Show:
Drug Seekers and pill pushers
Ain't got time for that
House of God Rules
Gomers go to ground
14 gauge needle and a strong arm
100
Medications must be placed in the Pharmacy disposal container (white with blue lid).
What is the process for handling expired medication or pharmaceutical waste ?
100
15 second hand washing when hands are visibly soiled and after caring for patients with Clostridium difficile. If hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands. Know your 5 Moments For Hand Hygiene: Before patient contact, Before aseptic task, After exposure to blood and body fluids, After patient contact, After contact with patient surroundings.
What is: the most effective way to prevent the spread of disease?
100
These are enhanced isolation practices used in addition to Standard Precautions: Contact, Contact Plus, Droplet , Airborne.
What is: the different types of isolation? (transmission-based precautions)
100
Emergency Medical Treatment and Active Labor Act, “anti-dumping” law. A person seeking treatment in the ED or L&D must have a Medical Screening Exam prior to discharge or transfer and a person’s financial status should not be discussed at the time of treatment.
What is EMTALA? What should you do to ensure compliance to EMTALA regulations?
100
a. A chief complaint related to mental illness, alcohol, or substance abuse. b. A chief complaint related to depression, sadness, low mood, verbalized recent loss, hopelessness, mood changes, anger, and impulsiveness.
What is the requirements of focused assessment for suicide risk by triage nurse?
200
Scan the patient’s ID band and confirm using 2 identifiers (MRN and name) against the eMAR prior to administering medications, followed by scanning the medication
What is the way that you assure right patient is getting the right medications?
200
Items should be placed in a red biohazardous bag and placed in a biohazardous waste receptacle. The container will be labeled as biohazardous waste. Examples: Dressings saturated with blood or other body fluids, Blood tubing, Chest tubes, suction canisters, specimen cultures, Surgical specimens and tissue, Hemodialysis equipment.
What is proper disposal of items soiled with body fluids? Give examples of biohazardous waste.
200
Tie line 8-280-GERM (4376)
What is the method to contact the Infection Prevention and Control Department?
200
Bring request and labels into the patient room, check two patient identifiers (name, and MRN on wrist band), ask patient their name, label specimen in the presence of the patient while in the room, just after obtaining the specimen.
What is the process you do when obtaining specimens from a patient?
200
Ligature is a #1 risk Remove all electric cords, telephone cords, electrical cables, cords of any type except those that are permanently fixed Remove all monitoring equipment, suction tubing, oxygen tubing, flowmeter, BP/EKG cables, otoscope/opthalmascope,etc. (if patients medical condition allows for equipment to be removed) Remove IV poles, IV tubing, hampers, trash can, sharps containers and other items that may be used to inflict harm to self or others. Remove nurse call light in room and bathroom (provide bell as needed) Remove bedside table, linen cart, linen supplies, gloves Remove all monitoring equipment, suction tubing, oxygen tubing, flowmeter, BP/EKG cables, otoscope/opthalmoscope,etc. (if patients medical condition allows for equipment to be removed)
What is the items that must be removed for the psychiatric patient?
300
Right patient, right medication, right time, right dose, right route, right reason, right documentation
What is the seven medication rights?
300
ALL patients who: 1) Have been previously discharged from a general acute care hospital within 30 days prior to current admission, 2) Are admitted to the ICU and NICU, 3) Receives inpatient dialysis treatment, 4) Admitted from a Skilled Nursing Facility (SNF) or other acute care facility (excluding ED).
What is appropriate screening for Methicillin Resistant Staphylococcus Aureus (MRSA) within 24 hours of hospital admission
300
After EVERY patient use and it is to be cleaned properly with aseptic wipes, for c-diff patients Clorox wipes
What is: Glucometer cleaning in between use?
300
A reaction to •Anesthesia gases: Halothane, Enflurane, Isoflurane, Sevoflurane, Desflurane. •Muscle relaxants: Succinylcholine. The genes that cause malignant hyperthermia are inherited. In most cases, no signs or symptoms of the condition exist until you are exposed to anesthesia
What is Malignant Hyperthermia?
300
There are serious implications on patients rights for having been placed on a 5150. For example, they cannot buy firearms
What is A psychiatric hold is only for patients who are a:  1. Danger to Self  2. Danger to Others  3. Gravely Disabled
400
Interview patients prior to admission on medications via Health Connect, and clicks on reviewed tab. Discharge: Upon discharge, provide a complete list of medications that the patient should take at home. Make sure the discharge summary and printed patient instructions match and explain the importance of managing medication information upon being discharged. If a match does not occur, contact the discharging physician.
What is your role in the medication reconciliation process?
400
The law requires that notification of positive results be provided by the Attending Physician as soon as test results are available.
What is the obligation to notify the patient if they tested positive for MRSA surveillance culture?
400
Rescue patient, staff, visitors from fire area, Activate the fire alarm, call x222, notify unit staff, Contain the fire by closing all doors, Extinguish fire if safe to do so or Evacuate: R.A.C.E. Remember the patient!
What is the first thing you should do in the event of a fire?
400
Dantrium/ Ryanodex. 2.5mg/kg given rapidly through large bore IV. CAll operator ask for floor walker Anesthesiologist who will bring malignant hyperthermia cart.
What is the treatment for Malignant hyperthermia?
400
Use the video interpreter to provide language communication Obtain a certified QBS-2 speaking interpreter (Spanish only) ;or if the patient wishes to use their family member over 18 instead they can. The employee cannot demand use of a family member and the patient must say this is their choice. The patient’s choice must be documented in the medical record/Health Connect.
What is the process if a patient does not speak English and you want to communicate with them
500
Black Box Warning/Special Precaution: Information about contraindications or serious adverse effects of certain drugs, particularly those that may lead to death or serious injury, are required by the FDA to be displayed in drug product information.
What is meant by Black Box Warning or Special Precautions by the FDA?List at least one medication that has a black box warning and what must be done to prevent a bad outcome.
500
Treat all blood and body fluid of ANY patient as potentially infectious. Use Personal Protective Equipment (PPE) depending on anticipated exposure to prevent transmission of pathogenic organisms.
What is Standard Precautions ?
500
Code PINK is a potential infant abduction (age 0-6 months). Code Purple is potential child abduction (age 6 months to 13 years). All employees should look for suspicious behavior, watch entrances and exits where able, and report suspicious behavior to Security immediately
What are Codes PINK & PURPLE and what should you do during Codes PINK & PURPLE?
500
Complete and submit a Online-UOR, or call Risk & Patient Safety Hotline 8-280-SAFE (7233) Management. If patient related, the RN should assess the patient and notify the manager immediately; DO NOT document in the medical record that an O-UOR was completed or Risk Management was notified.
What is the procedure when an unusual occurrence happens?
500
1. Two ways to identify patients. 2. correct blood when giving blood transfusion 3. Use medication safely 4. Infection prevention 5. Prevent surgical errors.
What is are the national patient safety goals?