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Patient Care
Safety First
Medication Management
Our Environment
Infection Prevention
100
Clinical measurements that indicate the state of a patient's essential body functions that are documented during every patient visit.
What is vital signs? The five main measurements routinely monitored are: 1. Blood pressure 2. Heart rate/pulse 3. Temperature 4. Respiration rate 5. Oxygen saturation Vital Signs During the Outpatient Care Examination (NSOP-AMB-0005)
100
The acronym for: Rescue, Alarm, Confine, Extinguish The acronym for: Pull, Aim, Squeeze, Sweep
What is RACE and PASS? Environment of Care Card (badge buddy)
100
Product samples that will not be stored, dispensed, or administered in any patient care area.
What is pharmaceutical products? Drug Samples (OP-0014)
100
Secured in racks with no more than 12 tanks. "Full" tanks are separated from "Empty" tanks. Tanks are not left stored outside of a rack.
What are the proper storage requirements for oxygen tank storage?
100
Sometimes viewed as a cosmetic deficiency, but is actually considered a moderately scored infection prevention citation.
What is desk, counters, exam beds, etc. in disrepair and taped?
200
To reliably identify the individual as the person for whom the service or treatment is intended; second, to match the service or treatment to that individual.
What is label containers used for blood and other specimens in the presence of the patient? NPSG.01.01.01, EP2
200
Areas that must be accessible and have a 3 foot clearance.
What is electrical panels and oxygen shutoffs?
200
When opening, date with expiration date and initials. Expiration date is 28 days after opening, unless manufacturer indicates product expires before that time.
What is the proper labeling requirements after opening multi-use vials?
200
18" from the ceiling
What is the distance an item must be from the ceiling in storage areas?
200
•Restricted or semi-restricted nursing stations •Workstations on wheels •Workstations and charting areas adjacent to patient rooms, procedure areas and pre-op L&D •Medication rooms and medication preparation areas and stations
What are areas where beverages are strictly prohibited? Bloodborne Pathogen Exposure Control Plan (OP-0353)
300
A Non English speaking patients may request these services or if a caregiver feels there is a language related learning barrier.
What is Interpretive Services? Qualified interpreter: A person who (a) provides sign language or foreign language interpretation services, (b) has received training approved by Rush University Medical Center (RUMC) in the skill of interpreting, (c) abides by a professional code of ethics applicable to interpreters, and (d) is knowledgeable in medical terminology. Qualified bilingual staff (QBS): A RUMC employee or student who has: (a) successfully passed the RUMC-approved language proficiency exam, and (b) completed QBS orientation or successfully completed a minimum 40-hour medical interpreter training course and has provided proof of completion to the Office of Interpreter Services Foreign Language, Sign Language, Written Translations and Special Auxiliary Aids (OP-0252)
300
Unobstructed hallways, doors and fire alarms allow for a quick response and safe egress in the event of an emergency.
What is the rationale why carts or other equipment can't be located in front of fire alarms or exit doors?
300
The documentation process for adverse drug reaction or medication error.
What is submitting a safety event and notifying the treating physician? Medication Error and Adverse Drug Reaction Reporting and Monitoring (OP-0027)
300
When red sharps containers reach the "Full" line to prevent possible exposure to sharps.
What is the indication to replace sharps containers?
300
Immediately wash the affected area with soap and water or mucous membranes flushed with water for a minimum of 15 minutes. After cleaning or flushing the affected areas, employees must report the incident.
What are the actions that must be taken immediately following an exposure incident? Bloodborne Pathogen Exposure Control Plan (OP-0353)
400
Requiring the patient to provide a valid government issued ID to confirm name, date of birth and gender.
What is the process for confirming a patients identity (Clinic Coordinator)? Patient Identification (OP-0391)
400
What is the sole responsibility of clinic staff to ensure supplies and medications are safe to use on patients?
What is checking expiration dates for supplies and medications?
400
Process to ensure medications are stored at the correct temperature.
What is monitoring and documenting medication refrigerators/freezers temperatures? Bonus point: what is the process when the temperature is out of range?
400
Cords must be no more than 6 inches off the floor. They must not be wrapped around a bathroom hand bar.
What is proper bathroom pull cord height?
400
Clean in, clean out with soap and water for at least 15 seconds or foam until dry.
What is hand hygiene?
500
Document to be signed by patient and physician prior to surgical or invasive procedures.
What is informed consent form? Informed Consent Process; Elements for Disclosure: 1. Description of the proposed treatment 2. The indications for the proposed treatment 3. Material risks and benefits for the patient related to the treatment based on the available clinical information and dependent upon the professional custom and standard 4. The likelihood of the patient achieving his or her goals 5. Treatment alternatives, including the attendant material risks and benefits 6. The probable consequences of declining recommended or alternative therapies 7. Who will provide the treatment 8. When indicated, any limitations on the confidentiality of information learned from or about the patient Informed Consent (OP-0029)
500
This equipment, located at entrances and exits on units and throughout the building is required by law to be checked monthly.
What is fire extinguishers? Bonus point: Do you know where they are located in your department?
500
Medications are securely stored and locked.
What is standard practice for mediation storage? *even when frequently used*
500
Manufacturer documents intended to provide comprehensive information about a substance or mixture for use in workplace chemical management.
What is Safety Data Sheets?
500
Sani-Clothes (from Purple tub) with contact time of 2 minutes.
What product is used to clean personal equipment (stethoscopes, scissors) which are used between patients?