CHARTING
MEDICATION ADMIN
PLAN OF CARE
QUALITY & SAFETY
INFECTION CONTROL
100
Notify the provider and chart within 1hour of receiving results.
How quickly must you report and chart critical lab values?
100
What are the 7 rights of safe med admin?
Right patient, medication, dose, route, time, indication/reason, documentation.
100
How often do you chart patient education?
Once a shift, and whenever an education topic has been taught to a family or patient.
100
Adverse Event = any harm to patient; Sentinel Event = Serious harm up to death
What is the difference between sentinel and adverse events?
100
How long does it take for Super Sani-Wipes to be effective? Bleach Wipes?
2 minutes (sani / purple top) 3 minutes (bleach)
200
Every hour AND every 15 minutes for violent patients. (Safety & intervention checks may be delegated to some Unlicensed Assistive Personnel but the RN remains ultimately responsible).
How frequently must you chart on a patient in restraints?
200
What element is missing from this medication order? Acetaminophen 650mg, PO, Q6, PRN
Indication (eg: PRN pain, fever)
200
Why is the care plan important?
Interdisciplinary Coordination of Care
200
Wear Gloves, gown and face shields and dispose of items in yellow waste bins.
What PPE is required when handling Cytotoxic medications? How are they disposed of?
200
How long should you perform hand hygiene in order for it to be effective?
15 seconds of rubbing is required (minimum).
300
This skin assessment must be charted upon admission and at least once every shift.
What is pressure injury (Braden) risk assessment?
300
Name the HIGH ALERT medications that require a 2 RN check.
Digoxin - Insulin - Heparin (excluding flushes) - Chemotherapy-class meds - Parenteral nutrition (e.g. TPN) - Transdermal Fentanyl - Magnesium Sulfate - Ammonium Chloride Remodulin
300
How do we individualize patient Care Plans?
Care Plan comments (EPIC) - RN-to-RN Handoff (EPIC) - Family-centered rounds (VERBAL COLLABORATION)
300
Areas around, above and below exists, fire extinguishers, fire alarms, and emergency gas valves.
What emergency areas must ALWAYS be clear?
300
How are most infections transmitted?
Contact / Touch (which is why HH is so important).
400
Morse <45 and Humpty Dumpty <12
What is a low risk falls score?
400
Where are all the places medications are stored on the unit? Where are narcotics kept?
Medications are stored in locked carts or kept in the fridge behind a locked door (med room). Narcotics are in the locked OmniCell or kept in a lock box behind a locked door (med room).
400
When are Care Plan and Education Assessment initiated? How often are they updated?
Within 24 hours of admission and charted every shift.
400
Analytics dashboard.
Where do we find our quality statistics and data?
400
What do HAC and HAI stand for? Hint: they are synonyms
Hospital Acquired Conditions Hospital Acquired Infections
500
All except those under 6 months of age and those who are chemically paralyzed and/or sedated.
Which patients in the ICU require a Fall Risk Assessment?
500
How do we differentiate look-alike and sound-alike medications?
With TALLman lettering, e.g. cefTAZidime, cefTRIAXone
500
Where do you find the Care Plans and Education in EPIC?
Chart Review Icon - Care Plan/Pt Ed Tab - Scroll all the way down to find education
500
Patient Experience, PCARES standards and leadership rounds.
What resources do we have to address patient complaints?
500
Name the Hospital Acquired Conditions (HACs) that we track, trend and report on.
CLABSI (Central Line Associated Blood Stream Infection) - CAUTI (Catheter Associated Urinary Tract Infection) - HAPI (Hospital Acquired Pressure Injury) - VAP (Ventillator Associated Pneumonia) - SSI (Surgical Site Infections) - Falls - OBAE (Obstetric Adverse Events)