Show:
EOC
Infection Prevention
Medication Safety
Fire Code/Disaster
Performance Improvement
100
Equipment in the clean utility room, equipment covered with a plastic bag, IV poles in the CT 1 alcove, Accucheck and thermometers returned to their caddy
What is how we know our equipment is clean and ready to be used on the next patient
100
remove from blue bins, nurse servers, procedure carts, code carts
What is dust - low level disinfection
100
always closed and locked
What is med room doors
100
Fire Department, respiratory therapy, engineering, security, house coordinator
What is who can shut off gases in an emergency ( FRESH)
100
Staff Feedback, patient feedback, chart audits, incident reporting , patient complaints
What information do we use to determine our PI plan each year
200
secured in a green caddy, red caddy or in a under bed rest
What is where we can store our O@ tanks
200
urine cups, blood tubes, catheters, culture tubes, sterile trays
What is items that have expiration dates
200
education given to every patient
What is medication identification and side effects
200
6 feet
What is the required clearance in any egress hallway
200
door to doctor, discharge LOS, admit LOS, LWBT
What are some of our throughput measures
300
2 minutes and 5 minutes
What is the wet time or kill time for PDI and bleach wipes
300
IV trays, sharps, medications including saline flush
What are items that must be kept secured when not in use
300
Tall man lettering, seperation in different drawers in AcuDose, pop up messages, Look alike/sound alike posters
What are medication safety practices employed by Northside
300
at exits
What is location of fire pulls
300
time to Cath lab, time to fluid resuscitation for Sepsis, time to antibiotic, use of hypothermia, time ot EKG
What are some core measure standards we monitor
400
2/3 full
What is the time to change out a sharps container
400
28 days
What is the expiration time for multi dose vials IE insulin
400
pH paper, hemocult develper
What are items covered by physician under their CLIA waiver
400
move to radiology
What is the next fire compartment for lateral evacuation for ED
400
Education via CBL, orientation, annual competancy, classes, pre shift review
How do we increase safety for our patients
500
should be removed from a patient area as soon as used and taken to a dirty utility room
What is red bag trash
500
wash with enzymatic cleaner found in materials room and dirty utility
What is the ED process for cleaning sterile reusable equipment to remove body fluids before sending to sterile processing
500
patient, medication, dose, route time
What ar eht 5 rights
500
Above the ceiling permit
What is needed to be posted on the ladder for any vendor to move ceiling tiles for work
500
Hand Hygiene, use of PPE, HIPAA compliance, Clinical Alarm monitoring, hand off communication, Time out, two identifiers, EOC tracers, safe room procedures, sedation, restraint, Cauti and Central line initiatives, actual weights and I&O
What are examples of ED ongoing PI