Patient Safety
Before patient contact, before an aseptic task, after body fluid exposure, after patient contact, after contact with patient surroundings
What are the 5 moments of hand hygiene?
Acknowledge, Introduce, Duration, Explain and Thank
What is the definition of the letters in AIDET ?
Within 4 hours of Admission
What is when you must get an actual weight on the patient?
At eye level on a flat surface
What is the required method for reading liquid Output amounts?
1 ounce of product to 1 quart of warm water
What is the formula for preparing a no- rinse solution?
When in Contact precautions, the space within 3- 5 feet of the patient's door
What is the 'safe zone'?
Make eye contact and smile, greet visitors and patients, accompany people to their destinations, complete hourly rounds, use key messaging such as: for your safety, for your privacy, for your hourly round
What are some important patient experience actions?
Contact the Room Service Ambassador
What is a great way to get your patient's meal ordered?
Expel flatus or empty stool
What are the Colostomy tasks a Nurse Assistant can perform?
Open to air on incontinent pad, limiting 'stuff' between bottom sheet and skin, turn every 2 hours, limit time in chair to 2 hours, apply Mepilex to vulnerable areas, assure sacrum offloaded when on side, HOB below 30 degrees, knees up fully when HOB above 30 degrees, heels off bed/ chair surfaces
What are some wound (HAPI) prevention interventions?
The time the surface must remain wet to disinfect
What is the 'wet time' ?
Stay within arm's distance when toileting, yellow arm band, door frame sign, bed alarm, toilet in advance of need
What are some High Fall risk interventions?
The mathematical formula to convert the number of ounces to the number of ml
What is multiply the number of ounces by 30 ml?
When a patient has a wound, Braden Score of 18 or less, a Central Line, a Foley, or is in Isolation Precautions
Which patients get daily linen changes?
A very effective way to prevent blood clot formation in the calf
What are Sequential Compression Devices?
Wear this when the patient is not performing cough etiquette
What is a face shield or goggles with a mask?
Comfort, Alter position/ Activity, Restroom, Environment
What are the 4 parts of hourly rounding?
6AM, 2PM, 10PM
What is the required time when all Output devices must be emptied?
Place in the green, Clean Unacceptable Linen bag
What is any linen that is clean but unusable (torn, has tape or leads stuck to it, etc.)?
On the side of the container in the presence of the patient
What is where Specimen labels must be placed?
CHG once a day application
What is the treatment for patients with Central Lines and Foleys to prevent CLABSI and CAUTi?
CARE channel, Move closer to nurse's station, family involvement
What are some restraint alternatives?
In Epic, place a '1' in the Occurrence Row
What is how unmeasured Output is documented?
No- rinse cleanser
What is the preferred bathing product?
Frequency we must check for eyeglasses, hearing aids, dentures and phones
What is every shift, when removing the meal tray, when completing hourly rounding, at every transfer and discharge?