Life Safety and EOC
Patient Rights
Infection Prevention
Medication Management
NPSG
100

9999

What is the number to call a code-red

100

Instructions about the care, treatment and services at the end of life.

What are advance directives?

100

The responsibility to stop the spread of infection starts here.

What is with everyone?

100

These medications are stored separately from each other, warning labels in place and color coding identified.

What is Look Alike Sound Alike medications?

100

Two life threatening infections that are under hospital wide surveillance and are regularly reported.

What is a Catheter Acquired Urinary Tract Infection (CAUTI) and a Central Line Associated Blood Stream Infection (CLABSI)?

200

Before opening your room, periodically throughout the day.  If out of range, report to Engineering and record in log.

When to check OR temp and humidity and what to do if found to be out of range?

200

The risks, benefits and alternatives are discussed with the patient by the physician.

What is informed consent?

200

Staff are required to wear a mask if they do not participate in this program.

What is the annual influenza vaccination program?

200

The right patient, the right drug, the right dose, the right route, and the right time.

What are the five RIGHTS of medication administration?

200

Use approved protocols for this therapy.

What is required when anticoagulation therapy is used?

300

68-73 degrees

20-60%

What is the acceptable range of temperature and humidity in the OR?

300

The patient receives information in a manner he/she understands.

What is required when we discuss and provide educational materials to the patient?

300

CDI, VRE and MRSA

What are three Multi drug resistant organisms (MDROs)?

300

This class of medication can not be dispensed as a sample.

What are narcotics?

300

Physicians are notified within 30 minutes.

What is the time notification requirement for critical test results/values?

400

18 Inches

What is how far supplies should be kept from the ceiling?

400

A written complaint and/or a complaint of a serious nature.

What is a grievance?

400

It prevents the transmission of infectious disease.

What is the purpose of hand washing?

400

Name, strength and amount.

What is required when labeling medications?

400

The team agrees on the patient identity, the procedure and the site.

What is the minimum required during a time-out?

500

6 Inches

How far supplies on the bottom shelf should be kept off the floor?

500

Laws that protect patient privacy.

What is HIPAA?

500

Staff are screened annually to prevent the spread of this disease.

What is a TB skin test?

500

A process of comparing a patient's medication orders to all the medications the patient has been taking.

What is medication reconciliation?

500

Wrong site surgery is prevented by this.

What is Universal Protocol and Time-Out?