Restraint and Seclusion
Restraint/seclusion use is only to be used to ensure the safety of the patient, team member, or others and when less restrictive interventions have been determined to be ineffective.
What is the CHCO philosophy on restraint and seclusion?
What is 60 minutes/1 hour?
What is one example of a way in which maintain patient safety on our unit?
What is...
precaution level, bathroom monitoring, locked unit, delayed egress, 15 minute checks, patient belonging searches.
What is one example of when hand hygiene should be performed?
What is...?
Perform when entering and exiting a patient room or other patient care environment (i.e. milieu)
Perform before and after contact with a patient or their environment.
Perform when going from dirty to clean cares.
Perform when hands are visibly soiled.
Perform after removing gloves.
What is...
Isolation (yellow) stethoscope, pill cutters, nail clippers, disposable blood pressure cuffs.
What time frame does a licensed physician or psychologist have to write an order for a violent restraint?
What is one hour after restraint initiation?
What are two patient identifiers that we use when administering medications?
What is patient name and MRN (or birthdate if MRN is not available)?
What do we do in the event of Mr. Gallagher?
What is...
IPU and NSC- horizontal evacuation, shelter in place, vertically evacuate at direction from fire department
PHP, EDP, MDT and OP- vertical evacuation
How do we identify clean vs. dirty multi-use items, such as toys?
What is...
unit specific process for identification of clean versus dirty items.
What is a National Patient Safety Goal that our unit is working on?
What is suicide prevention?
When is the face to face assessment performed?
What is within one (1) hour of initiation of restraint/seclusion?
*If restraint/seclusion is renewed, a new face-to-face assessment is required after 24 hours
What are medications with double exclamation points (!!) on the MAR indicative of?
What is a high alert medication requiring an independent double check?
How should linens be stored?
What is covered and in clean environment?
What are standard precautions?
What are evidence based clinical work practices published by the Centers for Disease Control (CDC) to be used by team members for all patients despite the isolation category. It should be assumed that every person is potentially infected or colonized with an organism that could be transmitted in the healthcare setting. These precautions must be used for every patient contact and when handling secretions, excretions and/or blood.
Examples include: hand hygiene, gloves, masks, eye protection, gowns, respiratory hygiene, prevention of exposure to bloodborne and respiratory pathogens ne/cough etiquette, handling of patient care equipment and environmental control.
What is a quality improvement project/quality metric our unit is working on?
What is falls reduction -or- reduction in restraint and seclusion?
What documentation is required for restraints?
What is required hourly RN documentation and every 15 minute documentation?
What is therapeutic duplication?
What is the practice of prescribing multiple medications for the same indication without a clear distinction of when one agent should be administered first over another?
How do we report concerns in the physical environment such as broken ceiling tiles?
What is call the ZIPP line and notify your team leader?
What is the process for a body fluid exposure to an eye?
What is locate nearest eyewash station, flush and wash eye for 15 minutes after exposure, notify your team leader, complete the team member injury accident report form and seek higher level of care (if needed).
How often should code carts be checked?
What is once daily for cart integrity and once monthly for cart supply expirations?
What are the time requirements for restraint orders based on patient age?
What is:
Every one (1) hour for patients eight (8) years of age or younger
Every two (2) hours for patients from nine to 17 years
Every four (4) hours for patients 18 years of age and older
What are the seven rights of medication administration?
What is...?
Right patient
Right medication
Right prescribed dose
Right prepared dose
Right time
Right route
Right indication
What pieces of equipment are required to be checked by BioMed?
What is ALL equipment (both patient facing and non-patient facing)?
Patient equipment will have a sticker indicating the date for the next inspection. If out of date, please remove from patient care until biomed inspects it.
Non patient equipment will have a sticker that indicates biomed has assessed the equipment and it appears to be in good working order.
What is wet time and how do we determine wet time?
What is the amount of time required for a surface to be "wet" for, for the surface to be considered disinfected? What is on the manufactures packaging?
What is Scope of Practice?
What is the rules, regulations, and boundaries within which a fully qualified practitioner with substantial and appropriate training, knowledge, and experience may practice?