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Environment of Care
Medication Managment
National Patient Safety Goals
Infection Prevention
Potpourri
100
Monthly inspections conducted during these rounds by an interdisciplinary team to identify and repairs or deficiencies in patient care areas 

What are Environmental Care Rounds? (EC.04.01.03)

100
This date must be on all opened multi-use vials. Example: insulin vials can be used for this many days after being opened

What is the beyond-use date? What is 28 days? (MM.03.01.01)

100
The number of patient identifiers that must be used prior to providing care (Name at least 3 examples)

What is 2? Patient name, MRN, date of birth, phone number (NPSG.01.01.01)

100

This is the single most effective way to prevent transmission of infection

What is hand washing? (NPSG.07.01.01)

100

“U”, “IU” and “QD” all appear on this list

What is the “Do not Use” Abbreviation List?

200
The number of times per year a fire drill must be completed

What is once per shift per quarter? (EC.02.03.03)

200
The hospital formulary list must include the following:
What are medication names, strengths, and dosage forms available?
200
This is the only situation in which a prepared medication does not need to be labeled

What is a medication that is being immediately administered in which a staff member prepares or obtains the medication, takes it directly to a patient, and administers it to that patient without any break in the process? (NPSG.03.04.01)

200
These are the times in which proper gowning should take place by a healthcare worker

When is whenever anticipating that clothing will have direct contact with the patient or potentially contaminated environmental surfaces or equipment in close proximity to the patient? (IC.01.05.01 EP 1)

200

This list must be visible in all patient care areas in which medications are stored and administered (How often must this list be revised)

What is the look-alike-sound-alike poster? What is yearly?
300
These workers are excluded from ID badge requirements when inside the hospital 

Who is NOBODY? (EC.02.01.01)

300
This process is in place to ensure medications in emergency crash carts are secure from tampering

What is locking medication trays with numbered breakaway tags which are logged in a computer system along with the crash cart number and area in which the cart is assigned? (MM.03.01.03 EP 2)

300

In order to maintain and communicate accurate patient medication information this is done on admission and discharge

What is medication reconciliation? (NPSG.03.06.01)

300
All employees must have annual ____ and ____

What are TB screening and Flu vaccination (IC.02.03.01)

300
Three ways in which high-alert medications are made to stand out
What are the use of high-alert stickers, notifications in the CPOE, notifications in Omnicell
400
This process is used to assure medications are stored at the appropriate temperature and these steps are taken to ensure compliance

What is daily room temperature and twice daily refrigerator temperature monitoring? If out of range engineering is contacted and corrective action is taken (EC.02.06.01)

400

Identify two exceptions to the beyond use dating system for multi-use vials

What are vaccines and medications with manufacture expiration dates which are earlier than the beyond use date? (MM.03.01.01)

400
These two organizations set the standards for hand hygiene. This goal should be set for hand hygiene compliance

What are the Centers for Disease Control and the World Health Organization? Goal to improve compliance from prior years, no percentage goal is recommended (NPSG.07.01.01)

400
This is recommend procedure for proper gowning technique

What is don gown upon entry into the room or cubicle. Remove gown and observe hand hygiene before leaving the patient-care environment? (IC.01.05.01 EP 1)

400
Any and all errors, unsafe conditions, incidences should be reported in this way
What is using RL6?
500
These tools are used for risk assessment and findings are presented to these committees (name two) 

What are root cause analysis and failure mode and effect analysis? What are medication use committee and P&T? (EC.02.01.01)

500

A diagnosis, condition, or indication for use is required in this area of the patient chart for each medication

Where is anywhere in the medical record? A diagnosis is not required to be included with each order and may be part of the medical history, in the form of lab values, diagnoses, or progress notes (MM.04.01.01)

500

These processes are used to reduce the likelihood of patient harm associated with the use of anticoagulant therapy

What are daily INR monitoring/warfarin dosing, unt dose dispensing, high alert notifications, patient/family education includes the following: The importance of follow-up monitoring, compliance, drug-food interactions, the potential for adverse drug reactions and interactions (NPSG.03.05.01)

500

In this situation the hospital must be responsible for laundering surgical scrubs and attire per OSHA standards

What is when attire is visibly contaminated? (IC.01.05.01)

500
HIPPA is an acronym for this law

What is the Health Insurance Portability and Accountability Act of 1996?