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Patient Safety
Environment of Care
Infection Control
Environment of care Part II
Infection control part II
100
How do you hand off/communicate to other staff that a patient is at risk for falling?
1. verbally notify 2. set falls alert in IDX ( Maestrocare) 3. affix falls alert stickers to encounter forms/ routing slips, apply yellow arm band
100
Where can facility emergency management plans be found?
In the facility Red Book.
100
What is Duke's hand hygeine policy?
1. Before and after every patient contact 2. Before and after an invasive procedure such as insertion of IV catherter or surgical procedure even if gloves are worn. 3. After contact with blood and body fluids or non intact skin even if gloves are worn 4. after contact with used contamintaed or soiled environmental surfaces even if gloves are worn.
100
What is the blue bin
Where you dispose of empty and non empty containers of medications
100
What is appropriate linen storage?
 Clean linen must be stored in designated area to prevent contamination from traffic and to reduce risk of linen falling on floor.  Clean linen must be kept covered if not in a closet, drawer, or cabinet.
200
Where are specimens labeled?
All specimens are labeled in the room in front of the patient
200
.What information is in the facility Red Book?
Fire, Tornado, Disruption of Service and Emergency Management plans
200
How should Supplies be stored on shelves and off floors
 Must be 6” off floor. Must be 18” below sprinklers – 24” from ceiling if no sprinklers.  Items should be removed from shipping cartons before storage to prevent contamination with soil/debris that might be on the cartons.  Outer shipping boxes may not be left in clinical areas due to risk of environmental contamination. Supplies should be stored in plastic, washable containers; storage in cardboard is strongly discouraged
200
What is R.A.C.E.
The pneumonic used in the event of a fire R= remove all persons A=activate alarm C=Close all doors and windows E= Extinguish the fire
200
Medication vials used for more than one (1) patient are marked?
Medication vials used for more than one patient must be marked "multi-dose."
300
What are the components of specimen labeling?
1. patients full name 2. patients medical record # or DOB 3. date and time of specimen collection 4. site of specimen collection 5. initials of the specimen collector
300
What do you do if you sustain a blood or body fluid exposure?
Call Blood and Body ( BBF) hotline at 684-8115 and fill out an SRS
300
What is the policy of SUD's? ( single use devices)
the policy follows the FDA guideleines that prohibits the reuse of Single Use Devices
300
All Duke equipment must be _________________ before use
checked by clinical engineering and tagged with a current preventative maintenance tag
300
What is Proper PPE worn when processing dirty equipment
Water-proof or water-resistant gown, nitrile disposable gloves, and full face protection must be worn when processing dirty instruments.
400
Decribe Pickett Roads policy and procedure for medication reconciliation
The provider or designee obtains and reviews the complete list of current medications including over the counter and herbals. Medication information may be included in the clinic note. Prior to leaving a patient is offerred a copy of the After Visit Summary from Maestro with a list of his or her medications. The patient is lasways encouraged to bring the bottles of their medication with them to each visit.
400
What is an SRS and where can staff find it?
An SRS stands for Safety Reporting System. It is an electronic safety reporting system for Duke. It can be found on the Duke Primary Care Website
400
Can Fluid infusion and administration sets (IV bags, tubing, and connectors) be used for mutliple patients?**
Bags of IV fluids are ALWAYS single use.
400
How are off campus sites notified of a weather emergency?
by text, each center has a National Oceanic and Atmospheric (NOAA) weather alert radio that is plugged in and working.
400
What can be stored in facility refrigerators?
Refrigerators must be clean and well maintained. No expired food or medications. Store patient food, medications, and specimens in separate labeled refrigerators.
500
If controlled drugs are delivered to Pickett Road clinic by courier, what process does the clinci follow in order to verify the accuracy of the order.
The nurse and courrier or another nurse inventories the contents of the package to verify that order is correct and packages are proplerly sealed. Signatures of those doing the verifications are captured on the IR 100 form or separate clinic form and filed.
500
What is "PASS"
the pneumonic for use of a fire extinguisher P=Pull the pin of the extinguisher A= Aim at the base of the fire S= Squeeze the handles S= Sweep ( spray) from side to side
500
What is the policy for cleaning point of care testing devices?
Medical equipment that involves blood testing, such as glucometers, must be cleaned between every patient with a hospital grade approved disinfectant
500
What is a Code Pink? Code Gray? Code Blue? Code Orange?
1. Code Pink=infant abduction 2. Code Gray= Security Alert ( previoulsy used for severe weather) 3. Code Blue= Medical emergency-cardiac arrest 4. Code Orange= Hazardous Materials Incident
500
What are Non-critical items to be cleaned per policy
 Non-critical items are those that come into contact with intact skin. Non-critical items should not contact blood or body fluids.  Some examples are BP cuffs, exam tables. It is strongly recommended that these items be cleaned daily and PRN when soiled.  Single use disposable BP cuffs are to be changed daily and when visibly soiled.