Safety 1st
Documentation Counts
Environmentally Speaking
JC 101
Medication Musts!
100

This is the online system used to report patient and visitor injuries or adverse events, including potential events (near miss).

What is the SAFE system?

100

This is used to encrypt confidential emails.

What is hashtag secure

100

This term defines our physical surroundings, i.e. the clinic, office, or hospital site in which we work.

What is Environment of Care (EOC)?

100

This is the online system that houses all of UVMMC policies and procedures.

What is Policystat?

100
The following items must be kept locked or under constant observation at all time.
What are medications and sharps (including needles, syringes, and scalpels)?
200

This standard is followed Whenever administering meds or blood products, taking samples and specimens for testing, or providing any other treatments or procedures.

What is the use of two patient identifiers?

200
This term refers to both a living will and durable power of attorney.
What is Advanced Directives?
200

All used instruments being transported need to be placed in this.

What is a leak proof and puncture proof container-shuttle bin

200
This is the term used to define specimen testing done outside the confines of the lab. May include blood glucose testing, urine pregnancy testing, or rapid strep testing.
What is Point of Care Testing or Waived Testing?
200
This is the correct protocol for handling all parenteral multi-dose medication vials, with the exception of vaccines, skin test, and patient supplied meds.
What is discard after 28 days, or with any suspected or visible contamination; Document expiration date on vial with first use.
300

This is the correct process for labeling blood or other specimens collected in the clinic.

What is in the presence of the patient, at the time of collection?

300

The is the process in which the correct patient, correct procedure, correct site, correct patient position and availability of implants or special equipment is confirmed, including a time-out. 

What is Universal Protocol?

300
These are substances that pose a health risk or physical hazard.
What are Hazardous Materials?
300
This is a list of Joint Commission identified safety requirements which highlight problematic areas in health care and describe evidence and expert-based solutions. A new list is published annually.
What is National Patient Safety Goals (NPSG)?
300
This special category of medications require additional checking procedures prior to and during administration due to their high risk of causing injury when misused.
What are High Alert Medications?
400

This term refers to test values (laboratory, cardiology, radiology) which are defined by individual health care organizations and will typically include stat tests, panic value reports and other results which require urgent response. For laboratory results, it applies to both point of care and central lab processing.

What is Critical Values?

400
The terms OD, OS, Q.O.D. and Q.D. are examples of this.
What are Prohibited Abbreviations?
400

This information is located on the UVMMC intranet. Each sheet describes in detail the chemical makeup and how to treat an exposure to the hazardous material we have on site. Cleaning solutions are a common item. It is commonly known by the acronym MSDS.

What are Material Safety Data Sheets?

400
Fletcher Allen Health Care has adopted this Campaign as a safety strategy to encourage patient’s active involvement in their own health care.
What is the "Speak Up" campaign?
400
The correct process for labeling secondary medication containers includes the following four points:
What are: Name and strength of medication or solution Amount – if not apparent from container Expiration date - when not used within 24 hrs Expiration time – when it occurs in less than 24 hrs?
500

This is an unexpected occurrence involving death, serious physical or psychological injury, or risk thereof.

What is a Setinel Event?

500

What dot phrase covers all 5 required points for documenting patient education

What is .ptedu

500
The presence of this, located on a piece of medical equipment, ensures that it is safe for patient use.
What is a current TSP sticker?
500
This is the collaborative and interdisciplinary approach to the continuous study and improvement of the processes of providing health care services to meet the needs of consumers and others. Example: Front Desk Re-Design - to improve and maintain patient confidentiality when registering for appointments.
What is Process Improvement?
500
For this process a complete list of current medications is collected from the patient; the list is compared (office list, HISS discharge, medication list from Maple, medication passport, patient’s own recall/list) and differences are reconciled. The list of patient medications will be updated at each encounter (visit) and the comparison/ reconciliation process repeated whenever changes are made. The medication list will be communicated to the next provider of care and to any concurrent providers. The patient will receive a reconciled list of Medications at the end of every patient encounter (visit).
What is Medication Reconciliation?