Pressure Injury Prevention & Privacy
Engaging clients and families in preventing PI.
What is day-to-day PI prevention discussion with high-risk clients and families?
Three stages when medication reconciliation occurs during inpatient stay.
What are:
1. On admission/readmission?
2. On urgent/emergency transfer?
3. At discharge?
Legislative requirement and the department at HB that addresses client and family concerns.
What is The Excellent Care for All Act and the Holland Bloorview Client and Family Relations (CFR) department?
Finish the statement: “Speak up for safety…If you see something, ___________!”
What is "Say something".
The most effective (and least expensive) way to prevent transmission of infection.
What is good hand hygiene?
ROP: Name the organizational safety initiative involving pressure injury prevention.
What is Caring Safely?
Examples of advancing medication safety at Holland Bloorview.
What are:
1. Implementation of Bedside Medication Verification (BMV) bar code process?
2. ENFit enteral tube connector system implementation?
3. Expansion of Omnicell automated dispensing cabinets?
Name one of the methods of engagement for clients and families in transition planning.
What is the discussion of goals/process and options with client and family, home programs, documented transitions and discharge information, or rounds and transition meetings?
ROP: Where do staff report safety events?
What is Meditech? (Click on the “caution” symbol/icon located in the bottom right corner of the screen).
Who is responsible for preventing and controlling infections at Holland Bloorview?
Who is Everyone? We all play a part!
How does Holland Bloorview protects client's privacy.
What are:
1. Obtaining client consent for collection, use, and disclosure of PHI?
2. Discuss PHI in private areas?
3. If breach occurs, report to Privacy Analyst?
Clients and families engaged in enhancing medication safety.
What are:
1. "Understanding your role in safety: Clients and Families" included in inpatient welcome package transition passport?
2. Partners in medication reconciliation process?
3. Partners in education and training with the interprofessional team?
Information provided to clients and families when transitioning from inpatient unit to other care setting.
What are:
1. Patient Oriented Discharge Summary (PODS)?
2. All documentation available on connect2care?
3. Discharge reports faxed to community treatment centers (CTCs)?
4. Family team meeting with community partners?
Name a method that teams use to identify and discuss safety risks.
What are: incident reports for near misses, audits (pressure injuries, hand hygiene), monitoring areas, quality safety huddles (weekly on the unit and monthly on the second floor), leadership daily safety brief ?
Two methods of hand hygiene.
What are Soap and water, and alcohol-based hand rub?
List a step in the process if a pressure injury is identified.
What is contact the client's nurse/physician as well as caregiver, provide education on pressure injury prevention, or assess risk with Braden QD?
Fact: the Braden QD is completed on admission, re-admission, every 30 days and if there are any changes.
Number of Required Organizational Practices (ROPs) related to medication safety.
What are 8 ROPs (Medication reconciliation, infusion pumps, concentrated electrolytes, high alert medications, do not use list of abbreviations, antimicrobial stewardship, heparin products, and narcotic management)?
How clients and families are engaged during the transition planning process when receiving ambulatory services.
What are:
1. Transitions & Life Skills team referral?
2. Bridging to Adulthood?
3. Community Life Skills?
4. Youth Employment Pathways Program?
5. Youth Mentorship?
What are 2 examples of error prevention tools used to mitigate high risk activities?
What is:
-SBAR (situation, background, assessment, recommendation)?
-Stop, think, act, review (STAR)?
-"repeat-back, read-back", team member checking eg. double checks?
Name 3 types of Personal Protective Equipment (PPE), that you might use.
What are Gloves, gown, mask, eye protection?
Strategies to prevent pressure injuries (PI).
What are:
1. Regular training and education in PI prevention and treatment for Rehab/CCC team?
2. Completing biweekly PI audits on high-risk patients?
3. Distributing PI prevention pamphlets to clients and families?
List a step taken if a client/family note a change in their medication.
What is inform nurse/physician, medication history documented/review with client and family, medication reconciliation if required, or medications are documented up to date for the next care provider?
Give 2 examples of how we monitor client experience.
What are Post discharge and post transition follow-up methods (e.g. phone calls), Client Experience Surveys, Compliments and Complaints process, Family Advisory Committee?
How Holland Bloorview monitors workplace violence.
What are:
1. Staff-reported WPV events in Meditech (client action/aggression, aggression/violence non-client).
2. Trends and safety data monitored at the monthly Joint Health and Safety Committee and weekly Rehab/CCC huddle, and Daily Safety Brief.
List mental health support resources provided by Holland Bloorview for staff.
What are: Employee and Family Assistance Program, Mental Health and Wellness Hub on HB Connect, Stress First Aid Training, Spiritual Care Services, and expanded benefit plan coverage?