QPS
Policy
Odds & Ends
Patient-Focused Items
Infection Control
100

Their goal is to support a culture of safety by mitigating potential medical errors and improving patient outcomes through chart reviews, unit rounding, and supporting the peer review process for both nursing and providers. 

What is QPS?

100

This is a high risk, low volume area and important to be familiar with the policy

What is Suicide Risk Screening & Suicide Precautions for Patients Policy

100

The patients agreement to allow something to happen made with full knowledge of the risks involved and the alternatives

What is Informed Consent?

100

Improves patient safety, reduces communication errors, increases patient involvement, and promotes accountability and continuity of care

What is Bedside Shift Report?

100

The single most important step we can take to keep from getting sick and spreading illness

What is Hand Hygiene?

200

They allow us to collect factual information about the events that occur so that we can identify patterns, and implement risk reduction to prevent similar events in the future. 

What is an occurrence report (Midas)?

200

Reported to a Provider within 60 minutes from the time the result is obtained and document provider communication in the flowsheet.

What is Critical Value Policy?

200

Written instruction relating to the wishes of that patient for their care in the event they are incapacitated. 

What are Advance Directives? 

200
The format in which bedside report is given

What is SBART?

200

These have specific cleaning instructions, must be cleaned with Bleach, and is frequently asked about by surveyors from JC and DOH

What is Glucometer Cleaning and Disinfection? 

300

Review of an event and determine if there is potential for a serious safety event or potential patient harm. 

What is reviewing an occurrence report?

300

To provide restraint or seclusion in a manner that protects the patient's health and safety and preserves his or her dignity, rights, and wellbeing

What is Restraint and Seclusion/Patient Safety Devices Policy 

300

Any staff member, patient, or visitor can call or request this

What is a Rapid Response? 

300

Must be infused with medication hanging in a lock box

What is Controlled Substance Continuous Infusions?

300

Designed to reduce the risk of transmission of microorganisms from sources of infection by utilizing controls during the care of all patients. 

What are Standard Precautions?

400

A process that identifies potential knowledge deficits or broken processes before they reach a patient and cause harm

What is a Great Catch?

400

All PIV inserted outside of CHS or by EMS must be removed within 1 hour of inpatient or observation disposition selection and "ED to floor bed request" order placement 

What is Peripheral IV Catheter Insertion, Maintenance, and Extravasation Management Policy

400

Only used for patient-related communication and is not part of the patient medical record

What is Secure Chat?

400

Drugs/Chemicals regulated by the government due to their potential for abuse, addiction, and risk to public health

What are Narcotics & Controlled Substances?

400

Precautions that require an isolation mask

What are Droplet Precautions?

500

A formal, confidential, process that is used to analyze a serious safety event and identify any underlying process failures that contributed to the event. 

What is an RCA (Root Cause Analysis)?

500

Completed on admission, once a shift, and if a patient has a fall or a significant change in status 

What is Fall Risk Assessment and Prevention Policy

500

Where all CHS policies are found

What are M-Files?

500

Always identify patients with 2 patients identifiers prior to administration 

What is Medication Administration? 

500

If something doesn't seem right, it probably isn't right.

What is See Something, Say Something.