Safety & Hazards
In a fire emergency- RACE stands for what actions?
Remove
Alarm
Confine
Evacuate/Extinguish
When should you document a pain assessment after IV & PO medication administration?
IV 30 min
P.O. 1 hour
What is a dwell time and where can you find the dwell times for the different disinfectant wipes used?
Dwell time: how long the surface has to be wet
Found: On the wipe container
How would you document if a patient states that they do not want blood products administered?
Complete a blood consent form utilizing the correct fields.
What PPE is required when removing a scope from the cabinet?
GLOVES
In a fire emergency PASS - stands for what actions?
Pull Pin
Aim
Squeeze
Sweep
What physician documentation is required prior to the beginning of the procedure.
H&P present and dated within 24 hours of admission or if same day admit for a procedure, H&P must be dated and timed prior to procedure start time. If H&P was completed within past 30 days, an updated note is acceptable within 24 hours after admission but prior to procedure requiring anesthesia.
What are the two stages to ensure something is appropriately disinfected (Accu-Chek, stretchers, etc)?
Clean - wipe down 1
Disinfect - wipe down 2
Where do our professional guidelines come from in our area?
SGNA
What are the 5 moments of hand hygiene?
Before patient contact
Before aseptic task
After body fluid
Exposure
Risk
Where is the medical gas shut off valves and who can turn it off?
Behind the nurse's station and any staff member
What is the process if a patient says they have an advanced directive?
Brought it: Review it with them to ensure it still meets the current intentions and is dated and signed. Work with registration to get it loaded into EPIC and notify the provider
Didn't bring it: tell them to bring it with them next time to be loaded into the system. If there is concern about DRN status - escalate to GI provider, Anesthesia, and leader to get it entered into EPIC as an order and discuss plan of care for procedure.
When do the QC Accu-Chek solutions expire and who labels it?
90 days (3 months) after opening - whomever opened it.
What do you do if someone states that they have been abused by a staff member?
Remove the employee from the patient area. Escalate to manager (no message or text), notify risk management
If on nights when no manager is available- call house supervisor.
How full should a sharps container be before you empty?
3/4 - is the max.
What are our interventions that prevent falls in our area?
Assessment at registration and green FR on whiteboard, Education, stretcher is low, non-slip socks, fall armbands, call light is within reach, staying with patient while dressing/undressing and toileting if assessment warranted, close observation/family at bedside.
How do we safely communicate between our spaces?
Ensuring that the patient is safe and all are ready to participate before starting. Using the handoff communication tool and time out checklist in the room.
IFUs. These are found in the reprocessing rooms for scopes and all can be found in OneSource on all desktops
What is an MSAP we work on?
First Case Ontime Starts or Accurate Documentation of Scope Reprocessing
How do you know which oxygen storage rack to place a tank in- Red or Green?
Green - Full/Partial <1000 PSI
Red - Empty >1000 PSI
What is a resource for employees to know how to handle and protect themselves against chemicals used in our area?
Safety Data Sheets
How do we protect patient information in our spaces?
Log out of computers when leaving the workspaces, turn over handoff sheets/ProVation notes, etc. Try to speak softly and pull curtains to allow for as much privacy as possible
What do you do if you encounter defective medical equipment?
SEMS (no longer need to do other form)
Keep equipment and give to leadership
What do you do if a surveyor asks you a question and you don't know the answer?
Remember your resources:
- Policy tech
- BJC Regulatory Readiness guide
- Escalate and ask a manager
What is the dry time for chlorohexidine?
30 seconds