Key Terms
What does DNV stand for? What is their purpose?
DNV stands for Det Norske Veritas – Originated in Norway. It is an accrediting organization. DNV monitors the hospital’s adherence to quality and safety practices. Continuous improvement is the key to DNV’s philosophy and approach to survey.
What does R.A.C.E. stand for?
Rescue, alarm, contain, evacuate/extinguish
How many compressed gas cylinders/tanks can be stored in a smoke compartment?
A total of 12 cylinders organized by empty, partial, and full
True/False: A provider order is needed to initiate suicide precautions.
False. A provider order is not needed to initiate; a provider order is needed to discontinue suicide precautions.
What process improvement projects are happening on your unit?
Be prepared to speak to the performance projects from your unit. Know the topic, action items, and the results. This information might be posted on your unit or department bulletin board. Resources may be your manager, educator, or ANSGC representative. Examples: Bedside report, fall prevention with Donna Wright education
Stands for Quality Management System. QMS is a collection of processes focused on consistently meeting patient requirements and enhancing their satisfaction, quality, and safety. Example of QMS Audit: Hand Hygiene.
What alert sounds at Aurora Medical Center Grafton when there is an active shooter situation? What should you do when you hear this alert?
"Attention please, security alert, active shooter + location"
When this alarm sounds you should: RUN – if there is an accessible escape path, attempt to evacuate the premises; HIDE – if evacuation is not possible, take shelter in place. Find a space where an active shooter is less likely to find you; FIGHT – as a last resort, when confronted with an active shooter, attempt to disrupt/incapacitate the shooter with physical aggression: throw items and improvise weapons, shout to confuse them and commit to your actions.
How far should patient supplies be stored from a sink unless a splash guard is present?
36 inches
True/False: I have NG contents to dispose of. I should solidify the fluid and dispose of in the regular trash.
False. Solidified NG fluids should be disposed of in a red bag in the red bin.
You just opened new glucometer strips. What is the expiration date you should write on the yellow label?
What is ISO and what is the purpose?
ISO = International Organization for Standardization. Guides the functions of our Quality Management System (QMS). This means we have policies and procedures in place and we have evidence that we follow those policies and procedures.
What would be your course of action if a wheelchair was in front of a fire extinguisher?
Move the wheelchair. Equipment should never block a piece of fire safety equipment.
Items should be stored how many inches away from the ceiling or sprinklers?
18 inches
True. The linen cart must be covered unless actively pulling linens from the cart.
What is the purpose of document control and what are examples of documents that need document control?
To ensure you have the right document, the right content, the right place, and the right training to make the right decision.
Examples: Sepsis tracking tool, shared governance summary, new product alert
Where can you find Instructions for Use for how to clean equipment used on the unit? How do you get to this resource?
OneSource. OneSource is located on CaregiverConnect. Go to quick links -> Aurora Medical Center Grafton -> OneSource website.
In the event a patient/visitor is locked in a patient restroom, how do you open the locked restroom door?
Option 1: (If patient is not blocking the door from the inside). 1. Locate the restroom key in your respective department. 2. Insert key into key hole and turn. 3. The door should be unlocked. At this point open the door as normal.
Option 2: (If door is blocked and unable to swing open) No key required. 1. On the door frame, locate the round door stop. 2. Rotate the door stop so it is flat with the door frame. 3. Pull the door towards you (door swings open both ways) to rescue the patient.
What is the contact time for hydrogen peroxide wipes?
What is the contact time for bleach wipes?
1 minute
3 minutes
True/False. The patient requests their fruit cup to be placed in the fridge. You should place a patient label on the fruit up prior to placing it in the fridge.
False: The correct information to include is the MRN, patient initials, date, and time. White labels are available on the fridge. Patient labels reveal the patient's full name.
An open pack of telemetry patches are found in a drawer outside of the patients room. What should you do?
Throw them away. There is no way to validate their expiration date.
Where do you find material safety data sheets (MSDS) and what do you use them for?
Go to Caregiver Connect, Quick Links, click on MSDS online, type in the name of the product or chemical. You use these for a reference to find information of each chemical; the physical health, and environmental health hazards; protective measures; and safety precautions for handling, storing, and transporting the chemical.
How would you identify your role in facility emergencies (i.e. fire, severe weather)?
A patient is admitted to the Acuity Adaptable Unit from the Emergency Department. It was later determined that the patient required restraints after alternatives were ineffective and an order was received from the attending doctor. How soon after the application of restraints does a face to face assessment need to be completed by a physician, APC, or specially trained registered nurse?
1 hour
True/False: You can post a communication for the unit in a plastic sleeve with tape in a designated area.
False: No regular tape is allowed to post any documents on the unit. You would need to use double sided tape, velcro, or clips/hooks.
When obtaining a urinary catheter from the supply room you notice that the packaging is open. Where should you place this package?
You should place this supply in the green bin as it is a non-conforming supply. A nonconforming supply is any product that fails to meet the specified requirements of its intended use because it is opened, recalled, expired, damaged, or obsolete.