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 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 forms do you fill out?
What is a Falls Huddle Form and a MIDAS? (Falls huddle form found on the Patient Safety Infonet page.)
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 11a.m. 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?
What is escalate to your leadership immediately (House Manager on off shifts)?
A provider sticks themselves on your unit while 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?
What is BOC and fill out a MIDAS?
Per the policy: PC-112 HAM Escalation of Concerns, a provider has how long to return an URGENT TigerText?
What is 5 minutes?
A PCA on the floor asks what the notebook symbol means 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 you're 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 questions and find out the nurse hit their back on the bedside table when standing up from emptying a urinary catheter. The nurse insists that they are okay and refuses emergency care. What would you advise next?
What is completing a Employee Injury Report?
A nurse from the previous shift calls to tell you they found a PCA key in their pocket after they drove an hour home. The nurse asks if they can bring it back next shift. What is the policy for when this key should be returned, and what would you tell the nurse?
What is it must be returned within 1 hour of removal from Pyxis, so they will need to return it back that day?
A staff nurse sent a STAT TigerText first to a resident then to a senior resident. The nurse received push back from the senior who stated, "The team will be available when they round." The staff nurse comes to you for assistance. How do you respond?
What is encourage STAT TigerTexting the Fellow or Attending physician per the Escalation policy?
Once the patient's care needs have been met, escalate the RITE value violation to your leadership team.
There are two numbers listed under the Central Line Days column for a patient on your unit. What does this mean?
What is the patient has two central lines?
Per the DOH/TJC Readiness Checklist how should disinfecting wipes be kept on the units when in use?
What is disinfectant wipes are pulled up through the cental lid opening [not off the side], and the lids are closed when finished?
Your patient's 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 transfer from another unit starts making inappropriate comments and behaving inappropriately toward staff. The house manager is notified and recommends issuing a Behavioral Contract. Is this something you will handle?
What is No, the leadership team (if available) or the house manager will provide the contract.
A serious safety event occurred on your unit. As the charge nurse who was on duty, you receive a request to be interviewed about the event. What process is likely happening?
What is an RCA or Root Cause Analysis?
One of the patients on your unit has a red R symbol on the QI mPage. What does this tell you?
What is that patient has a missing restraint order?
What is another name for Manufacturer Guidelines and where are they kept?
What is manufacturer's Instructions for Use (mIFU)? These are located on the Infonet under Policies.
During an active shooter scenario, which room(s) should you and the staff hide in?
What are silver sticker labeled rooms?
During staffing huddle, you are asked to give up a nurse. You are concerned this will be unsafe for your patients and staff. What details should you share with the staffing leader or house manager to help them determine staffing needs?
What is unit stressors (such as 1:1s, critical patients, CRRT, procedures, traveling, reduced ancillary support, ORs, etc.)?