What are the Multi-Drug Resistant Organisms of concern at SFGH?
100
Access the Enterprise Medication List from the LCR or eCW's pt. hub.
What is one way to assist in completing Medication Reconciliation?
200
Name, strength, amount, Quantity, Diluent, volume, preperation date, expiration date
What goes on the Label?
200
Two different nurses calculate dosages of anticoagulants then compare to see if they arrive at the same answer.
What is an independent double check?
200
They are all suicide risk screening indicators.
What do the following have in common:depression anxiety, psychosis, PTSD, panic attacks, bipolar disorder, acute postpartum depression, substance abuse, other psychiatric problems
200
Three evidence based practices to prevent MDRO.
What are Hand Hygiene, Standard Precautions, Antibiodic stewardship?
200
Let me get the alcohol wipe to "scrub the hub" for you.
You are helping a co-worker in a room. She is about flush the patient's saline lock and you notice she hasn't scrubbed the hub. What is a diplomatic way to facilitate safe practice.
300
Any time a medication or solution is transferred from the original packaging to another container
When does labeling occur?
300
1. Why are they taking Heparin, Warfarin or Enoxaparin
2. Signs and symptoms to look for
3. The importance of follow up appointments
4. Keep a steady diet
5. Notify other providers
Krames
What are 5 things that need to be taught and documented to patients on anticoagulant therapy and where can you find materials to assist with teaching?
300
They are all examples of patterns of speech that may indicate a person is thinking of suicide.
What do the following comments have in common?
"My family would be better off without me."
"I wonder what it's like to be dead."
"Maybe I won't be around."
300
They are all measures for CLA-BSI prevention. (5)
What do following 5 things have in common?
1. Assess and document indication for the line, site condition and dressing condition
2. Hand Hygiene prior to any line access or site care
3. Scrub all hubs and ports for 15 seconds with alcohol
4. Use Central Line Dressing Change Kit
5. Maintain Aseptic Technique during dressing changes
300
These are all alternatives to pharmacolgic prophylaxis. (2)
What are:
Sequential compression devices
Encourage ambulation
400
Sterile packs include pens and labels
How is it possible to label on a sterile field?
400
The lab calls the nurse with a critical value on a patient on anticoagulation therapy. The nurse writes it down and reads it back.
What is required when getting critical lab values?
400
If the answer is Yes don't leave the patient alone, ask for assistance, engage with the patient and contact Psych
As the Nurse or Provider what do you do after asking the patient:
Do you fell depressed?
Do you feel like hurting yourself?
Do you have a plan?
400
They are measurres to reduce preventable surgical morbidity and mortality. (5)
What are:
1. Prophylactic antibiodics prior to surgery
2. Discontinued ABO's 24 hours after surgery end time
3. Appropriate hair removal (No razors)
4. Urinary Cath removed POD 1 or POD 2
5. Temp Management
400
• A patient's home medication was recorded as Coreg 25 mg twice a day on the admission order sheet when the patient was actually only taking
6.25 mg twice a day at home. The patient recieved 4 doses of the excessive strength and developed leg edema. A leg ultrasound test was ordered to rule out deep vein thrombosis before the error was discovered.
What medication error could have been prevented with performing a Med rec?
500
McClinton, 69, died last year at Virginia Mason Medical Center after being injected with an unlabeled — and deadly — fluid during a procedure to fix a damaged blood vessel.
What is example of a serious error due to not labeling medications correctly?
500
1. Standardized concentrations of IV anticoagulants
2. Anticoagulant usage monitored by a clinical pharmacist
3. All medication errors realted to anticoagulants are reviewd and addressed to improve performance.
4. Only prgrammable infusion pumps are utilized for administration of anticoagulants.
Name 2 policy and procedures SFGH implements to improve safty related to anticoagulant therapy.
500
They are all enviornmental hazards to the at risk for suicide patient. (9 things)
What do call lights, bell cords, bandages, sheets, restraint ties, belts, plastic bags, oxygen and IV tubing, sharp equipment have in common.
500
Avoid unecessary use and D/C as soon as possible.
What is the best means of preventing CA-UTI and ClA-BSI infections?
500
Yes.
SBAR can be also known as handoff communication
Can SBAR be applied to verbal and written communication?