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Orders & Rapids, & Codes... Oh My
Round & Round We Go
50 Shades
It's the Safety Dance
SWEET!
100
Used to treat general deterioration in patient condition, respiratory distress, chest pain, symptomatic bradycardia, hypotension, Opiate overdose, Severe allergic/anaphylactic reactions, or symptomatic hypoglycemia
What is Emergency Order Set (also accepting Rapid Response)
100
The key term to consider (in your mind) when rounding
What is PURPOSEFUL
100
Two categorical types of Restraints
What is Physical and Chemical
100
This consolidates key patient safety metrics : Core Measures Process, NQF Safe Practices, Outcomes Data, STS/ACC, and CPOE safety test) into a single survey assessment. Participation is voluntary. All Banner facilities participate.
What is the LEAPFROG Survey
100
The Nova StatStrip Glucose Meter must be cleaned in this manner.
What is using 70% isopropyl alcohol (alcohol wipes) or 10% bleach (i.e., Gluco-Chor wipes). *The meters must be cleaned with 10% bleach after use on any patient with Clostridium Difficile.
200
ANYONE can initiate
What is Rapid Response
200
The Four P's of Purposeful Rounding
What is: Pain Personal Needs Position Placement
200
Things that are NOT considered restraints
What are orthopedic devices, routine medications, helmets, mitts (not tied to an immovable object), surgical dressings, limited use of siderails, etc.
200
This regulatory agency is responsible for improving patient safety by publishing the CORE MEASURES & the 28 Never Events.
What is Center for Medicare/Medicaid Services (CMS)?
200
The most important handling consideration to protect the meter
What is keep horizontal - NEVER TILTED, when applying blood or quality control solution onto a strip?
300
The goal of this is to Assess, Stabilize, Assist with Communications, Educate and Support, Implement Intervention (RRT orders), Assist with Transfer.
What is the role of the Rapid Response Team?
300
Rounding should occur with this frequency
What is every hour (on the hour).
300
Involuntary confinement of a person alone in a room or area, from which he cannot physically leave.
What is SECLUSION
300
(1)These annually published challenges to health care facilities include Improving Patient Identification and others - (2) and is released by this agency.
What is National Patient Safety Goals - from the Joint Commission
300
Enter this comment into the glucometer if a mistake is made.
What is “Procedure Err” ?
400
Effective, high quality chest compression ratio, depth, ventilation number, and ideal maximum compressor time limit
What is 30:2 At least 2 full inches 2 ventilations 2 minutes
400
Three things NEVER to say to a patient
What is: No, I can’t do that... The computer did it (it’s the computer’s fault)... It’s not my job (problem)... We’re short-staffed... No one told me you were here... We can’t because we have other patients to serve... That’s not my patient...
400
Three types of restraint devices used within Banner and maximum timeframe in which patients must be re-evaluated while in these restraints.
What are Soft Limb Restraints (every 2 hours), Mitts (every 2 hours), and Locking Restraints (every 15 minutes)?
400
3 Examples of National Patient Safety Goals
What is: Improve the accuracy of patient identification Communicate important results on a timely basis Improve the safety of using medications Reduce the risk of health care associated infections Identify Patients at Risk for Suicide Universal Protocol
400
The Quality Control Solution and Test Strips must be discarded this amount of time after opening.
What is 90 days?
500
List 3 things that RNs will complete as interventions based on the Early Warning System (EWS).
What are Vital sign frequency Focused assessment Chart review and documentation Physician notification Rapid response team
500
The four scripting terms to use repetitively - which patients will recognize in Patient Experience Surveys
What is: “Hourly Rounding” “Explain” “Comfort” “Safety”
500
Because Restraints are considered high-risk and a last alternative, these other measures may be implemented prior to restraint use.
What are distraction/diversional activities, companions, mitts (not tied down), bed alarms, chair alarms, etc.
500
Each year Banner plans for future growth, opportunity, and improvements in the following areas: Financial Customer Operations Learning
What are Banner Health Strategic Initiatives?
500
The most important action to take following blood glucose testing or quality control check - PRIOR to docking the device.
What is ACCEPT or REJECT results?