Restrain Me
Patient Care
General TJC
EM and EOC
Initial Nursing Assessment
100

This type of restraints is utilized to protect a patient from harm for reasons unrelated to behavior (i.e. pulling tubes, drug-induced delirium, etc.). 

What is Non-violent? 

100

Patients receive a pain assessment at this frequency.

What is every 4 hours and as needed?

100

Policies for the department, organization, and system are located here.

What is Policy Box?

100

Fire doors are marked with a label of this color.

What is red? 

100

The initial nursing assessment must be completed on admission. The initial nursing assessment is called this at AC. 

What is the admission navigator (old nursing database)? 

200

This type of restraint requires a documented face to face evaluation by the provider.

What is Violent restraints?

200

A patient is in pain and medication is given to help relieve the pain. A reassessment must be completed in this timeframe. 

What is after the intervention and is dependent upon the patient's condition, response to pain medications and the type and route of pain medication received?

200

Some words should be avoided during a survey. These include, always, never, sometimes, and this phrase

What is "We should do it this way, but"?

200

When an emergency occurs, such as a missing child, this number is dialed.

What is 88?

200

The initial nursing assessment must be completed within this many hours of admission.

What is 24 hours? 

300

Routine monitoring is required for patients in violent restraints every ____ and every____ for patients in non-violent restraints?

What is 15 mins and 2 hours?

300

A parent brings their child food and stores it in the nutrition fridge. This must be on the food.

What is patient's name, date provided, and date/time opened?

300

When speaking to surveyors a good way to start the answer the question is with this phrase.

What is "Our practice is......"?

300

These instructions should be followed when utilizing equipment.

What are the Manufacturer's Instructions for Use (MIFUs)?

300

Patients 10 years and older who present to the ED or are admitted receive this screening.

What is a suicide screen? 

400

This type of restraint is not utilized at AC.

What is a chemical restraint?
400

Food brought by patients/families must be discarded in this timeframe.

What is by the expiration date on the package or within 24 hours of opening?

400

When the surveyors arrive, staff will be notified by this method.

What is Alertus and Everbridge?

400

A fire is in your area and you choose to extinguish it with a fire extinguisher. This is how the extinguisher is operated? 

What is PASS (Pull, Aim, Squeeze, Sweep)? 

400

A patient has a positive nutrition (or functional screen). Clinical Nutrition (or rehab services) has this time-frame to complete an assessment. 

What is 24 hours? 

500

A patient is in restraints. This should be updated reflecting the problem, goals, and interventions around the risk. 

What is the Care Plan? 

500

A patient screens positive for a fall risk. This should be updated reflecting the problem, goals, and interventions around this risk. 

What is the care plan? 

500

It is important to answer a surveyor's question completely, however, do not do this.

What is provide additional information that is NOT REQUIRED to answer the question?

500

These need to be kept clear, because when they are cluttered it impedes patient and staff safety.

What is an egress (or hallway)? 

500

This begins on admission. So the ______ planning screen is completed with the initial nursing assessment. 

What is discharge?