Show:
Basics
Safety
Workplace
Isolation/Meds
Potpourri
100
What does TJC stand for?
The Joint Commission
100
Name one of the 2014 National Patient Safety Goals
Improve accuracy of patient identification Improve effectiveness of communication among caregivers Improve safety of using medications Reduce risk of health-care associated infections Accurately & completely reconcile medications across continuum of care Medicine reconciliation form Identify safety risks inherent to population (e.g. suicide
100
Where are the fire extinguishers? BONUS: Where’s the oxygen shutoff valves in case of a fire?
by exits, nurses station...
100
What’s wrong with this order? Motrin 600 mg PO q 6-8 hours prn pain (standard adult dose)
No range orders allowed (No range in doses, no range in time intervals)
100
Does Memorial have a mission?
What is .....
200
During the TJC survey, the surveyors will talk primarily to: A. The hospital administrators B. The doctors and nurses C. The patients D. The Argus Press
B) YOU! That’s why you’re playing this game, right?
200
Name one way you reduce the risk of health-care associated infections in your department
Handwashing
200
What color “code” would you call if you had a violent patient? Who would come?
Code Grey Public Safety
200
The type of isolation we would use for a patient with MRSA in their wound.
What is contact isolation?
200
What quality performance data are collected in your area, and how are you involved?
peer review of charts for pain assessment and management. others?
300
What is “tracer methodology”?
Surveyors analyze a hospital’s systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
300
How do you improve the accuracy of patient identification in your department?
I use TWO (2) identifiers Patient’s name Patient’s medicaL record number NOT patient’s room number or chief complaint (e.g. the lac in room 6)
300
What do the RACE and PASS mnemonics stand for when there is a fire?
Remove patients and others Alarm Contain the fire (close doors) Extinguish the fire when it is safe to do so Pull the pin Aim the nozzle at the base of the fire Squeeze the handle Sweep the nozzle from side to side
300
The type of isolation we would use for a patient with chickenpox or TB.
What is airborne? Bonus: What mask would you use?
300
Dr. X is starting his shift in the SDS. He walks down the hall, Starbucks in hand, and waves “hi” to the nurses and clerk. He rounds the corner, going through the propped open door to stand in front of the board. He notes that there are 2 patients with the same initials on the board. He dumps his empty coffee cup in the trash, sets down his trusty stethescope on the counter, and picks up a chart. Where’s the TJC violation?
Only special fire doors may remain open. Doors may not be propped open.
400
What is HIPAA? Name one way protected health information is kept private in your department.
HIPAA: Health Insurance Portability and Accountability Act States that PHI may only be used for purposes of treatment, payment, healthcare operations. -Shredder or blue HIPAA trashcan for HIPAA sensitive documents -Codes for patient chief complaints -Don’t discuss patients in hallways or elevators -Keep curtains closed
400
How are you improving the effectiveness of communication between caregivers?
Telephone orders are read back Verbal orders are repeated back Critical lab values and other test results are read back We use standardized abbreviations and avoid certain unapproved dangerous abbreviations
400
What should you do in the event of a hazardous material spill?*
Contact maintenance Rinse exposure with water Post warning signs Cordon off area Consult Material Safety Data Sheet (MSDS) or call Hazardous Material Safety Office
400
The best way to prevent infection is _________________.
What is hand washing? Bonus: When is is not ok to use hand sanitizer?
400
How do you know a piece of equipment (e.g. defibrillator, ultrasound) is okay to use?
Check on the equipment for a dated sticker that it has been serviced by clinical engineering.
500
You are doing vital signs on a 3 month old girl. Her respiratory rate is 5 and she becomes unresponsive. What code should you call?
What is code white? Bonus: What's the next step?
500
Name 3 of the unapproved abbreviations
U or u (unit) IU (international unit) Ug (microgram) 1.0 (no terminal zeros) .5 (always use a leading zero – “always lead, never follow”)) X3d (for 3 days or for 3 doses) TIW (three times weekly) qD or qoD (every day, daily, or every other day) MS, MSO4, MgSO4 (morphine sulfate or magnesium sulfate)
500
What are code pink, code white, code orange, code gray, and code triage?
Code pink: infant / child abduction Code white: pediatric code blue Code yellow: bomb threat Code orange: hazardous material or radiation spill / exposure Code triage: disaster
500
You are preparing to transport a patient to radiology. The patient is in droplet isolation. What does the patient need to have on before they leave the room?
What is surgical mask? Bonus: Does the transporter need a mask?
500
18 inches
What is where supplies/storage has to be kept at a least 18 inches from the ceiling.