Show:
Look before you touch
Think before you speak
They're not Flintstones!
That's a long way down
It's for the patients
100
How many patient indentifiers do you use? What are they?
-Clinicians must check 2 patient identifiers before performing any clinical treatment, procedure, or service -Name and Medical Record number (MR#) are the most common.
100
Can you describe the VORB process?
-Verbal orders must be signed by the physician with 72 hours. -Verbal orders must be "read back" to the prescribing physician and documentation of such in the chart as the following: V.O./R.B. Dr. Smith/ N. Nurse, RN
100
What information does the nurse need to place on an IV tubing label?
-Date -Time-up -Initials
100
Where is fall risk signage present?
The Yellow or Green magnets on the doorframe.
100
True or false. Laundry bags must go directly to the cart, not left lying on the floor?
True
200
Before connecting a patient to a medical device, you must check that........?
The inspection sticker has not expired.
200
After contact with a pt that is positive or suspected positive for C-diff the nurse must then wash his/her hands with soap and water for how long?
15 seconds
200
When should meds/ solutions be labeled?
Any med/solution removed from the original container and not used immediately must be labeled.
200
What other items other than yellow wrist bands should be used to indicate that a patient is a high Fall Risk?
-A pair of yellow socks -A yellow blanket -A yellow magnet on the frame of the patient's door. -Two Fall Risk stickers placed on the patient's chart.
200
What do you do if you have a patient that is or becomes suicidal?
-Listen, Show concerns, and learn the warning signs -Get help- Contact MD to obtain an order for a psychiatric consultation. -MWHC has a Psychiatric Consultation/ Liaison Service available to coordinate the provision of mental health and/or chemical dependency will be provided be consultation and referral
300
Can you describe the Time-Out process?
-A time-out will occur prior to the introduction of the anesthesia (including general/ regional, local, spinal). -The team will pause and verbally confirm the patient, procedure, laterality, site, correct pt position. -The time-out will include active communication among all team members. All tema members must be in agreement. Any differences or disagreements in staff responses must be resolved for the case to proceed.
300
Where is the Look-Alike, Sound- Alike medication list posted on your unit?
It's located in the Medication rooms on the Bulletin Board.
300
What should you include when labeling a med/solution?
-The medication name, strength, amount (if not clear from the container). -Expiration date when not used within 24 hours, and expiration time when expiration occurs in less than 24 hours.
300
Name some fall prevention strategies
-Bed alarm -Call bells in reach -Chair alarms -Moving the patient closer to the nursing station -Instruct the patient to call before getting up -Toileting the patient often and/or on a schedule
300
The hospital respect the rights of patients. What are they?
-Patient rights -Cultural diversity -Psychosocial -Spiritual -Personal Values -Beliefs -Preferences
400
What do you do if your patient has an adverse drug reaction?
-Notify MD -Complete SAFE report
400
What type of hand-off commnication do you use?
SBAR (Situation, Background, Assessment, Recommendation)
400
When should you discard the meds/ solutions?
-Any medications or solutions found unlabeled should be immediately discarded. -All labeled containers in the sterile field are discarded at the end of the procedure.
400
What is the Risk Management Team's main goal for 2012?
Decreasing risk concerns throughout the organization through staff utilization of situation awareness, critical thinking skills, speaking correctly, and debriefing.
400
What does PDCA stand for?
P-plan D-do C-check A-act
500
Do you give your patients on Coumadin educational material at discharge? Where do you document this?
-On the IPOCs. -Education can be documented in Soarian.
500
Describe how critical results of the test are communicated to the physician? How do you document this?
-Notify the physician as soon as you receive the results and have the physician read back the results and any orders. -Document the critical result read back and physician notification in the patient's medical records.
500
Where should medication errors be documented?
In a SAFE report
500
What should you do if you see a risk concern in an area where you do not work?
Complete a SAFE report.
500
Do you know your codes? Code Blue- Code White- Code Pink- Code Yellow- Code Orange- Code Purple- Code Green-
Cardiac Arrest, Infant Abduction, Infant Cardiac Arrest, Incoming Trauma, Extreme Trauma, Hostage Situation, Bomb Threat, Activate Incident Command,