events and near misses
Performing safety checks
This type of patient identification can only be used on CCC, LTV, ABIBS, GFES and at the Gage Transition to Independent Living
What is Facial Recognition and Photos with MRN numbers
We engage patients and families in their care by...
Involving in patients/families in care planning, discharge planning (family conference, teaching)
Patient and family education
Encouraging them to become a patient and family advisor
This is the response to provide the surveyor if you do not know the answer to a question posed by a surveyor.
What is:
I'm not sure, but I could search on The Hub for information or speak with my manager/nurse educator, IPAC coordinator, etc. (depends on topic!)
These are what are known as the "Four Moments of Hand Hygiene"
What is
1. Before your encounter with the patient
2. Before an Aseptic Procedure
3. After Body Fluid Exposure
4. After your patient encounter
When there is a safety incident on my unit, this is the process that is followed.
What is:
Stabilize the patient
Submit at STARS report
Information my manager and share with team (huddles, TOA, etc)
Debrief
Manager loopback (if appropriate)
In our new building, this is one way the organization communicates with staff.
Announcements on the digital display monitors.
During transitions in their care we involved patients and families by...
What is:
providing the Patient Oriented Discharge Summary (PODs)
providing education and information at discharge
inviting families and patients to provide feedback on their stay at West Park (patient surveys)
The Braden scale measures a patient's risk for this type of injury.
What is pressure injury
These are two hand hygiene methods. One is a recommended method and the other is used when this happens.
What are:
Hand sanitizer - the recommended method
Soap and water - when hands are visibly soiled
Training related to patient safety is important at West Park. I have received the following training...
What is:
Annual e-learning modules on fire safety, IPAC, privacy, Workplace Violence and Harassment
New employee orientation
Code training
Orientation to the new building, new equipment and new processes
West Park follows some of these practices to optimize patient flow.
What is:
Provide discharge dates as soon as possible to patients and families
Work with patients and families to plan and coordinate discharges
Be ready for same day and weekend admissions
Communicate barriers to patient flow during daily huddles
When there is disagreement or uncertainty between team members or the team and patient and family these are the steps that we take.
What is:
Talk to the team, bring the manager into the discussion, refer to a social worker, explore the ethics framework, engage the ethicist if needed
This is one of the four Risk Assessments that West Park MUST demonstrate that we provide to our patients.
What is:
Falls Prevention and Injury Reduction or
Skin and Wound Care or
Pressure Injury Prevention or
Suicide Prevention
You can be sure that equipment is appropriately cleaned or disinfected when...
what is:
Signs identifying clean and dirty equipment
If I am not sure I wipe it down again
Critical items (dressing trays/scopes) are reprocessed in MDRD and will be identified
You will find West Park's Quality Improvement and Patient Safety Plan here.
What is The Hub (specifically on the Quality and Patient Safety page)
We ensure patients and families have been given the information needed at care transitions by doing the following...
What is:
Providing patient experience survey
Provide education and training prior to discharge
Provide a discharge package or use the patient oriented discharge form
Document discussions of the transitions
These are the ways we can support patients to voice complaints or provide feedback.
What is:
Listen and provide support, resolve if we are able, provide contact information for the manager or the patient experience coordinator.
Encourage patients to complete their discharge survey.
A surveyor asks "what do you like about working at West Park?" How would you answer?
Job satisfaction is a topic that the surveyors may ask about.