Al Salam Flashcards

1
Q

Code green

A

Rapid Response Team

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2
Q

Code Blue

A

Cardiac Respiratory Arrest

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3
Q

Code Violet

A

Stat Cesarean Delivery

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4
Q

Code Red

A

fire

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5
Q

Code Brown

A

Utility Failure

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6
Q

Code Yellow

A

External Disaster

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7
Q

Code Orange

A

Chemical Spill

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8
Q

code gray

A

Severe Weather

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9
Q

Code Pink

A

Infant / child abduction

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10
Q

Code Black

A

Bomb Threat

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11
Q

Code Silver

A

Active shooter

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12
Q

Code Gold

A

Epidemic Disaster

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13
Q

Fridge Temp

A

2-8

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14
Q

5 moments of Hand Hygiene

A
  1. Before touching a patient
    2.Before doing a Procedure
  2. After touching the patient
  3. After a procedure or body fluid exposure risk
  4. After touching a patients surrounding
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15
Q

A learning environment which balance blame free with appropriate accountability

A

Just culture

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16
Q

Blue means

A

Health hazzard

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17
Q

Red means

A

Fire

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18
Q

Yellow means

A

Unstable

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19
Q

PPE

A

Personal protective equipment

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20
Q

Donning

A

Hand washing before putting the PPE, make sure you are hydrated and are not wearing any jewelries, watch
1. Put on the gown
2.Put on the mask make sure it is covering the nose and it is extended to cover the mouth and chin
3. Put on Face shield/Googles
4. Put on the Gloves

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21
Q

Design to reduce risk of transmission infection and should be used to all pt

A

Standard precaution

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22
Q

Uses gown and gloves

A

Contact precaution

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23
Q

Uses surgical mask

A

Droplet

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24
Q

N95

A

Airborne

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25
Q

Responsible for spill kit

A

Housekeeping

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26
Q

LASA

A

Look Alike Sound Alike

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27
Q

PQRST

A
  1. Palliative or proactive factors
  2. Quality
  3. radiation
  4. Severity
  5. Temporal factors
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28
Q

Phases of surgery

A
  1. Sign in
  2. Time out
  3. Sign out
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29
Q

10 Rights

A
  1. Dose
  2. Patient
  3. Route
  4. Drug
  5. Time and Frequency
  6. Documentation
  7. History and assessment
  8. Drug approach and right to refuse
  9. Drug to drug interaction and evaluation
  10. Education and information
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30
Q

International safety Goals

A
  1. Identify patient correctly
  2. Improve effective communication
  3. Improve safety of high alert medications
  4. Ensure correct site, correct procedure and correct patient surgery
  5. Reduce transmission of healthcare associated infections
  6. Reduce risk of patient harm from fall
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31
Q

Sandostatin

A

2 weeks stability

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32
Q

Xylocaine

A

3 days stability

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33
Q

Room temp

A

18-25

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34
Q

FLACC

A

Face
Legs
Activity
Cry
Consolability

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35
Q

Communication 5c

A

Clear
Complete
Concise
Consistent
Correct

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36
Q

HEPPU

A

Hospital Emergency planning and preparedness unit

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37
Q

Doffing steps

A

1.Remove the gloves, making sure you are not touching the outside
2.Perform hand hygiene
3. Snap the apron
4. Once outside the pts room remove the face shield
5. Perform hand hygiene
6. Remove mask
7. Wash hands with soap and water

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38
Q

Skin assessment tool

A

Braden score

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39
Q

RACE

A

Rescue
Alarm
Contain
Extinguish

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40
Q

PASS

A

Pull
Aim
Squeeze
Sweep

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41
Q

Medical waste, disposing of highly infectious disease, color of bag

A

Isolation category A

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42
Q

Disposal of not highly infectious disease

A

Isolation category b

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43
Q

Heavily soaked with blood and bodily fluid, disposed in which color of bag

A

Contaminated

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44
Q

Braden score is checking what?

A

Pressure sore risk
1. Sensory perception
2. Moisture
3. Activity
4. Mobility
5. Friction and shear

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45
Q

Scale to assess risk for fall

A

Morse score assessment and reassessment

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46
Q

Rapid turn around of lab result for appropriate treatment and mgt

A

Point of care testing

47
Q

Scale for pain

A

Wong baker

48
Q

Types of restraint

A
  1. Chemical
  2. Physical
  3. Environment
  4. Seclusion
  5. Emergency
49
Q

Infusion blood checking of vs

A

After 5 mins of infusion
X2 15mins
X1 30 mins
X 1 hour until finish

50
Q

RASS

A

Richmond agitation sedation scale

51
Q

For pain management

A

Give anelgesia
Assessment after 30 mins to 1 hour
If not relieve notify physician

