Environment of Care
What do I place on malfunctioning or outdated equipement?
Red "Do Not Use" tag
Who can initiate isolation precautions? (Hint there's 2 answers)
A nurse or a provider
When should a patient safety report (STARS) be completed?
When any "near miss" or unexpected event occurs (even if no harm results)
What is the "return bin" in the med room for?
Unopened/untampered controls
What are the Two-Patient Identifiers?
Name and DOB
What do you do to promote fire safety and unobstructed egresses?
Fire extinguishers, pull stations, gas panels, and exits remain clear of any obstructions.
How long must a surface remain wet for disinfection with the purple-top wipes?
2 minutes
How often do you reassess pain for IV medications (100 pts)? For PO medications (100pts)?
Within 15-30 minutes IV meds. 45-60 minutes PO medications
What are the 6 rights of medication administration?
Right patient, medication, dose, route, time, and documentation
What do you do if your patient speaks another language?
Utilize the interpreter services (green iPad)
What does R.A.C.E stand for?
Rescue, Alarm, Contain, Extinguish
What is the practice that considers all patients to be possible carriers of blood-borne pathogens, and requires PPE to be used when in contact with ALL patient's blood, urine, or other bodily fluids?
Universal precautions
How often must a patient's care plan(s) be reviewed?
Every shift to reflect the patient's change in status
Where can you find information about safe medication administration?
BIDN policies and procedures manual
What is a "sentinel event"?
An unexpected occurrence involving death, serious physical or psychological injury or risk thereof.
How far below the ceiling must items be stored? (Bonus 100 pts if you can say why)
18 inches (due to sprinkler clearance)
Where should PPE be removed?
Inside the room prior to exiting the area (except for respirators in cases of airborne infections)
How often should an environmental safety check be completed and documented for a patient on SI precautions?
When initiating a Heparin drip, when should the initial pTT or heparin assay be drawn?
Prior to start of drip (does not need to result before starting)
What is the maximum allowed capacity for a sharp's container?
3/4 full
If a chemical spill occurs, what is the code called?
When should masks be changed?
A new mask should be worn with each patient interaction that warrants a mask
How often should the John Hopkin's Fall Risk assessment be completed?
What is the High Risk Drug acronym and what does it stand for?
PINCH - potassium chloride/pressors, Insulin, Narcotics/Neuromuscular blockers, Chemotherapy, Heparin
What is the purpose of the Joint Commission's "speak up" initiative?
To encourage patients to be active in their care such as asking questions about medications or treatments