Quickies
Name 2 patient identifiers
Patient's full name and date of birth
What do the acronyms RACE & PASS stand for?
Remove, Announce, Contain, Extinguish or evacuate
Pull, Aim, Squeeze, Sweep
How do you clean a glucometer?
Use bleach to clean glucometers between each patient use and when visibly soiled
How do you verify a patient is who they say they are?
Using 2 forms of identification, usually Photo ID & Insurance Card
What is the expiration date on multi-dose vials?
If multi-dose vials (MDVs) are used, they must be labeled appropriately with the expiration date and must be discarded within 28 days after the first puncture unless the manufacturer’s package insert lists a shorter expiration
What is the Medical Center's Mission?
Caring, Healing, Teaching, Discovering
What is HIPAA?
Health Insurance Portability and Accountability Act (HIPAA) is a set of federal rules designed to protect the privacy of an individual’s health information.
Who is responsible for cleaning medical equipment in between use?
By the person removing it from the room unless its intended destination is a soiled utility room/area.
How do you know if a patient has an advance directive?
Presence of an Advance Directive is visible in the banner of the APeX record
How are Critical Test Results reported?
Critical test results are reported within sixty minutes to the responsible licensed caregiver who can act on the results
Name 2 National Patient Safety Goals
- Use 2 ways to identify patients
- Get important results to the right staff on time
- Reduce the risk of suicide
- Hand cleaning guidelines: 20 second handwash
What does IR stand for, and how do you submit one?
Incident reports can be submitted via CareLinks
How do you know medical equipment is safe for patient care?
Medical equipment should have an asset sticker from Clinical Technologies indicating that the equipment has been checked to ensure it is safe to use for patient care
What do you do if your patient needs an interpreter?
Contact Interpreting Services at 415-353-2690.
Or appointments scheduled in advance can be done through the on-line request form at the website: https://interpreterrequest.ucsfmedicalcenter.org
Medications Brought into the Hospital by Patients or their Families?
To protect the safety of the patient and the quality of care provided, medications used by patients will be provided by the UCSF Medical Center. The use of a patient’s own medication from home is prohibited unless deemed medically necessary.
When do you clean your hands with soap and water?
1) When hands are visibly dirty, contaminated, or soiled
2) After caring for a patient with C. diff
What does POCT stand for? And who can perform POCT?
Point of Care Testing - Only staff that have completed competency training and demonstrated proficiency specific to each test they perform.
What equipment is permitted to be in the hallway?
Only the emergency code cart and items in use are permitted in the hallway. Items in use include a PPE cart while a patient is in isolation, lift equipment, meal trays (while meals are being passed). Equipment plugged into an outlet or stored in the hallway is not permitted.
Name 3 ways to maintain patient confidentiality
• Only access the medical information necessary to do your job
• Refrain from conversations about patients in non-work areas
• Verify fax numbers and double check numbers before faxing
• Do not share passwords and log off if leaving the computer
• Before providing copies of medical records, ensure each page belongs to the patient
• Make sure electronic devices used for UCSF business (e.g., laptops, desktop computers, smartphones, tablets, external hard drives) are encrypted and password protected
• Do not take paper copies of PHI off-campus
How do I know if a physician has privileges to perform a procedure?
A link to “Privileges and Provider Competencies” is accessible on the CareLinks website.
Name 3 Standard Precautions
All USCF Medical Center employees must follow Standard Precautions as part of their daily routine. Standard Precautions include:
1. Hand hygiene at all appropriate times
2. Disinfecting surfaces and equipment between patient use
3. Use Personal Protective Equipment (PPE) (e.g., gowns, gloves, masks, N-95 respirators, eye protection) for reasonably anticipated contact with body substances or contaminated equipment
4. Safe injection practices
5. Respiratory Hygiene/Cough Etiquette
6. Using mask and sterile technique for lumbar punctures
If you have a concern regarding patient safety or any other issue that you have brought to the attention of your supervisor yet you believe the concern has not been adequately addressed, who do you contact?
*Hint: Both answers are Acronyms
The Joint Commission (TJC)
California Department of Public Health (CDPH)
How do you find instructions for equipment or devices used in clinic? (IFUs)
Carelinks or directly with the manufacturer
What are the Medical Center's Goals for FY22?
*Hint- these are also our TNB goals*
• Goal to Achieve Zero Harm
• The Patient Experience Goal is to create an exceptional experience for patients and families by improving performance
• The Financial Strength Goal is to lower our costs to achieve the 75th percentile among our Vizient peer group
How is the temperature monitored for medications stored at UCSF Medical Center?
Medications stored at room temperature are monitored 24/7 for temperature control via the electronic temperature monitoring system. Areas not supported by the electronic monitoring system have the temperature monitored and recorded manually once daily.