Glycemic Management
Patient Safety
Medications
Infection Prevention
Policy/SOP
100

Allowed time frame from blood glucose level check (accucheck) to insulin administration

What is 30 minutes?

100

An immediate, silent alert to security located on every unit

What is the Panic Alarm?

100

Right patient, right time, right medication, right dose, right route

What are the Five Rights of Medication Administration?

100

Approved wipe color for CDIFF

What is orange?

100

Maximum number of sticks any one nurse should attempt to insert peripheral IV prior to seeking assistance from other resources

What is 2?

200

This is required prior to omitting/holding an insulin dose

What is a physician’s order?

200

Must be obtained before application or, in emergency situations, during/immediately (within a few minutes) after application of restraints

What is a physician restraint order?

200

Medications for which an early or late administration of greater than 30 minutes, might cause harm or have a significant negative impact on the intended therapeutic or pharmacological effect

What are Time Critical Medications?

200

5 moments of hand hygiene

What are before touching patient, before clean/aspectic procedure, after body fluid exposure risk, after touching a patient, after touching patient surroundings?

200

Rapid Response Phone Number

What is 2911?

300

Percentage of meal a patient should eat prior to administration of prandial insulin

What is 50%?

300

Included interventions documented every 2 hours during the restraint period

What are hydration, nutrition, hygiene, elimination, and range of motion?

300

“On time” administration of time critical meds

What is within 30 minutes before or after scheduled administration time?

300

Required isolation PPE status for all Code Blues

What is Special Droplet/Contact Precaution or COVID?

300

Approved biomedical waste bag tie off methods

What is overhand knot or gooseneck zip-tie?

400

Required glucose recheck timeframes for hypoglycemia events

What is Recheck BG 15 minutes after treatment. If BG <80 mg/dL, continue treatment and rechecks q 15 minutes. Once patient has three consecutive BG >80 mg/dL x 3, then resume scheduled blood glucose monitoring?

400

Documented pain reassessment intervals for IV, IM and PO interventions

What is 30 (IV/IM) and 60 (PO) minutes?

400

Yellow paper used as part of patient education process for new medications

What is the Golden Ticket?

400

Used to reduced risk of hospital acquired infections for every patient every day

What is CHG?

400

Timeframe Sepsis Best Practice Advisory alert must be completed from notification

What is 15 minutes?

500

Appropriate bedtime or post hypoglycemic event snack for diabetes

What is 1 carbohydrate and 1 protein exchange?

500

An important safety feature to implement to prevent patient falls?

What is iBed awareness and bed cords?

500

2 components required for patient medication education

What are indication and possible side effects?

500

CHG pericare/catheter care frequency

What is BID, 10-14 hours apart?

500

Communication timeframe for critical results

What is 15 to 30 minutes?