52
Q

Type of pain

A

Acute
Chronic
Somatic
Visceral
Neuropathic

53
Q

Nursing process is systemic process

A
  1. Assessment
  2. Nursing dx
  3. Planning
  4. Implementation
  5. Evaluation
54
Q

CLABSI

A

Central Line Associated Blood Stream Infection

55
Q

TYPES OF HAND HYGIENE

A
  1. HAND WASHING WITH SOAP AND WATER
  2. HAND RUBBING WITH ALCOHOL BASED SOLUTION
56
Q

Meaning of BICSL

A

BASIC INFECTION CONTROL SKILLS LICENSE

57
Q

BICSL 7 Components

A
  1. Hand hygiene
  2. Personal Protective Equipment (PPE)
  3. Spill Kit
  4. Needle Stick Injury (NSI)
  5. Transmission Base Precaution
  6. Fit Test
  7. POwered Air Purifying Respirator
58
Q

High Alert Medication

A

Are drugs that bear a heightened risk of causing significant patient harm when the are used in error

59
Q

WHO ARE AL SALAM COSTUMER

A

Everybody

60
Q

FMS

A

Facility Management and Safety

61
Q

Goal of FMS

A

Safe environment

62
Q

WHAT SHOULD YOU DO IF YOU SEE SMOKE COMING FROM A PATIENT ROOM OR ANY SIGNS OF FIRE

A

R-Rescue
A- Activate the alarm and dial 2222 to report code RED
C-Contain the smoke or fire by closing all the doors
E-Extinguish/evacuate by using the proper fire extinguisher

63
Q

WHERE ARE THE FIRE ALARM PULL BOXES LOCATED IN THE DEPATMENT

A

Reception 12

64
Q

HOW DO YOU USE A FIRE EXTIGUISHER?

A

P-Pull the pin located between two handles
A-Aim the base of the fire
S-Squeeze the handles together
S-Sweep from side to side at the base of the fire

65
Q

DELAY IN GIVING CARE

A

Turn around time

66
Q

FOR MAKING AN APPROVAL WHAT NEEDS TO BE MET?

A

Justification and more clinical data

67
Q

WHAT IS THE HOSPITAL EMERGENCY EXTENSION?

A

2222

68
Q

HOW DO YOU TEST YOUR EMERGENCY PREPAREDNESS PROGRAM?

A

Quarterly mock drills

69
Q

WHO IS TRAINED TO EVACUATE PATIENTS?

A

Everyone

70
Q

WHO SHOULD BE CONTACTED UPON RECEIVING A BOMB THREAT?

A
  1. Administrator
  2. Security
  3. Safety Officer
  4. Department heads
71
Q

WHERE IS THE OXYGEN VALVES LOCATED IN YOUR DEPARTMENT

A

Reception 12

72
Q

WHERE ARE THE DETAILS ABOUT EVERY CHEMICAL USED IN THE AREA?

A

MSDS

73
Q

MSDS MEANING?

A

Material Safety Data Sheet

74
Q

OTHER THAN THE MSDS WHERE CAN YOU FIND THE HAZARDOUS INFORMATION?

A

On the container label

75
Q

Can you name any hazardous materials in your department?

A
  1. Incidin oxyfoam
  2. Hydrogen Peroxide
76
Q

MSDS BINDER IS LOCATED IN? AND HOW MANY BINDER YOU HAVE?

A
  1. Clean utility room
  2. 1 per floor
77
Q

WHAT BY COLOURS DO YOU HAVE FOR MEDICAL WASTE AND FOR WHAT TYPES?
1. YELLOW BAGS-
2. RED BAGS-
3. BLACK BAGS -

A
  1. YELLOW BAGS- Infectious waste
  2. RED BAGS- Pathological waste
  3. BLACK BAGS - Normal Waste
78
Q

HOW DO YOU REPORT AN EMPLOYEE INCIDENT?

A
  1. Found in the ASH Portal
  2. Click the sawtak tab
79
Q

HOW DO YOU HAVE INPUT ON WHAT SHOULD BE IMPOREVED IN YOUR AREA

A

Staff Meetings, Interviews and questionnaires

80
Q

“SENTINEL EVENTS”

A
  1. Suicide
  2. Rape of patient
  3. Surgery on the wrong patient or wrong body part
  4. Hemolytic transfusion reaction
81
Q

MOST EFFECTIVE MEANS IN PREVENTING THE SPREAD OF INFECTION WITHIN A FACILITY ACCORDING TO CDC

A

Handwashing

82
Q

WHAT IMMUNIZATION IS AVAILABLE TO EMPLOYEES?

A

Hepatitis B, Measles, Mumps, Rubella (MMR), Varicella, Influenza vaccine only for HCW’s

83
Q

WHAT ARE CRITICAL ELEMENTS IN APPROPRIATENESS REVIEW?

