Service Excellence
This is filled out for each patient based on their own goals, preferences, and treatment needs.
Bonus point: Find one right now!
What is a Care Plan?
When you get together every few hours as a team to discuss patient care needs, delegate and discuss tasks, and ensure everyone is comfortable with their assigned tasks.
What is a Care Hub Huddle?
A patient tells you that they have previously had an anaphylactic reaction to strawberries, but this is not documented in their chart. With this information, you decide to...
Depends on your role!
What is inform a Regulated Nurse ASAP? What is update the allergy information on the chart? What is inform food services staff? What is ensure that this patient has an accessible EpiPen? What is place an allergy wristband?
If your nose is sticking out, you are wearing it wrong.
What is a medical mask?
This is the name of the falls risk assessment tool that we complete at this site.
What is the Schmid Fall Assessment Tool?
The three required onsite education courses that staff must attend at regular intervals are...
Bonus point: How often do staff attend each course?
What is BLS (Basic Life Support)? - attended yearly
What is Suicide Risk Assessment? - attended every two years
What is Nonviolent Crisis Intervention? - attended every two years
You are checking over a patient's orders from their Psychiatrist and you notice an order for Olanzapine 5.0mg PO q6h PRN for agitation. What is wrong here and what could happen as a result?
Bonus: Find a copy of the Do Not Use List of Abbreviations, Symbols, and Dose Designations!
What is a trailing zero? What is a 10-fold dose error?
5.0 may be misread as 50!
You can consult these sources of information if you are not sure about the side effects for a particular medication.
A patient reports they are concerned about how a medication's side effects are impacting their treatment goals. You decide to...
What is the product monograph on Lexicomp, the prescriber, the pharmacist, the drug guide on your unit?
What is document their concerns and notify the prescriber?
When your hands are visibly soiled, you should perform hand hygiene with this particular method.
What is wash with soap and water?
Suicide Risk Assessment is required during these times.
What is admission, discharge, before LOA, with any changes in mental status, changes in condition or stressors, changes in ability to self-regulate, and changes in illness course/response to treatment.
This recently added required My Learning Link course will provide information about culturally competent care.
Hint: This appears in your required certificates tab on My Learning Link
What is the Indigenous People in Alberta/Indigenous Sensitivity and Awareness eLearning course on My Learning Link?
Imagine this... After a long and restful vacation in Hawaii you return to the unit to find that several new patients have been admitted.
You are giving patient medications today. How do you verify a new patient's identity?
What is ask for two pieces of identification from the Approved Patient Identifiers list?
eg. ask them for their first and last name, full date of birth, patient full address, check patient photograph in MAR
Patients here do NOT wear a wristband which excludes the use of other verification strategies - (numbers and barcodes - ULI, PHN, MRN, identification barcode),
This category of medications has a heightened risk of causing significant harm when used in error.
Bonus: Give 3 examples of medication that fall into this category.
What is a High Alert Medication?
Examples: Insulin, Blood thinners, Narcotics are the most common. There is a HAM list with many more that are not likely to be seen in this setting.
Oh no! Your patient just tested positive for C-Diff! Make sure you communicate with Environmental Services because they have a cleaning protocol for times like these with this name.
What is sporicidal cleaning/sporicidal precautions?
Name 3 Universal Falls Precautions that are used for ALL patients regardless of their fall risk.
What is non-slip footwear, uncluttered/clean environments, snow removal, effective lighting, OT/PT assessment for mobility aids when needed, call bell within reach, access to glasses and hearing aids when needed
This legislation protects patient privacy by providing rules that health services must follow around the collection, use, and disclosure of patient information.
Bonus: Which ROL My Learning Link course about privacy and information security is required for completion every 3 years AND before accessing Connect Care?
What is the Health Information Act?
What is Info-Care: On Our Best Behaviours?
When generating a Best Past Medical History (BPMH) for a new admission, you need to use at least __ sources of information.
Who should be included as a source whenever possible?
What is 2 sources?
What is patient/family/caregiver recall?
You notice a sign in a patient's bathroom to wear PPE (gown, gloves, mask, eye protection) when handling soiled incontinence products or linens. They are likely taking this type of medication.
Bonus: Where do we find information about what PPE is required in these circumstances?
What is a hazardous medication (3 categories - known hazard, potential hazard, reproductive hazard)?
What is the Hazardous Medication list and PPE guide for frontline staff on Insite?
This type of risk assessment will help you decide what type of PPE is appropriate for a certain task. For example, you notice that a patient on isolation is really coughing and not very good at covering their mouth, and you need to get closer to ask them a question. You decide to don an N95 mask and visor before entering the room.
What is a Point of Care Risk Assessment?
This is where the most recent fall statistics are available for viewing by unit staff.
Bonus: Find this right now!
What is the falls binder that is on each unit?
This care philosophy promotes listening to the voice of patients and their family members, and including them as essential partners in their healthcare.
Bonus: Give an example of this type of care in practice
What is Patient and Family Centred Care? (PFCC)
What is... there are many possible answers - Care conferences with patient and family, Patient and Family advisors, acting on feedback from patients and families, updating the care plan to reflect a patients goals, allowing for patient choices about health services, Involving translation services
Name 3 types of transfers/transitions of care that occur for patients.
Why is it important that we share a standardized set of information at these times?
Standardized means we share the same information each time.
What is admission, transfer to another unit, transfer between shifts, transfer between doctors, and discharge?
What is improve team communication and patient safety?
"It usually includes, at minimum, the client’s full name and other identifiers, contact information for responsible providers, reason for transition, safety concerns, and client goals. Depending on the setting, information about allergies, medications, diagnoses, test results, procedures, and advance directives may also be relevant."
A nurse on your unit makes a medication error. AHS Principles of Just Culture and Disclosure of harm during an adverse event (in addition to Regulatory bodies' professional standards & code of practice) means that this nurse should communicate that this error occurred to...
What is the patient, guardian/family/caregiver as appropriate, prescriber, RLS reporting system, other staff members as needed for continuity of monitoring or preventing error in the future?
Oh no! Its Saturday night and you just looked at the lab results for 2 isolated patients to find that they are both COVID-19 positive! What specific information source(s) should you consult to determine next steps?
What is the Acute Care Outbreak Manual? What is Infection Prevention and Control on call?
These are types of safety monitoring and treatment that patients at a moderate or high suicide risk may receive (based on multiple factors including clinical judgement of nursing or Psychiatry).
What is increasing frequency of observations, decreasing privilege level, removing dangerous items including medications, appropriate PRN use if indicated, encouraging coping skills, clear communication with all team members, documenting interventions in a safety plan and patient record, transfer to acute care.