Safety Culture / Quality
Informing your manager by completing the AH-223 form in SISSS
What is incident/accident reporting?
A process of comparing two lists of medications to identify and resolve discrepancies
What is medication reconciliation?
Bi-annual review on how to use IV pumps and re-certification, an "aide memoire" is attached to IV pumps, all new staff is trained
What is infusion pump safety?
The organization tracks health-care associated infections, analyses the information to identify outbreaks and trends and shares this information throughout the organization
What are infection rates?
Completing the Braden scale risk assessment tool on admission, return from ER or change in status, turning and positioning every 2 hours, and use of preventative mattresses
What is pressure ulcer prevention?
After it happens, explaining to the patient what happened and why, giving only the facts
What is disclosure?
A list of abbreviations, symbols and dose designations that are not to be used. D/C, @, cc, are examples of these
What are "Do not use abbreviations"?
Potassium Chloride 20mmol/100ml bag, Magnesium Sulphate 5g/100ml D5W bags, and Calcium Gluconate 1g/10ml
What are concentrated electrolytes?
Department responsible for N95 fit testing and the follow up of employees for post exposure to a contagious disease
What is Occupational Health and Safety?
If the score is greater than 3 on this assessment, then an individualized prevention plan is developed. Leaf logo is applied to walker, wheelchair, posted in the patients room, etc. Bed/chair alarms in place, purposeful rounding is performed
What is falls prevention?
Calling 5555, staff member puts on blue vest, count done: number of staff and patients, communicating status with chef de secteur, checking every room, waiting for further instructions.
What is a code red?
Using person-specific identifiers to confirm that patients receive the service, care or procedures intended for them. (e.g. Verifying patient's ID bracelet, Asking the patient to identify themselves "what is your name?", verifying patient's medicare, addressograph)
What is double identification?
These medications have an increased risk of causing significant harm when they are administered in error (e.g. coumadin, insulin, narcotics, heparin, etc.)
What are high-alert medications?
- Development of policies and procedures
- Surveillance of VRE, CRO, gastro, influenza
- Outbreak management
- Education, communication, reporting
are all components of this program
What is the IPAC program?
Screening on admission, application of blue bracelet/blue dot, meal observations, nutritional assessment
What is risk assessment for patients with dysphagia
Highest quality of care, compassion, dignity, respect, safety and teamwork.
What are the values of the CIUSSS
Located in client rooms, contains the date, names of the Nursing and Rehab team members working with the patient, goals, transfers, case manager
What are communication whiteboards?
Can be given in person or by phone when delays in prescribing would negatively affect the patient. Countersignature is only required for narcotics/controlled substances within 72h.
What are verbal orders?
Chills and high fever, muscle aches and pains, a runny nose, sore throat and a cough
What are common symptoms of the flu in adults?
Many of these deaths could be prevented by early recognition of the signs of these types of thoughts and offering appropriate interventions (e.g. neuropsychology referreal)
What is suicide prevention?
Civilité video, educate on respect and non-tolerance to violence, in-service on how to diffuse an aggressive situation
What is workplace violence prevention?
Change of shift report, functional progress report, team huddles, IDT rounds, care plans, SBAR
What is information transfer at care transitions?
Blue pharmaceutical waste disposal bins, red cytotoxic bins, or return to pharmacy. Never use regular garbage, sink or toilet.
What is waste management?
Before and after patient environment contact, before an aseptic procedure, after body fluid exposure risk
When are the four moments for hand hygiene?
- Patient with high risk of aspiration
- NPO patient
- Observed white coating on tongue
What are criteria for patients at risk from compromised oral health?