Emergency Management
Define RACE
Rescue, Alert, Confine (Or contain), Extinguish(or evacuate).
Sharps containers should be changed when the sharps are _______ full.
3/4 full
________ assumes responsibility for the time out (ASG 290.10)
The physician/surgeon
These two identifiers must be verified with each patient encounter.
Name and DOB
Unless otherwise noted by the manufacturer, once an injectable multidose vial has been opened, what is the expiration date?
28 days from date it was opened
Scenario-based fire drills are conducted __________.(how often) (EMG. 170.20)
each calendar quarter or 4 times per year
What precautions are taken to prevent the spread of infection in patient care areas?
Hand Hygiene
_______ is not allowed to be used for storage
CARDBOARD MATERIALS
___________ must be clearly printed and visible and all patient care areas.
Patient rights and responsibilities
What 2 high alert medications require 2 verifications/signatures by two licensed RNs?
Insulin and Hydralazine.
In the event of an active shooter scenario, what is the phrase used to determine the next course of action from staff members?
Run, Hide, Fight
This document provides information for handling chemicals or hazardous substances. **Bonus: Where is it located at BSC?***
Supplies are to be stored _____________ inches from the ceiling and ____________inches off the floor.
18 inches and 8 inches
The Post Op Aldrete Score consists of which 5 assessments?
Activity, Respiration, Circulation, Consciousness, and Oxygen Saturation. (must be an Aldrete 9+ to be discharged)
What is the reversal agent (medication) for moderate sedation medications (midazolam, propofol)?
Flumazenil--0.2mg every minute up to 1 mg.
What document is required during an emergency situation to act as an attendance sheet for possible staff and patients still in the building?
Daily schedule of staff and patients.
Outpatient settings must have a minimum of ___ staff persons on the premises, one of whom is either a licensed physician and surgeon or a licensed health care professional with current certification in advanced cardiac
TWO
When should equipment be inspected for cracks, frayed power cords, or broken plugs?
Before every use
How is patient satisfaction surveyed?
Patients are contacted by Press Ganey and results presented and reviewed quarterly. Patients are also contacted up to three business days post-operatively by RN staff.
How is ALARA acheived?
Time, Distance, Shielding
In the event of a hazardous chemical spill, what are your next steps, and where is your spill kit located in your facility?
Notify management and proceed to the ANTE room to retrieve the spill kit for cleaning/containing spill.
Name two Performance improvement projects underway at BSC.
Hand hygiene
Pharmacy
Temp and Humidity
EMR Charting improvement
Name at least 2 instances when sponge and sharp counts should be done.
i. when additional sharps added to field;
ii. before closure of any deep or large cavity;
iii. before wound closure begins;
iv. at the time of permanent relief of scrub and/or circulating nurse; and
v. immediately before completion of surgical procedure.
List actions to take when an unanticipated event is discovered or occurs. (EDUCATION 60B)
Be sure person receives any medical care necessary, notify doctor if it is a patient injury, notify supervisor, notify risk manager designee,
Complete Unanticipated Event Report form,
Review form with supervisor and provide information about what, when, where, why, how
When labeling syringes before use, what 5 things must be listed on the label prior to administration?
MED.190.20.1 Drug name(s).
MED.190.20.2 Drug strength(s).
MED.190.20.3 Amount(s) or volume(s) if not apparent from the container or packaging.
MED.190.20.4 Expiration date and time.
MED.190.20.5 Name or initials of person transferring the drug(s).