People
We Improve Health Everyday
What is our Mission?
Where do you check for Policies and Procedures?
Compliance 360
What do we do with empty O2 tanks?
They must be placed in holder! Can never be freestanding!
What does DNV stand for?
Det Norske Veritas
How does your leader communicate what is happening at SNVMC?
Through Unit communication books, email, staff meetings, communication boards, newsletters, town halls, huddles
What does ISO stand for?
Equal
How do you know if P&Ps are the most updated version?
Check the date on the document
Can we put empty and full O2 tanks in same holder?
No
What does RACE stand for?
Rescue/Remove anyone in immediate danger
Alarm
Confine (close doors)
Extinguish/evacuate
What do you do to keep our patients safe?
Hand hygiene
Patient identification
HIPPA
clean environment
etc.......
What do you do if you notice a patients armband is off?
Notify nurse/registration immediately for replacement!
How do you chart on a temperature log of a refrigerator if your unit is closed? Do you leave it blank?
You write CLOSED in space. Never leave a day "empty"!
What does PASS stand for?
Pull
Aim
Squeeze
Sweep
What do you do if you don't know the answer to a DNV question?
Be honest with the surveyor that you don't know the answer but you will go find out and get back to them!
What do you do if a piece of equipment isn't working?
Lock out, tag out!
It's a busy day. I have 20 beds to make. It's ok to leave the linen cart uncovered since I'm constantly going back and forth!
No! Linen carts should always be covered, no linen exposed, Velcro intact, linen neat!
How often does a P&P need to be reviewed?
Every 3 years
The 3 Cs of ISO standards
Customer Satisfaction
Consistent Service
Continual Improvement
Can you keep clean and dirty items in the same room as long as they are on different sides of the room?
No!
Who can give you permission to turn off the oxygen in a clinical area in the event of a fire?
Charge Nurse in conjunction with Respiratory Therapy.
How can you tell if a door is a fire door?
Look at the door jam-do you see a red square? This indicates that this door is a fire door!
What do you do if you notice a P&P is out of date?
Bring a copy to your manager/supervisor!
What do you do with expired medications?
True or False:
Can we place drinks/food in cabinets as long as they are out of site?
No! Drinks can be in a designated hydration station. All other items must be kept in your breakroom, etc.