Patient Safety
The acronym used for a timeout prior to cannulation or CVC access to prevent wrong site, wrong patient, wrong procedure incidents and what each letter stands for
What is ICEBOAT
I-Identify the Patient; C-Consent; E-Equipment;
B-Hep B status; O-Orders complete;
A- Access verified; T-Timeliness
The most important factor in preventing the spread of infection.
What is hand hygiene?
This must be worn at all times when working in our facilities
What is an ID Badge
This is how RO function is measured
What is by % rejection value- minimum acceptable value is 90%?
Checks are done after RO has operated for 15 minutes
You aren't sure how you are supposed to do something in the manner that you are supposed to do it so you refer to this...
What is the eP&P?
Define RACE and PASS
What is RACE: Rescue, Alert, Confine, Evacuate/Extinguish
What is PASS: Pull, Aim, Squeeze, Sweep
This percentage of alcohol is adequate when using had gel for hand hygiene
What is 60-95%?
A responsibility of all, this needs to be checked on every item being used prior to use.
(Best practice if for everyone to check for this on every item daily and throw items out as needed)
What is Expiration date
The acceptable level for Total Chlorine in the product water from the RO
What is less than or equal to 0.1ppm.
The Proper way to communicate with a surveyor when asked a question
What is just answer the question being asked, no need to elaborate. Ask for clarification if you don't understand the question. If you don't know say "I will find out." (then look in e P&P or call HSA)
name, medical record number, date of birth
What are patient identifiers
When the HepBsAg status is unknown this is how the patient is scheduled
What is every effort should be made to determine HepBsAg status prior to running patient. IF status unknown the machine will be bleached after tx. The patient must run next to immune patients. If the nurse is caring for additional patients they must be HepBsAb positive.
This lab is of utmost importance and the status needs to be documented on every patient every treatment.
What is Hepatitis B Antigen
These machine tests are done prior to each treatment
What is Auto Alarm Test, Dialysate pH, Temperature, and Conductivity?
Prior to the surveyor entering the patient treatment area you should do this
What is inform the surveyor what personal protection precautions should be followed and provide appropriate PPE for them
The only time a patient should be restrained or secluded
When is after considering the least restrictive methods.
Documented medical symptom justification and limited MD order (no prn) required.
Minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where health care is delivered
What is Standard Precautions
3 Ways to protect patient confidentiality while working out in the field
What is: Make sure paperwork can't be viewed by other patients or visitors
Log off the computer when you step away from it
Don't discuss patients in open areas or in front of other TM or Hospital personnel who may not need to know the information.
Acceptable WATER culture and endotoxin results and Acceptable DIALYSATE culture and endotoxin results
What is Below 50 cfu/ml for water and dialysate CULTURE
Below 1 EU/ml for water and dialysate ENDOTOXIN
Directions for how to manage a chemical spill and how it could affect your health
What is the eSDS?
Bonus: show how to locate on ipad
Complying with CDC recommendations for these guidelines reduces the risk of Healthcare Associated Infections
What is hand hygiene, access prep, and medication prep and administration guidelines.
This bacterium requires contact precautions, thorough cleaning of all surfaces with bleach, and hands to be washed…. Hand sanitizer will not work!
What is C. difficile
If not administered immediately, prior to lying medications down these components need to be on the label and the medication given within 4 hours.
What is pt. name, medication, date, time, dose, route, and initials of person preparing the dose.
This is the process if the Total Chlorine Result is greater than 0.1ppm
What is immediately repeat with fresh sample. If still >.1ppm draw sample after 2nd carbon filter tank. If <.1ppm continue HD but additional testing required q30min until primary carbon tank within acceptable range. If secondary >.1ppm d/c HD and notify Admin.
A surveyor asks how the patient and TM schedule is determined..
What is by pt. Hep B and infectious disease status as well as the acuity of the patient. Other scheduled procedures also affect the schedule.