Goal 1-correct pt., correct care, correct time
Goal 2 & 11-Culture of Safety (workplace and patient)
Goal 3-Emergency Management
Goal 4-Hospital prioritizes excellent health outcomes
Goal 5-Infection Prevention and Control
Goal 6-Pain Management and Goal 14-Medication Management and Safety
100

Patient name and DOB

What are the required patient identifiers. 

100

A safety program that includes the full range of safety issues, from potential or no harm errors (sometimes referred to as close calls [“near misses”] or good catches) to hazardous conditions and sentinel events.

What is BEMC Safety Event reporting?

100

Assesses a patient's health-related support service and community resource needs. 

What is the Social Determinants of Health Screening?

100

Curos caps in place on all access points on IV lines for patients with a Central line

What is one element of CLABSI prevention?

100

This includes the use of ice, aromatherapy, distraction, and ambulation

What are non-pharmacological interventions for pain management?

200

Scan patient arm band, scan label, verify and label specimen in front of patient.

What is the proper procedure for obtaining a blood or urine specimen?

200

Training offered to all employees upon hire and annually in connection with Workplace Violence to help in patient deescalation.

What is EVADE?

200

CLABSI, CAUTI, FALLS, HAPI. 

What are the Nursing Sensitive Indicators?

200

Review of proper isolation precautions signage, isolation precautions patient education, and contact cart supplies

What is peer to peer daily audits?
200

Place medication in individually labeled bins with patient label in the med room

What is the process to store home medications that a patient will be receiving during admission?


300

Notify provider within 60 minutes and document a notification form.

What is the process when you receive a critical result?

300

An event identified that did not reach the patient.

What is a Near Miss Safety Event?

300

Safe Patient Handoff at End/Beginning of Shift. 

What is Transfer of Accountability / Bedside Shift Report? 

300
Includes peri/cath care, no dependent loops, intact seal of the tubing, and securement device in place.

What is a CAUTI bundle compliance measurement?

300

A list of home medications to be completed within 12 hours of admission by pharmacy or bedside RN

What is a medication history?

400

The process to receive or share patient information when the patient is referred to internal providers of care, treatment, and services.

What is the SBAR?

400

 This includes an incident Command Center, Assigned roles/functions for each member, and processes to maintain safe patient care during an incident

What is the Emergency Management Program?

400

 Rounding with Providers, Social Work, Physical Therapy, & Leadership. 

What are Multidisciplinary Rounds?

400

The number one prevention of the spread of infection and a compliance focus for BEMC

What is proper hand hygiene?

400

These tasks support the nurse's administration of pain medication and confirm that the patient is getting relief from the ordered pain medications 

What is a pre and post opioid administration assessment?

500

 The hospital develops and implements written criteria of a change or deterioration in a patient’s condition and the appropriate action to take.

What is the EWS/RR?

500

Information regarding a chemical used in the hospital that includes how to manage and store the product

What is Material Safety Data Sheet information located on the intranet?

500

Leaders regularly evaluate the culture of quality care and safety using valid and reliable measurement tools.

What are Key Performance Indicators (KPIs) and Quality Improvement measures?

500

A process that supports safe provision of care to the patient and reduces exposure among staff, patients and visitors 

What is the correct use of Personal Protective Equipment?

500

Includes discussing new medications ordered, mediations that are to be continued, change in medication dosages, and when the next dose of medications are due. 

What is education for the patient at discharge on management of medication at home?