National Patient Safety Goals (NPSG's)
What are two acceptable patient identifiers
(Moderate-Widespread Finding)
Date of Birth & Full Social Security Number. (NPSG.01.01.01 EP 1)
What is the best thing you can do to stop the spread of infection?
Hand Hygiene!
What is a Near Miss?
Any process error that could have resulted in harm to a patient, a visitor, or staff, but through chance or timely intervention, did not reach the individual
When is a time out done?
Before the procedure
This is what you wear to protect yourself from job hazards and is commonly known as PPE.
What is Personal Protective Equipment
What are critical test results?
(High-Limited - High Risk Finding)
Require timeliness of reporting and receipt by the provider. (NPSG.02.03.01 EP 1,2,3)
The “Panic Value” will be reported preferably to the patient’s physician, but if the physician is not available, the nurse will document the abnormal test result and will immediately attempt to contact the patient’s physician. If the patient’s physician cannot be reached in a timely fashion, the nurse will notify the appropriate Service Chief or designee (e.g. Surgery, Medicine, etc.) to obtain emergency orders. The Testing Personnel will note on the laboratory report who was notified, the time and date, and the Testing Personnel who gave the report using the Critical Test Result Verification Template
When do multi-dose vials expire?
28 days from day of opening or manufacturer’s date (whichever is sooner)
What is a Sentinel Event?
Unanticipated death or major permanent loss of function, not related to the natural course of the patient’s illness or underlying medical condition
What should medication documentation include?
Documentation will include drug, dose, time, route of administration and signature or verified initials of person administering the medication. Injection sites will be documented as appropriate;
What does RACE stand for?
Rescue, Alarm, Confine, Extinguish
The emergency response for a fire
Where can you find information Suicide Prevention for SLVHCS?
SLVHCS Intranet home page to the right six from the bottom.
How often should temperature and humidity logs in the supply room be checked?
Every day
What is an example of a suicide risk in the environment?
Both Sharps and Ligature risks: Examples include: door hinges, hooks, mirrors, glass picture frames, linen, cords, EVEN GAUZE! Shower rails, pipes radiators, bedsteads, window, door frames, ceiling fittings, wall fixtures, soap and paper towel dispensers, plastic bags, electrical outlets, chair that's not weighted, unlocked carts (anything someone can use to hurt themselves)
ASK YOURSELF: What could I hurt myself on?
What is medication reconciliation?
Reviewing and comparing patient medications on admission, transfer or discharge
What does PASS stand for?
Pull, Aim, Squeeze, Sweet! To extinguish a fire!
What are the steps to follow if a Suicidal Veteran presents in person?
What is the difference between "Critical," "Semi-Critical" and "Non-Critical" devices?
Where do partially used oxygen tanks get stored?
Partially used oxygen tanks are stored in the soiled utility room.
ONLY unused oxygen tanks are stored in clean supply rooms.
Patient goals should be a part of what?
The written plan of care is based on the patient’s goals and the time frames, settings, and services required to meet those goals.
Note: For psychiatric hospitals that use Joint Commission accreditation for deemed status purposes: The patient’s goals include both short- and long-term goals.
What can you not block in an area?
Any means of egress (exit)
A fire extinguisher
What do you do if a non-enrolled Veteran presents to SLVHCS for an urgent/crisis mental health concern:
DO NOT send the Veteran to Eligibility. Instead, contact Eligibility and they will send a representative to the patient to assist in enrolling him/her.
What is the new name we use for "Special Contact Precautions" for a patient with C.diff?
Contact Plus Precautions. The name Special Contact is no longer used at SLVHCS
What is a Ligature Risk?
A ligature risk (point) is defined as anything which could be used to attach a cord, rope, or other material for the purpose of hanging or strangulation. Ligature points include shower rails, coat hooks, pipes, and radiators, bedsteads, window and door frames, ceiling fittings, handles, hinges and closures.
What to do if you get a needlestick injury?
Needlesticks report to either the ER or Employee health (regardless if they are CWT, Contract, Veteran, Volunteer or Employee)
This sheet is loaded with important information re: chemicals and commonly called by it’s abbreviated name
What is an SDS
(safety data sheet)?