Documentation
List one example for the use of a certified interpreter
1) Consents
2) Discussion of plan of care
3) Explaining diagnosis
What can be stored beneath sinks?
Nothing
How many surveys did we have in 2024
19 surveys!
What are the 3 concepts of Building Connections
1) Be Present
2) Suspend Judgement
3) Practice Touch
7/9/2024
What time is "Daily Weights" completed on the unit?
True or False: The caps covering the eye wash are removed by hand before activating the water flow.
False! The eye wash caps must be dislodged by the flow of water, never remove the caps by hand.
When is EHMC open for another Joint Commission survey?
January 5th, 2026
What is the Focus of the Month for March?
"WOW" Moments
How many HAPIs were found during our 1st quarter skin survey?
Zero!
What is 3MS's Barcode Medication Verification percentage for 2024 and 2025?
2024 - 97%
2025 - 96%
How often do we change a PICC or Midline dressing?
- every 7 days
- Dressing is visibly soiled
- Dressing integrity is compromised
- When gauze was used in the initial dressing - needs to be changed in 24 hours
How often are patient's turned to prevent pressure injuries?
Q2H
What was 3MS overall Patient Satisfaction score for 4th quarter 2024?
66.7%
Name one of the top three longest tenured employee on 3MS.
Masae Gaeta (1998)
Clare Sacoy (1998)
Maria Carranza (1996)
Do we still use fall magnets, yellow armbands for patients at risk for falls?
No!
What do we test for if a patient has soft stool for the first three days of admission?
Test for c. diff.
What is ONE reason a translator is used if a patient's primary language is not English?
- Education
- Consent
- Discharge Instructions
What is Emanate Health's goal for overall patient satisfaction?
75% or better!
When does EHMC full survey window start?
October 14th, 2025
How often are care plan outcomes updated?
Every shift
3 total HAIs
September 2024 - (1) NF-UTI, (1) Blood Stream Infection
November 2024 - (1) Blood Stream Infection
List 2 out of 4 reasons when we are required to take pictures of wounds, pressure injury, abrasions, bruising, etc.
- Time of admission,
- Transfer, Discharges
- Change in wound condition
- Once weekly
List one of the three focus areas to improve our patient experience.
1) During this hospital stay, how often did nurses treat you with courtesy and respect?
2) During this hospital stay, how often did nurses listen carefully to you?
3) During this hospital stay, how often did nurses explain things in a way you could understand?
3MS had how many patient falls in 2024?
4 total falls for 2024.