Safety 1st
Documentation Counts
Environmentally Speaking
CMS 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 ERS system? (Event Recording System)
100
These three elements are mandatory for all documentation entered into the patient chart.
What are signature, date, and time?
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
the location where staff can access all current policies and procedures.
What is MetroSouth Policies on the intranet?
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
The standard 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
This term describes the services provided at each site, the patient population served, location, and operating hours.
What is Scope of Service?
200
This is the term used to define specimen testing done outside the confines of the lab.
What is Point of Care 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 and document expiration date on vial with first use.
300
the correct process for labeling blood or other specimens collected in the hospital.
What is in the presence of the patient, at the time of collection?
300
the process in which the correct patient, correct procedure, correct site, correct patient position and availability of implants is confirmed
What is Universal Protocol?
300
These are substances that pose a health risk or physical hazard.
What are Hazardous Materials?
300
The recommendation and guidelines of best practices for the prevention and reduction in adverse outcomes
What are 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 which are defined and will typically include stat tests, and panic value reports
What are Critical Values?
400
The terms OD, OS, Q.O.D. and Q.D. are examples of this.
What are Prohibited Abbreviations?
400
describes in detail the chemical makeup and how to treat an exposure to any hazardous material we have on site.
What are Material Safety Data Sheets?
400
the raising of concerns by health care professionals for the benefit of patient safety and care quality
What is the "Speak Up" campaign?
400
The labeling of date, time, additives, expiration, and patient name
What is the proper labeling of IV medications?
500
This is an unexpected occurrence involving death, serious physical or psychological injury, or risk thereof.
What is a Sentinel Event?
500
When providing patient education, the following 5 points must be documented .
-Who was educated -What was taught -Methods used (Teach back) -Any identified barriers to learning -Outcomes/Level of understanding
500
The presence of this, located on a piece of medical equipment, ensures that it is safe for patient use.
What is a yellow Preventative Maintenance sticker?
500
This is the collaborative and interdisciplinary approach to the continuous study and improvement of processes
What is Process Improvement?
500
the process of creating the most accurate list possible of all medications a patient is taking
What is Medication Reconciliation?