Notify RN in clinic. Notify manager. Notify UCDPD as appropriate UCD policy IV-72. Patients threatening themselves or others. Don't leave the patient unsupervised.
What are the procedures for handling a threatening or suicidal patient?
100
Good eye contact, identification badge visible, smiling and greeting patients, use two patient identifiers in person, managing up co-workers, notifying patient of delays.
What are components of excellent customer service?
100
Knock before entering closed doors. Announce yourself before entering any room. Use curtains. Keep patient covered if possible.
What is protecting patient's privacy?
100
Further than 18 inches of the ceiling. Boxes more than 4 inches off the floor. No corrugated boxes in clinical areas.
What are the requirements for storing supplies or materials?
100
Check the gauge, less than 500 PSI. Tag on it with red letters.
What are indications an oxygen tank is empty?
200
Cover Your Cough posters, tissues, hand sanitizer, and patient masks.
What are items at the front desk room and available in exam rooms that should be accessible for patients with a cough?
200
Release of Information/HIM consent. HIM/Medical Records on Stockton Blvd. Copy of their After Visit Summary (AVS) on the same day of service. Labs, test results or other EMR notes provided by MD after consultation/review.
What is how a patient gets a copy of their Personal Health Information (PHI) - medical records?
200
Labeled. Topical and injectible stored separately. Twenty eight days for multi-use vial, one year for multi-use lotion, solution, ointment, or cream OR until manufacture date. Single use discarded after use.
What are the expiration time frames and requirements for medications in clinic?
200
Rescue, Alarm, Confine, Extinguish and Pull, Aim, Squeeze, Sweep.
What are the acronyms for steps in case of a fire and how to use a fire extiguisher?
200
Plastic bags cannot be used for storage or placed on the floor. Sharps containers less than 3/4 full, without medications in them. Items saturated with blood.
What are appropriate use of biohazardous bags and sharps containers?
300
Fire. Internal/External disaster. Chemical hazardous material spill. Medical emergency. Possible Infant/Child abduction.
What are Code Red, Green, White, Blue and Rainbow?
300
No food or uncovered drinks visible. Personal items, food and drinks are in cabinets. No specimens sitting at desk area. Screen protectors. Speaking quietly when discussing patient information.
What are the steps for maintaining a clean, clutter-free, safe and private environment?
300
MOSC staff prints the medication list from EMR and provides it to the patient at registration. Nursing/MD reconciles the patient's list. Provider reviews with patient, updates in EMR, patient leaves with the After Visit Summary (AVS).
What is the medication reconciliation process in the clinic?
300
Poster in main lobby, entrances and elevators. Reasonable access to care. Care that is considerate and respectful to patient's personal values and beliefs. Security, personal privacy, confidentiality. Resolution of complaints. Coummunication and pastoral counseling.
What are patient's rights?
300
No verbal orders, no using banned abbreviations, write down critical results/telephone orders and read back for verification.
What is safe provider and staff communication?
400
Traveled to West Africa within last 3 weeks. Flu symptoms. Staff to put on N-95 mask. Patient to put on surgical mask. Escort pt and family to isolated Exam Room. Close the door. Notify Supervisor and Resource Nurse.
What are the steps to handle a possible Ebola patient?
What is how you explain you are competent/qualified to do your job?
400
Environmental walk throughs. No items on the floor. Clutter-free. Hallways clear. Assisting patients as they walk. Reporting safety hazards.
What are ways to prevent patient falls?
400
Working flashlights. Daily log refrigerator/freezer. Eye wash stations. Calibration of equipment. Point of care daily checks. Biannual safety inspections. Proper use of personal protective equipment. Crash cart checks.
What are ways that clinic safety is maintained?
400
Foam in and out of room, in between patients, when soiled. 15 seconds for hand washing, 20 seconds for gel/foam. To reduce infection, bacteria and pathogens.
What are the reasons and requirements for hand hygiene?
500
Right to Make Decisions. Pain Management. Safety Management of Medications. Speak-Up Cards/Poster. Advanced Directive brochures. Joint Commission Commitment to Quality and Safety brochure. Patient Rights/Responsibility Poster.
What are the required patient education materials that must be readily available?
500
Pager at the front desk. Simultaneous to Supervisor and alert communicated to staff and providers in clinic. Guard the exits to the clinic and public restrooms and ask politely for people not to exit.
What is the procedure for Code Rainbows?
500
Name, MRN#, Date of Birth, Address, Phone number, interpreter, ID verification. Two needed in clinic. Three needed on the phone.
What are patient identifiers and ways to verify you are accessing the correct patient chart?
500
Nothing under the sink. Hand washing and gloves/supplies in each exam room. Cleaned with two step clean after VRE/C-diff patient or single step clean at the end of the day or when soiled. Equipment clean and dust-free. Stocked and checked weekly. No supplies out of date.
What are requirements for exam rooms?
500
1) Improve accuracy of patient identification
2) Increase effective communication
3) Improve safety of medication use
6) Reduce the harm associated with clinical alarm systems
7) Reduce health-care associated infections
15) Identify patients at risk for suicide (as appropriate to healthcare setting)
Improve Universal protocols:
a. Right patient, side and procedure. Mark the site. Time out/Surgical Pause, Documentation
What are the 2015 Joint Commission National Patient Safety Goals?