Ready Every Day
Prevent the Fall
Recognize & Escalate
Stop the Infection
Documentation Matters
100
The service used in the event the patient you are communicating with does not speak English.

What is Interpreter Services

100

For patients identified as High Fall Risk, this intervention should occur at least every two hours.

What is supervised toileting

100

This team should be activated when a patient's condition is deteriorating but the patient still has a pulse.

What is the Rapid Response Team?

100

This simple practice remains the most effective way to prevent the spread of infection.

What is hand hygiene?

100

After administering pain medication, this assessment should be documented within one hour.

What is pain reassessment?

200

This reporting system should be used when there is an allegation of sexual misconduct involving a patient. 

What is KEEPSAFE?

200

Following a patient fall, this interdisciplinary discussion helps identify contributing factors and opportunities for prevention.

What is a post-fall huddle?

200

Following a Code and Rapid response, the recorder is responsible for completing this Epic documentation tool.

What is Code/RRT Narrator?

200

Before accessing a central line, this infection prevention practice must be performed at least 10seconds

What is scrubbing the hub?

200

This document outlines individualized patient goals, interventions, and outcomes and should reflect the patient's current condition.

What is the care plan?

300

A patient falls and strikes their head. Following the event, these assessments are performed every 15 minutes during the initial monitoring period for at least an hour

What are neurologic (neuro) checks?

300

A patient develops fever, hypotension, tachycardia, and altered mental status. This life-threatening condition should be suspected.

What is sepsis?

300

A patient agrees to receive CHG later in the shift. This is not automatically considered this.

What is a refusal?

300

Before, during, and after administration of blood products, this documentation must be completed to ensure patient safety.

What is blood transfusion documentation?

400

During an active shooter event, these three actions should be considered in this order

What is avoid, barricade, & confront (ABCs)

400

A patient falls while ambulating to the bathroom. The patient is assessed, the provider is notified, neuro checks are initiated, and a post-fall huddle is completed. What important action is still missing?

What is entering the event in KEEPSAFE?

400

Epinephrine was given at 14:02, defibrillation occurred at 14:05, and ROSC was achieved at 14:11. This role is responsible for capturing those times during the event.

What is the recorder?

400

The benefit of handwashing with soap and water for C. difficile is not the soap itself, but this mechanical process that helps remove spores.

What is friction?

400

A patient with limited English proficiency receives education regarding restraints, blood transfusion, or medications. Surveyors may look for documentation in this section of the chart to verify effective communication.

What is Interpreter Services documentation?

500

One verifies that emergency equipment appears intact and ready for use, while the other confirms functionality through hands-on testing.

What are daily visual checks and weekly manual checks?

500

A High Fall Risk patient is assigned to a double-doored room. The patient is not on telesitting and does not have a 1:1 observer. According to the new practice alert, this intervention is required.

What are 30-minute care rounds?

500

During hourly rounding, you enter a patient's room and discover the tracheostomy tube has become completely dislodged from the stoma. The patient appears to be in respiratory distress and requires immediate intervention.

What is a tracheostomy decannulation?

500

During interdisciplinary rounds, this question should be asked daily to help prevent CAUTI.

What is "Does this patient still need a Foley catheter?"

500

A Code or Rapid Response event has concluded, but the documentation workflow remains active. This final step is required to close the event and maintain data integrity.

What is ending the event/narrator?