Patients First in all we do
Answer:
Use of this group Demonstrates respect for patient preferred language
What is-Using an Interpreter?
You call respiratory to ask them to give your patient a nebulizer and they are tied up in a code blue.
True or false-you are allowed to go ahead and give the patient the ordered PRN nebulizer on their behalf
True
There is a lot of crossover with shared responsibilities with RT and PT
How do we monitor our adverse events at LGH?
The Safety Reporting System
Falls with injury moderate or severe, such as a fracture or death is an example of:
What is a Reportable Event
What is the only note you need to write with the Epic system (if there are no wild “events” that need to be documented)?
The care plan note
Asking a patient a question like this is an important indicator of literacy
What is asking the patient how happy they are with how they read or how well they read?
What does IRHAPP stand for?
Introduction
Reason for admission
History
Assessment
Plan/Pending
Preferences
What does NDNQI stand for?
National Database for Nursing Quality Indicators
What does HAPI stand for?
Hospital Acquired Pressure Injury
Why can’t LPNs take admissions from the ED ?
It is outside of the scope of practice of a licensed practical nurse to perform initial assessments
When working with a patient who is being discharged, you discover that they do not have a car and cannot get to their follow up appointments. As a well-rounded nurse you understand that this financial barrier can cause the patient from fully getting healthy. You know that economic stability correlates to better health and is one of the 5 ____ ______ ______ of _______
What are social determinants of health
What teamwork-based central line care element was designed to decrease potential risk for infection in central lines?
Two person workflow for changing the dressing of a central line
This is the organization we pay to visit us to grant us and many other hospitals accreditation. They hold us accountable for making sure we meet the standards for patient care and safety for all.
Who is The Joint Commission (TJC)- no longer called JCAHO
What is the average reimbursement from the insurance companies for a hospital acquired condition?
Zero dollars and zero cents
True or False
When patients leave AMA, per policy you cannot give them a wheelchair ride to the front door
False!
You can absolutely escort an AMA patient out
You also do not have to escort d/c’d patients out
This is something that should be a never event for patients who have been deemed high risk for falling
what is-leaving them unattended in the bathroom or alone on a bedside commode
Nursing is expected to put forth “a good faith effort” on this on admission but then must hand off to the physician to finish the job
What is the medication history/medication reconciliation process
What is the name of this cornerstone of Magnet Culture that gives nurses at every level the ability to participate in improving the culture of the hospital as well as improve patient outcomes?
Shared Governance
These items are hated by patients trying to move, and nurses run for them
What are bed and chair alarms
Lowell General’s clinical ladder program for nursing is called PEN-What does PEN stand for?
What is Professional Excellence in Nursing?
True or False
Your patient has questions about their upcoming surgery that they already signed consent for. You determine that they have not understood the surgeon’s explanation of the procedure based on questions the patient is asking you. Due to the fact that they already signed consent, you do not need to call the surgeon to come and further explain the surgery and answer the remaining questions
False
This concept is a powerful tool for managing your time and getting all of the patients needs and tasks met. Proper use of this concept involves considering scope of practice.
Delegation
How can we learn from instances reported, injury or hospital acquired injury, within the organization?
Root Cause analysis, huddles, case reviews
An unanticipated event in a healthcare setting resulting in death or serious injury that is not related to the natural course of the patients illness
What is a sentinel event
What is the best part of the new grads program?
The New Grads!