Elements present on consent form
What is: Responsible provider (with credentials)
Patient Signature
Interpreter (as applicable)
Witness signature
How dirty scopes are transported
What is: In leak-proof, puncture-proof, biohazard labeled container
Patient must sign prior to transfusion
What is: Consent or Declination form
Single use patient care items
What is: coban tape, bath wipes, and tissues
Wet times for disinfectant wipes
What is: 2 minutes for purple
3 minutes for Grey/Red
4 minutes for Orange(Bleach)
How to verify provider privileges
What is: Intranet->staff resources-> credentialing
PPE worn during pre-cleaning of scopes
What is: long sleeved impervious gown, gloves, mask, and eye protection
Blood/Blood products must be transfused within this timeframe from pick up at blood bank
What is: Within 4 hours
The CDC recommends this amount of time for hand hygiene
What is : 20 seconds
How long are the Glucometer control solution vials good for after opening?
What is: 3 months, dated on bottles.
Ways to protect PHI
What is: log of computers, dispose of information in shred bins, do not text patient information, not leave documents unattended, never share passwords/logins, do not share PHI on social media, only looking at PHI needed for your role
Test performed on endoscopes during manual cleaning process
What is: Leak testing
Patient education should be
What is: Transfusion education attached to AVS
&
Documented in blood admin flowsheet
Do you clean or disinfect glucometers and I-Stats?
What is: BOTH, you must use two wipes; one to clean and one to disinfect
How long are Glucometer test strips good for after opening?
What is: 6 months, dated on bottle
Elements present during timeout
What is: Visually confirmed consent
Confirmed patient identity
Procedure being performed & Provider
No distractions
Item placed on tip of endoscope, when pre-clean is completed for transport
What is : Koala sponge (yellow sponge)
Frequency of VS documented during transfusion
What is: A Baseline, Start of transfusion (blood enters body), 15 minutes after start, hourly from start time, at completion
Location of spill kits
What is: Dirty side scope room (big kit)
Foramlin spill kits in procedure room 1, 2, and 4 as labeled on the cabinets
Storage hanging time for flexible endoscopes
What is : 7 days
What color wipes are used to LLD probes and what are the directions used in the 3 wipe method?
What is: Purple Wipes
1. Base to Tip (removing Gel/Debris)
2. Base to Tip (LLD the Probe)
3. Base down cord to Plug (LLD the Cord)
Part of manual cleaning process
What is: Visually inspect for holes, tears or other damage to scope
Ways peri-op conserves/prevents blood loss in patients
What is: Use of cell saver in cases with EBL >750ml, coagulation labs prior to procedures
What wipes do you use to clean glucometers and i-stat machines?
What is: Purple wipes, or orange wipes for C-Diff
Time frame from scope pre-cleaning to manual cleaning
What is: 60 minutes (documented in SPM)