Show:
JC Basics
Patient Safety
Workplace
Documentation
Potpourri
100
Their purpose is to grant accreditation They are the deeming authority for Medicare certification AKA “Yes, we can close your hospital and make you seek new residencies”
Who is the Joint Commission?
100
Name one of the 2017 National Patient Safety Goals
Identify patients correctly Improve staff communication Use medicines safely Use alarms safely Prevent infection Identify patient safety risks Prevent mistakes in surgery
100
Where are the fire extinguishers for your unit? BONUS: Where’s the oxygen shutoff valves in case of a fire? Who can turn off the oxygen shutoff valve
Person in charge or whomever the charge person designates to do so
100
How do you document in your procedure note that you confirmed the correct identity of the patient, and the correct site of the procedure?
Document that a “time out” was done (check box on procedure note area)
100
True of False: A minor sibling may translate for the parent if the minor is 13 years old or older, clearly fluent in both languages, and the parent and minor consent to using the minor as an interpreter
Parent “El bebe tiene mucho fiebre, hasta ciento siete, y no come nada, nunca, en todo su vida, (esos Cheetos son la primera comida de todo su vida), y tiene fiebre por dos o tres meses, y le duele todo su cuerpo, y tiene ronchas y grippe y tos y nausea y diarrea…” Sibling Interpreter “Tiene fiebre?” “Yes”
200
Who does the Joint Commission usually asks questions to?
Nurses, ancillary staff, patients
200
What is the purpose of Medication?Reconciliation? When is it done?
It is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions At a minimum - start of care, transitions of care, discharge
200
What color “code” would you call if you had a violent patient? Who would come?
Code Purple Call police at 11911
200
What is informed consent? * Answer is NOT “Let’s do this”
Discussion of the risks, benefits, and alternatives to procedure with significant risk
200
Does OUMC have a mission? What is it? It’s not “To get our residents more sleep and more money.”
Mission: Leading health care – now and for the future
300
Surveyors analyze a hospital’s systems by following individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
What is tracer methodology?
300
Name one way you reduce the risk of health-care associated infections in your department
Handwashing with soap and water before AND after each patient contact Even if you used gloves Wash vigorously for 15 seconds Alcohol-based hand rubs may be used if there is no visible soiling and C. diff is not suspected Use of artificial or long fingernails is prohibited
300
What do the RACE and PASS mnemonics stand for when there is a fire?
Remove patients and others Alarm Contain the fire (close doors) Extinguish the fire when it is safe to do so Pull the pin Aim the nozzle at the base of the fire Squeeze the handle Sweep the nozzle from side to side
300
What’s wrong with this order? Motrin 600 mg PO q 6-8 hours prn pain (standard adult dose)
No range orders allowed (No range in doses, no range in time intervals)
300
What quality performance data are collected in your area, and how are you involved?
The data are collated and shared on a monthly or quarterly basis.
400
How is protected health information kept private in your department?
How is protected health information kept private in your department? HIPAA: Health Insurance Portability and Accountability Act States that PHI may only be used for purposes of treatment, payment, healthcare operations HIPAA sensitive documents are placed in a locked HIPPA trashcan Don’t discuss patients in hallways or elevators Keep curtains closed and don’t let patients stare at the board
400
How do you improve the accuracy of patient identification in your department?
TWO (2) (dos) identifiers when providing treatment, administering medications, collecting specimens, discharging the patient Patient’s name DOB Patient’s MR # NOT patient’s room number or condition (e.g. the vag delivery in room 10)
400
What should you do in the event of a hazardous material spill?*
Rinse exposure with water Post warning signs Cordon off area Consult Material Safety Data Sheet (MSDS) or call Hazardous Material Safety Office
400
DOUBLE POINTS!! What’s the “fifth vital sign” that we document on ALL patients? Where and when do we document it?
PAIN score PAIN score PAIN score (am I getting through?) GOALS Pain med w/in 30min Reassess w/in 30min of IV/IM pain med, w/in 60min of PO Pain score < 4 at d/c or pain med for home
400
Dr. X is starting his shift in the OB. He walks down the hall, Starbucks in hand, and waves “hi” to the nurses and clerk. He rounds the corner, going through the propped open door to stand in front of the board. He notes that there are 2 patients with the same initials on the board. He dumps his empty coffee cup in the trash, sets down his trusty Harriet Lane Handbook on the counter, and picks up a chart. Where’s the JC violation?
Only special fire doors may remain open. Doors may not be propped open
500
Name two of the Perinatal Core Set measures. What is ORYX? (extra point)
What is ORYX? This is an Joint Commission initiative that requires hospitals to collect and submit electronically data each quarter?? Perinatal Core Measure Set Elective Delivery C Section rate? Antenatal Steroids? Exclusive Breast Milk Feeding
500
Name two ways that improve the effectiveness/accuracy of communication between caregivers?
Telephone orders are read back Verbal orders are repeated back Critical lab values and other test results are read back We use standardized abbreviations and avoid certain unapproved dangerous abbreviations
500
What are code pink, code blue, code orange, code silver, and code yellow? (1 point per correct answer)
Code pink: infant / child abduction Code blue: cardiac/respiratory arrest Code silver: active shooter/hostages Code orange: hazardous material? exposure Code yellow: disaster
500
What do you consider when assessing a patient's learning ability? Where is this documented?
Their ability to learn, preferences, desire, motivation, and readiness. Also consider cultural and religious practices and emotional, physical, cognitive, or language barriers
500
A two-parter: How do you know a piece of equipment (e.g. defibrillator, ultrasound) is okay to use? How frequently do you test the defibrillator & how?
Check on the equipment for a dated sticker that it has been serviced by mechanical. Every 24 hours.