Patient Safety Goals
Name two patient identifiers
What is name and date of birth
Non-OR Setting procedures that require signed consent can be found here
what is consent policy 4.17 (u-connect)
This is an all-hazard, flexible plan for mitigation, preparedness, response and recovery of incidents that are beyond usual and customary operations.
what is Emergency Operations Plan (EOP): found on udrive, hung in each pod
How you would communicate quality & safety concerns/events
what is a HERO (also debrief after medical response, discuss in huddle )
Cornerstone of preventing the spread of many healthcare-acquired infections.
what is hand hygiene.
Performed on patients to reduce the risk for suicide
What is a suicide risk screening
where to find provider competencies
what is uconnect-> type in privelage list-> enter provider name
This cart has a daily check completed & supplies ready for use
what is crash cart/code blue cart
Describe what you would do if there was an active shooter
what is Get out, call out, hide out, take out (last resort). Call 911.
Where to find advance directive & if it is activated
what is in “Chart Review “under the “Consent/Legal” tab and are flagged with an FYI by HIM. The patient must have a valid Power of Attorney for Health Care form for it to be activated.
Documentation of provider notification occurs within how many minutes of notification for patient with a critical test result?
what is 60 minutes
This is done before any invasive procedure that is more than minimal risk
What is universal protocol. Preventing wrong site, wrong procedure, and wrong person surgery. Any time informed consent is required, Universal Protocol is required. Universal protocol includes three steps: 1. Pre-procedure verification 2. Site marking 3. Time-out
what is labels must contain the following information: name and concentration of the medication or solution; volume/amount (if not apparent from container); expiration date (if it will be used beyond 24 hours); time of expiration (if less than 24 hours)
What would you do if you observed intimidating or disruptive behavior?
what is notify supervisor/manager, contact HR and/or overhead BERT team
Types of patient information that is improper to access
what is family/friend without release, high profile cases not assigned to you (policy 6.30)
This clinical care process involves finding out what medications a patient is taking, comparing them to what has been taken in the past, documenting any changes, and checking for safety issues.
what is Medication Reconciliation (policy 6.1.10)
Describe Key Characteristics of a timeout
what is hands off, eyes up, feet still, active response, silence (no music).
This item should be secured, locked & under direct supervision at all times
what are needles
How you would respond to a phishing email & who would you inform
what is do not reply, do not click on links, delete email, report email to Help Desk
How you would respond to a surveyor if you don't know the answer to a question
what is "I don't recall" and demonstrate how you would find the answer. Avoid comments such as, "we can never find that," or "I have no idea."
Example of fall strategy reduction in clinic
what is screen in office (TUG Test & STEADI Fall Risk Tool). Fall reduction strategies can be found on uconnect to provide to patients
Describe the pre procedural verification list
what is a list that includes patient identification, procedure, site, H&P complete, consent signed
How do you know a piece of electrical equipment is okay to use?
what is check on the equipment for inspection label (does not have to be current year)
Steps taken if a piece of medical equipment fails causing injury or death
what is (policy 12.40)
1. take care of the patient
2. report event to area leadership and responsible provider
3. remove gross contamination from the device without changing settings
4. remove sequester the device and related supplies/packaging
5. complete event report
What you would do if an unaccompanied surveyor presented to your clinic and approached you
what is welcome them, answer any questions, notify manager/supervisor