Communication
proper procedure for reporting test results to patient and primary caregiver include:
-report results in timely and prompt manner
-communication amongst appropriate team members
-designations of roles for delivering results/communication
Protocols for establishing safety alarms for patients include:
Checking on incidental history/chart review
identifying specific alarms for patient (chair, bed, seatbelt)
Checking that all systems are working properly on alarm systems
Communication from clinical staff/departments (nursing, therapy, case managers, MDs, pharmacists, etc.)
What is the most important measure aimed at reducing the risk of healthcare-associated infections?
Hand Hygiene
What is health disparity?
differences in health and disease distribution that adversely impact socioeconomically, socially, and/or geographically in reference the general population
Every time you administer medications or blood products, take blood samples, or perform treatments and procedures you must use patient identification. two forms of patient identification are
Name
MRN #
DOB
Factors that contribute to miscommunications towards patient/caregivers include:
-inadequate interdisciplinary handoff
-inadequate discharge planning/instructions
-limited english profiecny/health literacy
-cultural barriers
-age related challenges
-errors in medical orders or test results
Ways to manage patient safety alarms include:
responding promptly to alarms
identifying when alarms can be disabled
The length of time to wash hands with soap and water for hand hygiene
20 seconds
What does HRSN stand for?
health related social needs
The Universal Protocol only applies to operative settings, since the parameters aren't relevant to non-operating settings
False
Communication needs for patients include
- involve patient/caregiver directly in patient care process
-identify primary patient caregiver/advocate if not already known
-provide patient/caregiver education that address patient needs
-monitor change in status/orders
Identifying patients who are at a suicidal risk include this:
screen/document all patients for suicidal ideation
patients who are being treated for behavioral health
follow written policies and procedures (removing objects for self-harm, sitter implemented, regular depression/suicide assessment)
Foaming in and foaming out is a regular procedure for hand sanitization and hand hygiene. The only time you would not use hand sanitizer and use soap water include the following:
when hands are visibly soiled
what populations are in risk for health disparity?
Racial/ethnic minorities
women
older adults
people with disabilities
marginalized groups
1 in how many patients get diagnosed a hospital acquired infection ?
1 in 31 patients
67%
Ways to avoid patient harm relating to medications upon discharge day include:
explain importance of managing medications to patient, go over time/frequency of dosage, list of medications to patient and primary care provider, carrying medication information upon emergency
Contact Time and Dry Time for Sani-Cloth AF3 and Bleach Wipes are
3 minutes and 4 minutes
examples of a patient's HRSN include
access to transportation
difficulty paying for prescriptions/paying for medical bills
education in literacy
food insecurity
house insecurity
Name Vital Documents and Non-Vital Documents
Vital Documents- informed consent, complaint forms, intake forms that may have medical consequences, eligibility criteria for rights, decrease or denial of benefits or services
Non-Vital- Menus, third party documents/forms/pamphlets, enrollment handouts, general information intended for general information purposes
What are the five domains of organization readiness for implementing effective communication and patient/family centered care?
-leadership
-data collection/use
-treatment of care and services
-service providers
-patient engagement
Placement of items in biohazard bins include
Biohazards bins: bodily fluids such as items soiled in blood, anatomical waste, and/or PPE that came into contact with blood and potentially infectious materials
proper process for donning/doffing PPE for Airborne Precautions
Hand Hygiene-> Gown -> Mask (N95)-> Eye Protection -> Gloves
Gloves->Eye Protection -> Gown-> -> Mask -> Hand Hygiene
How to complete routine Quality Improvement within the hospital?
manage data, measure performance levels, and assess patient safety
Examples of most frequently identified root causes of sentinel events reviewed by joint commision:
human factors
leadership
communication
assessment
physical environment
information management
careplanning