2025 National Patient Safety Goals
How do you properly identify a patient before administering medications, performing procedures, or providing treatments?
Use at least two patient identifiers (Name and Date of Birth)
What are our current Performance Improvement Initiatives in CSC or BH.
CSC:
Benefit Verification
Sitzmarks
Fine Needle Aspiration
Wound Care
Call Triage
Press Ganey
BH:
Benefit Verification
Treatment Plans
Discharge Lists
Controlled Substance Agreement and Policy Review
Press Ganey
Where is the closest eye-wash station?
CSC and BH/PCP med rooms
What standard tool do we utilize in screening someone for suicidality?
Columbia Suicide Severity Rating Scale
Where are Material Safety Data Sheets stored?
On the portal and library!
What is our standardized hand-off tool for transition in care?
Where do you report patient safety concerns?
Clarity
Name 3 different types of things in your environment that will automatically trigger a Joint Commission Surveyor
Examples:
open food and drinks
Cardboard
Visible patient information
Whiteboards/Communication boards up to date
Visible tape
How can you check to see if an instrument is sterile?
Verify package integrity, check sterile indicator, make sure instrument is open using items to hold them open.
What do you say to a surveyor if you do not know an answer to a question?
Be honest and explain how you would find the answer.
Before a surgery or invasive procedure how do you perform a time-out?
Verify consent is signed.
Verify the correct patient, procedure, and correct site.
What is your appropriate Chain of Command for escalating patient care concerns?
Coordinator, Director, Senior Leader, CEO
A piece of equipment is broken. What are your steps?
Tag malfunctioning equipment, remove from patient care, and notify director and maintenance.
How do you transfer a soiled item to central sterilization?
Wipe down bioburden off of the instrument.
Put in a red bin
spray with enzymatic spray
close and transfer over to surgery.
There is a missing child reported by a parent. What do you do?
Refer to your badge.
Dial 8989, Page "Attention Please: Missing person + Description of the child."
What are the WHO's five moments of hand hygiene?
1. Before touching a patient.
2. Before a clean or aseptic procedure.
3. After body fluid exposure.
4. After touching a patient.
5. After touching patient surroundings.
A patient's mother calls in stating she would like to know the results of her adult child's MRI. What do you need to do?
Check Crossing Rivers Health Consent for verbal authorization sheet to see if you can release that information as the patient is an adult.
Demonstrate how you shut off the emergency shut off for oxygen.
Demo
If you use a multi-use vial for medications what do you need on it?
opened date AND discard date
How do we prepare for emergencies?
Review the safety plan, participate in drills, and keep our contact lists updated.
Name the 8 Medication Rights
Patient
Route
Dose
Time
Medication
Reason
Documentation
Response
A patient states they are concerned they have chicken pox. What do you do?
Place patient in a room and notify the provider. Don PPE
How much clearance above and below do you need for storage of medical equipment?
Maintain @ least 18 inch clearance below sprinkler heads and a 6 inch clearance above the floor for stored item to ensure fire safety and cleanliness
How often do you need to reprocess scopes if they are hung?
Every 7 days
You have an active fire in the department what do you do?
RACE: Rescue, Alarm, Contain, Extinguish/Evacuate
Pull the fire alarm and get the fire extinguisher
PASS: Pull, Aim, Squeeze, Sweep