Leadership
Regulatory Survey of a Hospital Medication and Patient Safety Plan.
What is GACH survey?
Crash carts & eye wash stations inaccurately checked, co-mingled oxygen tanks, expired glucometer solutions, dried medical instrument before reprocessing.
What are common findings in hospitals that are easily prevented
Watches, hair, jewelry in Periop
What must be completely covered on persons in the OR sterile core or SPD?
Immediate removal of supplies from cardboard boxes in hospital licensed space.
How long can supplies be kept in a cardboard box in hospital licensed space?
Alert for Patient Elopement.
What is Code Green?
Escalation of unresolved issues at point of care.
What is Chain of Command
Procedures in which a physician orders narcotics & sedatives requiring competent monitoring.
What is Procedure Sedation?
TJC Surveyor observes an open sterile package or syringe with medication pre-procedure or a used suction cannister on a crash cart.
What is an Infection Control Survey Finding?
Isolation used for Tb, Measles, Shingles
What is Airborne Isolation?
Continuous Readiness Inspection Tool
What does a Manager use to round on their units during TJC and GACH surveys?
The registered nurse evaluates need for restraints every two hours.
Who can discontinue restraints?
Capital of Canada.
What is Ottowa?
How many players are playing defense on the field in a baseball game?
What is 9 players?
Before and after: patient room, bodily fluids, touch surroundings, aseptic task
When is Hand Hygiene performed at a patient room?
Medical Gas Valve, Fire Alarm or Extinguisher, Code Blue Cart, Exits, Corridor Clearance.
What devices can never be blocked by equipment in hospital licensed space
Leadership, Communication, Mutual Support, Situation Monitoring
What is TeamSTEPPS
Reviews every hospital medication before 1st use
Who is a Pharmacist
Patient Name MRN Date of Birth
What are Patient Identifiers
What sport were women allowed to play in the Olympics for the first time?
What is Tennis?
Michael Jackson debuted his trademark moonwalk during which song in 1983?
What is Billie Jean?
Assigned to round on units during TJC & GACH Surveys.
What is the role of the DA, ADA?
Maximum days between H&P and Surgery
What is 30 days
Wrong Site RFO Attempted Suicide
What are Sentinel Events
Checking for removable cords, ties & sharps; safe trays, visitors, visibility of patient hands and face.
What is a Suicide Environment Risk Assessment Checklist?
Both Manager and employee on completion of annual competency.
Whose signatures are required to verify competencies?