Safety: Closed-Loop & PPE

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Essential safety quiz

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Shareena

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Safety: Closed-Loop & PPE


Safety: Closed-Loop & PPEOnline version Essential safety quiz by Shareena 1 Question and answer: Closed-Loop Communication a Communicate only if asked to do so. b Never repeat orders back to the provider. c Ignore minor changes and proceed without confirmation. d When receiving or giving orders, make sure to communicate back specifics or clarify specific medications, doses, sites of intervention, which side of the body, etc. 2 Hand Hygiene — When should hands be washed? a Only before entering a patient room. b Only after leaving a patient room. c Never use hand sanitizer in a clinical setting. d Hands should be washed before and after entering a patient room/patient contact using hand sanitizer or washing your hands 3 Hand Hygiene — When should soap and water be used vs. hand sanitizer? a Hand sanitizer is always preferred over soap and water. b Use only soap and water after patient contact, never before. c Soap and water should never be used in healthcare settings. d Soap and water for when hands are visibly soiled with dirt, blood, or body fluids, or when caring for a patient with diarrhea or vomiting, or with a known or suspected C. difficile (C. diff) infection 4 Patient Identification — Name two patient identifiers you can use when confirming you are speaking with the correct patient a Use room number as the identifier only. b Use at least two patient identifiers for all patients each time you interact with them. These can include full name, MRN, DOB. Check the patient’s wristband to confirm. c Rely on memory without checking identifiers. d Ask the patient, “Are you Mr. Jones?” 5 Patient Identification — What should you not count as a patient identifier? a Patient’s room number or medical condition do not count as patient identifiers. b Full name c DOB d MRN 6 Patient Identification — How should you phrase asking for the patient’s name and DOB? a Say “Please tell me your name and date of birth” instead of asking them “Are you Mr. Jones.” b Ask to see their medical chart first. c Ask, “What is your name?” only. d Ask for their favorite color as a secondary check. 7 Staff Identification — In what ways should you identify yourself to patients? a Do not disclose your role to the patient. b Identify yourself by initials only. c Wear the badge only during rounds. d ID badges must be worn, visible to patients, above the waist. Identify yourself to patients by telling them your name and your role 8 Preferred Language — What resources are available to help facilitate the patient's right to receive information in their preferred language? a No interpreters are available b Use medical jargon to avoid translations c Only family members can translate d In-person and telephone interpreters are available at all times 9 Preferred Language — What are the important components of communicating with patients in their preferred languages? a Identify the patient’s oral and written communication needs; Document use of interpreters; Give patient education and discharge instructions in the patient’s preferred language. b Only speak in English to ensure accuracy. c Provide all education in English regardless of preference. d Avoid documenting interpreter use. 10 Patient Reassessment — When should patients be reassessed? a Reassess only after abnormal vitals. b Only when the patient requests it. c After changes in status such as vitals, pain, condition; after medication administration, prior to discharge or transfer. Patient reassessment should be documented each time. d Reassess only once per shift. 11 Isolation Precautions & PPE — Where can you find PPE? a PPE are kept in the reception desk b PPE are in yellow carts c PPE are in blue bins d PPE are stored in patient rooms 12 Isolation Precautions & PPE — What are the important components of isolation precautions in the ED? a Use the same PPE for all patients regardless of condition b Identify and cohort/isolate patients as needed who have high-risk conditions based on level of isolation they may need (e.g. droplet, airborne, standard); Signage lists minimum required PPE; Don and doff PPE appropriately at entrances to patient care spaces. c PPE is optional depending on staff preference d Do not isolate patients unless absolutely necessary 13 Isolation Precautions & PPE — What type of PPE should be worn for airborne precautions? a Only gloves are required b Surgical mask alone is enough c No special PPE is required for airborne precautions d Gown, gloves, eye protection, fitted N95 respirator 14 Critical Results — When you receive a critical result from the lab, what should happen? a Notify only the patient, not staff b Ignore until the next shift c Document in a separate system not EPIC d Critical results should be communicated by lab to the RN or the physician/APP taking care of a patient; Read back the test result to the individual reporting using closed-loop communication and including confirmation of patient identifiers; Document your acknowledgment of this result in EPIC and tak 15 Medication Administration — What must we confirm before medication administration? a Only check the patient’s name once b Administer as quickly as possible without checks c Skip medication reconciliation if familiar with the patient d Patient’s identity using at least two identifiers; Right medication; Right dose; Right route; Site of medication administration; Contraindications (medication reconciliation, interactions with other meds); Parameters for giving, holding meds; Working IV (for IV administration); Ask for clarification 16 Medication Administration — What else should you do after giving a medication? a Ignore patient response b Document as late as next day if unwell c Check for response, document administration appropriately d Document later if you remember

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Safety: Closed-Loop & PPE

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About this activity

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Safety: Closed-Loop & PPEOnline version

by Shareena

Question and answer: Closed-Loop Communication

Hand Hygiene — When should hands be washed?

Hand Hygiene — When should soap and water be used vs. hand sanitizer?

Patient Identification — Name two patient identifiers you can use when confirming you are speaking with the correct patient

Patient Identification — What should you not count as a patient identifier?

Patient Identification — How should you phrase asking for the patient’s name and DOB?

Staff Identification — In what ways should you identify yourself to patients?

Preferred Language — What resources are available to help facilitate the patient's right to receive information in their preferred language?

Preferred Language — What are the important components of communicating with patients in their preferred languages?

Patient Reassessment — When should patients be reassessed?

Isolation Precautions & PPE — Where can you find PPE?

Isolation Precautions & PPE — What are the important components of isolation precautions in the ED?

Isolation Precautions & PPE — What type of PPE should be worn for airborne precautions?

Critical Results — When you receive a critical result from the lab, what should happen?

Medication Administration — What must we confirm before medication administration?

Medication Administration — What else should you do after giving a medication?