Shift Change
This should be done at change of shift with every patient between off-going and on-coming staff.
What is 'bedside report'?
This assesses five key areas that impact patient comfort and safety.
What are the 5 P's?
This involves patients using a towelette to cleanse before collecting a urine specimen.
What is a 'clean catch' urine specimen?
This may lead to medication errors, missed treatments or care delays, all of which can significantly affect patient outcomes.
What is miscommunication or lack of communication?
A patient signs this when they have been educated on the risks/benefits of a procedure.
What is a consent?
This should be done with any patient receiving IV fluids or medications between off-going and on-coming staff.
What is confirming orders and reviewing fluids and/or medications being infused?
This decreases patient falls, call light use and pressure injuries.
What is Hourly Rounding?
Must use first 3 letters of your last name and first 2 letters of your first name.
How are lab specimens labeled?
This component of SBAR stands for a brief Summary that should include essential details such as the patient’s weight, code status and any isolation precautions. The goal here is to relay the patient’s primary concern and immediate care considerations.
What is Situation?
The main goal of this method is to validate patient understanding. It offers the opportunity to check if your instructions have been understood correctly and to clarify any misunderstandings immediately.
What is 'Teach Back' method?
Done with each rate/dose change of an infusing medication.
What is rate/dose/verify in EPIC?
Studies show this leads to improved patient satisfaction and perception of overall staff responsiveness
What is Hourly Rounding?
A PTT is drawn 6 hours after starting this medication.
What is a Heparin infusion?
Up to 80% of serious medical errors involve this during handoffs.
What is miscommunication?
This is used to keep patients updated with the date, room number & names of their Healthcare Providers along with other plan of care information.
What is a Whiteboard?
This patient status is crucial in a hospital setting because it guides medical staff on whether to perform CPR in case of cardiac or respiratory failure. This ensures that the patient's wishes are respected and helps avoid unnecessary interventions that may not align with their end-of-life care preferences.
What is DNR?
These are 5 P's of Hourly Rounding.
What is
1-Pain
2-Potty (personal hygiene)
3-Position
4-Periphery (personal possessions in close proximity)
5-Pump (IV site)
Hourly blood glucose monitoring is needed when patients are receiving this medication.
What is an insulin drip?
The primary purpose of monitoring this is to assess and maintain the patient’s fluid balance and prevent complications associated with imbalances. This is particularly important in patients who are critically ill, those with renal or cardiac issues, and those on intravenous (IV) therapy.
What are I & O's?
Per a study from the Journal of Patient Experience, the biggest contributors to poor patient satisfaction are ED wait times and this.
What is 'a lack of communication'?
A WBC count greater than 12,000 cells/mm³ or less than 4,000 cells/mm³, or more than 10% of these can indicate SIRS.
What are absolute neutrophils or bands?