Behavioral Health
When should screening for suicide risk occur and where is it documented?
Within 24 hours of admission in the nursing admission database
How would you determine the appropriate pain scale for your patient?
Based upon cognitive age and developmental status of the patient. Also determine that family and patient understand the use of the scale
What adhesives are approved on the unit for signage and general environment use?
-Blue painters tape
-Scotch removable and scotch wall safe tape
-Command strips
-Label maker tape
-Blenderm
What measurements are required for a complete growth assessment?
Height, length, weight
HC for patients 24 months and younger
What key element is needed on a sterile medication label if not immediately administered?
BUD - time administration must be initiated by
Once identified at risk for SI, how often should a patient be screened for risk of suicide?
Twice a day (C-SSRS Freq Screen)
How do you know if a pain assessment is required for your patient?
Required for any patient that has a positive pain screening (answers yes to the do you have pain now or have you recently had pain)?
What items can be discarded in the black Pharmaceutical waste container? (RCRA bin)
Any pharmaceutical waste
full or empty glass vials of medication
syringes and tubing with residual meds (without needles)
NO aerosols, betteries, sharps, controlled substances
What elements are required for complete and compliant care plan documentation?
individualized goals
goals with appropriate end dates
interventions
Code Amber: What action would you immediately take if you discover your patient is missing or abducted?
Conduct a general search
Contact Security immediately to initiate code amber
What is the difference between violent and non violent restraints?
The INTENT of the restraint. Violent is initiated in emergent situations when other less restrictive measures are ineffective (aggressive behaviors that present imminent threat to themselves of others
Non-violent is to protect medical devices and protect patient trying to interfere with medical treatment (ie. removing medically necessary devices)
What elements are required to be documented for a complete pain assessment?
Age/dev appropriate pain scale
Location, intensity, quality, onset, duration, aggravating/alleviating factors
What is the wet time for Oxivir?
1 minute
Who can designate a lay caregiver?
A patient older than 18 or a minor who can give valid consent
Where would you find the Safety Data Sheet and what is one way it would be used?
Used to perform a general search for all chemicals used at CHOP. Can be found on Environmental Health and Safety SharePoint
Contact security for any emergencies involving chemicals
For violent restraints, how often must you assess, and document assessment of your patient?
-Initial assessment all initiation rows of the violent restraint flowsheet, device type and applicable limbs
-Q15 minute assessment (pulse, RR, skin/circulation, behaviors warranting continuation, and observable patient behavior)
-Q2 hour assessment (range of motion, nutrition and fluid needs, toileting/hygiene needs)
How would you know the timeframe in which you would reassess your patient for PRN medication effectiveness?
Dependent upon pharmaceutical class and administration route
More specific guidance is located in the procedure/job aid
job aid: PRN Medication Assessment and Reassessment
Procedure: Pain assessment and management
What patient names should be included in all public facing areas?
Full last name and first initial
Where can patient's goals for admission be found within the EHR?
-In the patients reason for admission/procedure
-in the care plan
-in the interdisciplinary team's progress notes related to the patient's plan of care
Where do you find the privilege lists of medical staff members?
-From dashboard select Enterprise Applications and select clinical privileges from application list
-Enter Clinical Privileges in the search bar on home page
-In EPIC via links >other clinical resources
-If intranet is down call medical staff affairs
When caring for a behavioral health patient, what steps would you take to ensure their environment was safe?
Modify the room by removing any potentially harmful items and performing an initial room sweep and then performing sweeps 2x a day. Document sweeps in EPIC
What is the difference between a pain screening and a pain assessment?
Screening: act of asking a patient if they have pain (done on admission)
Assessment: the follow up to a positive pain screen
What items can be plugged into the blue special purpose relocatable power taps?
Only components mounted to the assembly (IV pole)
Where do you look in EPIC to determine if your patient has an Advance Directive?
-Advance Care Planning Activity OR patient snapshot
What does QAPI stand for and where are our QAPI initiatives located?
Quality Assurance Performance Improvement
Located on QAPI board across from Room 10/11 and on SQS sharepoint