Joint Commission Jeopardy

NPSGs

100

two patient identifiers Lutheran uses ensure correct patient identification prior to any procedure?

What is Name and DOB

200

Per policy (PT03051, Critical Results Reporting and Documentation), how long does the clinician, who receives the call regarding a critical lab value, have to notify the ordering physician?

What is within 30 minutes

300

Regarding the notification of a critical value, in the event that the physician does not respond within a reasonable period of time, who does the nurse contact?

who is the house supervisor

400

Regarding, Safe Procedure Review (policy PTO3.54), name 4 elements that must be addressed prior to the skin incision:

What is  Patient is identified by Name and DOB  Surgical procedure is stated from the consent  Surgical site is marked, viewed and stated  Verbalized agreement by all team members  Has antibiotic prophylaxis been administered?  Alcohol prep dry prior to draping  Fire risk score  DVT prophylaxis addressed

500

Patients determined to be a risk for suicide must be placed in a safe environment. Name 5 things that must be done to ensure a Psych-Safe Room (Nsg, General Pt. Care 1.20.31)?

 Remove all needles, sharps and sharps containers from patient’s room  Inventory and secure patient’s personal items and remove potentially harmful items from the room  Diet is ordered with plastic ware and non-breakable dishes. No silverware or aluminum cans.  Remove hanging hazards such as; Rope blinds Call cords Curtains Phone cords  Shower curtains in room and clothing items (may replace patient clothing with paper gown, hospital gown, and/or pajamas) such as belts, ties, headband or bandanas, shoelaces.  Search belongings brought in by visitors for any harmful items  Staff to stay with patient during medications administration to ensure patient has taken medication

Patient Care/Safety

100

When is discharge planning started

It is initiated at admission and it is an interdisciplinary process (physician, nursing, CM, etc).

200

2. What would an associate do if a patient or visitor need cardiopulmonary resuscitation

Dial 55 and notify the operator of the emergency (code blue), give the exact location of the patient.

300

What standardized tool do associates use to communicate patient information from unit to unit or shift to shift

S-Situation (what is happening at present time) B-Background (what are the circumstances leading up to this situation) A-Assessment (what do I think is the problem) R-Recommendation (what should we do to correct the problem)

400

Name 4 signs of abuse, neglect, and domestic violence

 Multiple bruises in different stages of healing  Pattern injuries (hand, belt, board marks or burn marks)  Cigarette burns, scalding burns, certain types of fractures or internal injuries  Head injuries, lacerations  Physical neglect, poor hygiene, dehydration, malnourishment  Apparent delay in seeking treatment  Overly shy or aggressive personality, cries easily