Building a Culture
During bedside shift report, a staff member recognizes there was an error in the pump programming from the previous nurse. The error was corrected at bedside and no patient harm had occurred. What would the nurse complete to promote a culture of safety?
What is a Midas Report.
What area of PowerChart can you find the QImpage?
What is Inpatient Tools
True or False: Regulatory Readiness is everyone's duty.
What is True
A patient falls on the unit, what form do you fill out?
Falls Huddle Form found on the Patient and Safety Website.
When you provide off going report to the upcoming staff and charge nurse, this organizational tool can assist you with sharing information. The information should be clear, concise and have ability for someone to become up-to-date in less than 5 minutes.
What is the DMOS board.
The DSB occurs at 11am daily, what does DSB stand for?
What is Daily Safety Brief.
What does the nurse "smiley face" mean in the CHG category?
What is the CHG treatment has been completed for that day.
You are a new Charge nurse and notice a large water stain in the ceiling of the supply closet and a broken outlet. You are unsure if this was escalated, what should you do?
Escalate to you leadership immediately, House Manager on off shifts.
A provider sticks themselves when they are on your unit placing an arterial line. Where can you direct them to fill out a Sharps Injury Report Form?
What is Employee Services and READYSET.
If you have a faulty piece of equipment on the unit, who do you call?
Per the policy: PC-112 HAM Escalation of Concerns, a provider has how long to return an URGENT TigerText?
What is 5 minutes.
The PCA on the floor asks you what the notebook symbol means that is next to the plate in the Nutrition Column. What is your response?
What is a consult note.
Your staff member is unsure how to answer a question from a DOH auditor. You are on duty as the charge nurse, how can you assist?
What is support the staff member and state you would verify the policy or check with your leadership.
The evening your in charge, a float nurse is sent to help with patient care. During the shift the float nurse complains of their lower back hurting. You ask more information and find out the nurse had hit their back on the bedside table when standing up from emptying a urinary catheter. Once verifying the nurse is doing ok and refuses emergency care, what would you advise next?
What is completing a Employee Injury Report.
It must be returned within 1 hour of removal from pyxis. Unfortunately, they will need to return it back that day.
The staff nurse has provided a STAT TigerText to a resident followed by a senior resident. The nurse received push back from the senior resident about sending the STAT TigerText, including "the team will be available when they round." The staff nurse comes to you for assistance. What is your next step?
What is STAT TigerText the Fellow or Attending, next in line.
Followed by escalating the push-back to your leadership team.
There are 2 numbers listed under the Central Line Days column. What does this mean?
What are 2 different CL are in this patient.
Per the DOH/TJC Readiness Checklist how should disinfecting cleaning wipes be kept on the units when in use?
What is disinfectant wipes are pulled up through the lid opening [not off the side].
You patients' family member passes out and falls on the floor. Once you verify they are conscious, who do you notify to take them to the ED?
Who is security.
A patient has come from another unit and starts to portray inappropriate behaviors and comments to staff. The house manager is notified and decides a Behavioral Contract will be issued. Is this something you will handle?
No, the HM will provide the contract or leadership team if available.
A serious safety event has occurred on your unit. As the charge nurse on duty during that event, you receive a request to answer some questions related to the event. What type of process is likely happening specific to this event that requires an interview of those involved?
What is a RCA or Root Cause Analysis
The R symbol is red and the others are green for your unit. What does this tell you?
What is another name for Manufacturer Guidelines and where are they kept?
What is Instructions for use (IFU) are also referred to as Manufacturer Guidelines – these are located on the Infonet under Policies.
During an active shooter scenario, how do you and your staff which room to hide in?
What are silver sticker labeled rooms.
During staffing huddle you have been asked to give up a nurse, however you are concerned this will stress out your nurses and be unsafe for your patients. When you provide details to the HM or staffing leader, what is important to share with them to help determine your need for the staff?
Unit stressors such as 1:1, critical patients, CRRT, procedures, traveling, reduced ancillary support, ORs, etc.