National Patient Safety Goals 2024
Two identifiers that JRMC uses to accurately identify a patient
What are name and date of birth
For Ischemic stroke patients, this must be administered within 4.5 hours.
What is TPA or TNKase?
This is what is done when any medication or solution is found unlabeled
What is discard?
This should be collected prior to antibiotic administration.
What are blood cultures?
Personal protective equipment needed for droplet precautions.
What are gowns, gloves, and masks?
*also could be goggles, face shield
The standard regarding making improvements to ensure that alarms are responded to on time
What is "use alarms safely"?
Ischemic stroke patients with current or previous history of Afib/Aflutter must be discharged with this class of medication.
What is anticoagulant?
Before giving medications you must verify this
What are patient allergies?
The first intervention to treat hypotension in a patient with sepsis
What is administer fluid bolus? (30mL/kg isotonic solution)
Wash the area with soap and water
The discipline that can take a critical result via telephone regarding a patient
What is Registered Nurse?
Neurologic examination to evaluate the effect of acute cerebral infarction on the levels of consciousness, language, neglect, visual-field loss, extraocular movement, motor strength, ataxia, dysarthria, and sensory loss.
What is the NIHSS? (National Institutes of Health Stroke Scale)
This test is required prior to dispensing the first dose of warfarin in the hospital
What is INR?
Antibiotics should be administered within this time period after sepsis recognition.
What is within one hour?
True or False: Perform intensive oral hygiene every 4 hours that consists of tooth brushing, oral swabbing, and use of an antiseptic mouthwash solution, which will decrease colonization of oral bacteria that can cause VAP.
What is true?
What is suicide?
Before PO intake, we must perform this screening on our stroke/TIA patients.
What is a dysphagia screening?
This is a process of comparing the medications a patient is taking (or should be taking) with newly ordered medications
What is medication reconciliation? (completed upon admission, discharge and transfer)
Initial lactic acid was over 2, the next lactic acid be drawn at this time.
What is within 3 hours? (Lactic acid is the lab indicator for inadequate tissue perfusion.)
In what motion should you scrub with CHG when performing a dressing change?
What is back-and-forth motion? (Not circular! Use friction to scrub for 30 seconds.)
Pause before the surgery (or procedure) to make sure that a mistake is not being made
What is a "time out" or "prevent mistakes in surgery"?
The education we should provide our stroke patients and their families.
What are 1. Signs and symptoms 2. Discharge Medications 3. Individual risk factors 4. Follow up appointments 5. When to call EMS?
Drugs that can cause significant patient harm when used in error such as insulin, IV magnesium, IV potassium, heparin drips and anticoagulants
What are High Risk Medications?
The number one organ failure found in sepsis
What is kidney failure?
Actions for CAUTI Prevention
What are: ensure alternatives to indwelling catheter options explored prior to insertion, remove the catheter as soon as possible, provide patient/family education prior to catheter placement, catheter care