Medication Facts
Infection Disease
Environmentally
Speaking
Documentation
Quality
100
This clinical care process involves finding out what medications a patient is taking, comparing them to what has been taken in the past, documenting any changes, and checking for safety issues.
What is Medication Reconciliation?
100
The amount of time an item needs to stay wet in order to disinfect
What is wet time? 2 minutes PDI & 4 minutes bleach
100
pull, aim, squeeze and sweep. PASS
What are the steps of using a fire extinguisher?
100
These three elements are mandatory for all documentation entered into the patient chart
What is Signature, date and time?
100
This is the online system used to report patient and visitor injuries or adverse events, including potential events (near miss)
What is Clearsight?
200
VTE protocol, patient education, heparin nomogram, & pharmacist review
How do we reduce patient harm from anticoagulation?
200
Christmas tree, BP cuffs, graduated cylinders
These are disposed after a single patient use
200
This moves in and out with negative pressure in the dirty utility room.
What is the ball in the wall?
200
Cyracom language line & documentation of interpreter ID
What do you do if the patients' language is not English?
200
These goals help improve patient safety: Improve the accuracy of patient identification, Improve the effectiveness of communication among, caregivers Improve the safety of medication, Alarm safety.
What is National Patient Safety Goals?
300
Needs LIP order, pharmacy ID & barcoding, must be non-formulary
What is the process for taking home meds?
300
Helps to reduce hospital required infections Before touching a patient, Before clean/aseptic procedure, After body fluid exposure, After touching a patient, After touching a patient's surroundings.
What are the WHO 5 moments of hand hygiene?
300
Length of time required to flush eyes after exposure to a hazardous substance.
What is 15 minutes?
300
Document 15-30 minutes after an IV dose, or 60 minutes after a PO dose.
What is pain re-assessment documentation?
300
Contains updated data and compliance measures. example- 2 patient identifier compliance
What is the 4AB Quality board?
400
Independent double check of high risk meds, use of barcodes, look alike/sound alike, pharmacy double check
What has been done to reduce medication errors?
400
Name of process for pre-cleaning instruments at point of use.
What is high level disinfecting?
400
Whenever there is a breach of security with the keypad
How often do keypad codes get changed?
400
Confirm caller & patient ID, read back results, notify MD within 30 minutes, & document
What are the steps to follow with critical results>
400
AHS intranet, ECHO or New Innovations
How do you check physician/resident privileges?
500
This process requires the below: Independent double check at each administration Oncologist order only, Double glove, yellow bin disposal
What is the administration of chemotherapy?
500
A coordinated program that promotes the appropriate use of antibiotics, improves patient outcomes, reduces resistance and decreases the spread of infections from multi-drug resistant organisms.
What is antimicrobial stewardship?
500
This process includes: dial 8888, stay on the line, assist patients and visitors as necessary, safe room, close blinds, silence cell phones, turn off lights and quietly wait for security
What is an active shooter protocol?
500
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 through pre-operative verification. It includes site marking and conducting a final time out immediately prior to an invasive procedure
What is Universal Protocol?
500
Consistent demonstration of excellence in quality and safety for every patient, every time.
What is a high reliability organization?