Medication Safety
These medications require an independent double-check. Ex: Vasopressors, Insulin
What are High Alert & Hazardous Medications?
Bonus: Where is this list located and what other list is in there with it?
This PPE is used for patients on contact precautions.
What is gown and gloves?
Bonus: What is the order for donning and doffing PPE?
This is an example of something the surveyors may request from the patient's physical chart.
Consent forms
Bonus:
What constitutes a complete consent form?
This is the #1 way to prevent hospital-associated infections.
What is hand hygiene?
Bonus: When is it mandatory to wash with soap and water instead of using sanitizer?
This is one of the go-to words/phrases that you can say if you don't know an answer.
What is "I would escalate."?
What is "We can look up the policy."?
Bonus:
Where do you find the policies?
This must be documented when a PRN medication is given.
What is reassessment of effectiveness? Bonus: What are 2 adverse outcomes related to opioid treatment?
This is where our quality dashboard is located.
What is on the assignment board at the team stations?
Bonus:
What quality indicator did we see most opportunity for improvement on in 2025 and what are our prevention methods for it?
These are the 3 steps taken when a patient refuses medication or treatment.
What is educate the patient, notify provider, document event?
Bonus: Bonus: Why are we defined as a comprehensive stroke center?
This is the #1 way to ensure a safe change of shift report.
What is handoff at bedside?
Bonus: What is our process for notifying a provider of an event?
These are 2 things you should do if a surveyor approaches you.
Smile, greet them, ask them how they're doing, be enthusiastic about their presence, welcome to the NSCU.
Bonus:
What is our process for reporting a safety issue/ near miss/ good catch?
This is required for all IV tubing per policy
What is proper labeling with date, time, and initials?
Bonus: How often do we change IV tubing?
These 2 practices should be implemented for patients identified as risk for falls with harm.
Yellow band, red socks.
Bonus: For what type of patient is it acceptable to leave them alone in the bathroom and tell them to pull the string when they are done?
This is the purpose of documenting restraints every 30 minutes.
What is safety, comfort, and behavior monitoring?
Bonus:
What is the purpose of documenting restraints every 2 hours?
This is how we know a patient understood education.
Teach-back method.
Bonus: Where do we document this?
These are 4 things that makes you (nurse) qualified to work on this unit.
What is License, BLS, ACLS, APEX, yearly competencies, NIHSS certification, conscious sedation certification?
Bonus: What are 2 of our PI projects from 2025?
This is when the hospital compares the medication information the patient brought to the hospital with the medications ordered for the patient by the hospital in order to identify and resolve discrepancies.
What is medication reconciliation?
Bonus:
What are 3 ways we prevent look-alike/sound-alike medication errors?
This is the DVT prophylaxis measure that we can initiate even if patients have a bleed.
What are SCDs?
Bonus: When does DVT prophylaxis have to be initiated by?
This is our process for identifying and documenting the presence of advanced directives upon admission.
Questions asked during patient profile. Does patient have an advanced directive? Do you want to complete HCP?
Bonus:
What are 3 risk screens performed in the patient profile?
This is the takeaway from the Code of Ethical Conduct that was signed by all hospital staff.
If you see something, say something.
Report all compliance-related issues IMMEDIATELY.
Bonus:
What are 2 options for escalation?
These are 4 key documentation areas the surveyor wants to look at during chart audits.
Restraints, Interpreter use, Patient education, Patient profile. Will accept other correct answers.
Bonus: How do we know why we do what we do?
This is the appropriate response if asked "How does the provider determine medication dosages?"
What is State that it outside my role and identify the appropriate provider or discipline. State that nursing role is to safely administer medications as ordered and monitor the patient.
Bonus: What is our process for when nimodipine is held within the first 24 hours of admission?
This tool is documented every shift and is used to assess pressure injury risk.
What is the Braden Scale?
Bonus: When is the pressure ulcer section of the flowsheet completed (4 specific times throughout hospital stay)?
This determines which vital sign parameters nurses follow and document.
What is provider's order in sunrise.
Bonus: What is our process if there is a discrepancy between verbal orders for parameters and sunrise?
This is what RACE stands for.
What is Rescue, Alarm, Contain, Extinguish?
Bonus: Where are our fire extinguishers located? Hint: there are 3
This is a resource which includes our fire procedure, evacuation plan, emergency operations plan, management of hazardous materials and emergencies.
What is the safety binder?
Bonus: What color is it and where is it located?