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100

  1. Q: Explain the Universal Protocol and Time Out process.

A: Conducted prior to Invasive Procedures in the OR and Non-OR settings:

  • Conduct a pre-procedure verification process

  • Mark procedure site, if indicated, by practitioner accountable for the procedure 

  • Perform and document the Time-Out (final verification) Immediately prior to starting the procedure with active communication from all members:

    • Correct patient 

    • Correct site (marked if necessary) 

    • Correct procedure

  • See “Universal Protocol: Site Verification, Site Marking and Time Out (Comprehensive Surgical Checklist)” policy GN-016.

100

  1. Q: How do you communicate patient information to the next shift? Upon transfer to another unit? (diagnostics, OR …) Or upon transfer to another facility?

A: Review and Explain your process for bedside handoff, shift to shift handoff, Internal transfer, EMTALA requirements for transfer…

 

200

  1. Q: What is required for communicating Critical Test Results? 

A: Contact the ordering provider (someone who can act on the critical result) within 60 minutes and document the notification. See “Critical Test Results” policy GN-013 for details of Critical Tests, Critical Results and Exceptions.

200

  1. Q: What is the number one reason for errors on Healthcare?

A: Miscommunication.

300

  1. Q: What is the number one way to prevent the spread of infection?

A: Wash your hands or use hand gel.

300

How do you prevent miscommunication?

  • TeamSTEPPS - an evidence-based framework used to optimize patient outcomes by improving communication and teamwork skills.

    Team Strategies & Tools to Enhance Performance and Patent Safety.



      • CUS-

        • I am Concerned!

        • I am Uncomfortable!

        • This is a Safety Issue!

      • Stop the Line/Two-Challenge Rule

      • SBAR- 

        • Situation

        • Background

        • Assessment

        • Recommendation and Request

  • “Write it Down and Read it Back” when you are receiving verbal or phone information.

     

400

When should you wash your hands?


    • Always wash your hands:



      • Upon arrival at work

      • At the end of the workday

      • Before and After each patient contact

      • Whenever visibly soiled

      • After contact with blood or body fluids

      • Before and After glove use

      • After handling soiled equipment

      • After personal hygiene activities

      • Before and after eating or handling food

400

  1. Q. How do you report an Incident/Event?

  1. Enter it into IRIS. A computer program used to track and trend issues. Be objective, stick to the facts, keep emotions out of it. This is meant to be nonpunitive.

500

Describe hand washing process.


    • Hand washing is defined as a vigorous, brief rubbing together of all surfaces of lathered hands for at least 15 seconds.

    • An alcohol based, waterless hand cleanser can be substituted for hand washing except when hands are visibly soiled and/or caring for a patient that is a known or suspected case of Clostridium Difficile (C-Diff).