A
  1. Allergies
  2. Lethal Drugs/Interactions
  3. Weight based dosing
84
Q

GENERAL CONSENT EXPIRATION?

A

As long as the file is valid/active

85
Q

DEFAULT ALARM

A

Biomed

86
Q

WHAT IS FATIGUE ALARM ?

A

Occurs when clinicians experience high exposure to medical device alarms causing alarm desensitization and leading to missed alarms or delayed respons

87
Q

For any almost expired medication.

A

email, 3 mos prior

87
Q

What should be done during chemical spill?

A
  1. Confine
  2. immediately call housekeeping
88
Q

ADULT ASSESSMENT OF PAIN

A

Wong Bakers

89
Q

For children or comatose patient assessment of pain?

A

FLACC

90
Q

For assessment of Falls

A

John Hopkins

91
Q

Charge Nurse responsibility during Fire

A
  1. Fire warden
  2. Assign responsibility for the teams
  3. Shut the oxygen valve
92
Q

Number of Fire extinguisher

A

11

93
Q

What training have you had on PI?

A

All employees receive PI training as part of mandatory in-service as well as new employee orientation.
Also, if I serve on a PI team, then I would receive training in my team meetings from our team facilitator

94
Q

Who is responsible for Infection Control?

A

ALL of us at Health care workers are responsible for preventing infections.

95
Q

What would you do for an occupational exposure to blood borne pathogens (needle stick, splash
or spray to eyes, non-intact skin)?

A
  1. Report exposure to your supervisor
  2. Then contact the Employee
    Health Clinic), the Infection Control Coordinator or the House Supervisor to complete an exposure
    packet which is available from any of the above individuals. The details of the exposure will be reviewed
    with you and the risk of transmission of a blood borne pathogen will be determined. At this point you
    will be instructed further regarding any action needed. The employee clinic/ health service will follow up
    with you regarding the results of testing
96
Q

What is personal protective equipment? Name an example and when you should use it.

A

specialized clothing or equipment worn by an employee for protection against a hazard (e.g., gloves,
masks, protective eyewear, and gowns).

97
Q

. What are items that go in Red bags or Red containers?

A

Parts and Organs will be placed in red plastic bags bearing the phrase BioHazard (in Arabic and English)
and the Bio-Hazard logo and will be stored in the mortuary until dealt in accordance to Sharia Law
(Islamic Law) or as deemed

98
Q

What is appropriateness review

A

When a drug is dispensed from floor-Stock, the appropriateness review should be conducted in
conjunction with the verification review when the ordering individual will administer the medication and
monitor the patient.

99
Q

. Describe how the medication orders are processed for your hospital.

A

Physician/resident write orders in electronic MAR. The nurse verifies order before administration and
implement independent double check for high alert medication… Pharmacy dispense enough doses until
time of daily unit dose supply (a new 24hr supply is delivered.) And implement policy for dispensing as
stat order 30 minutes & regular order two hour.

100
Q
  1. How are pharmacy services provided when pharmacy is closed? Who has keys of pharmacy?
A

In Al salaam hospital in patient pharmacy service 24 hours per day seven days a week.

101
Q

How are drug storage areas checked?

A

Monthly inspection done by pharmacist in charge for all patient care area.

102
Q

Define high alert medication? Give example

A

High-alert medications are drugs that bear a heightened risk of causing significant patient
harm when they are used in error. Example Epinepherin

103
Q

. Is Verbal or Telephone order allowed for narcotic and controlled medication?

A

No verbal telephone order not allowed for narcotic and controlled medication only in emergency situation
such code blue

104
Q

Is patient allowed for self-administration?

A

As per hospital policy self-administration not allowed for patient in admission time.

105
Q

How long is a multiple dose drug good for?

A

Multiple dose vials for injection 28 days from date opened, as long as not visibly contaminated.
Staff is to write date and initials on vial when opened.
* Bulk or multi use container liquid, etc
* Up to manufacturer’s expiration date as long as no visible signs of contamination and proper
dispensing/administration techniques are used

106
Q

Where do you get the locks for crash carts?

A

Pharmacy controls locks. Only pharmacist change lock crash cart after code blue or after monthly
checking

107
Q

How are samples used at your hospital?

A

As per hospital policy samples not allowed to use in inpatient and not allowed to be in all clinic &patient
care areas

108
Q

How you deal with patient own medication?

A

As per hospital policy the use of a patient’s own medication is discouraged, as the storage and handling
prior to the hospitalization is Unknown. , Medication brought by a patient shall be dispensed under the
control of pharmacy department after prescribe by physician in electronic MAR as PTOM (patient own
medication) and medication give to pharmacy to evaluate using patient own medication form.

109
Q

. Define medication error? Who report medication error?

A

Medication error any preventable event that may cause or lead to inappropriate medication use or patient
harm while the medication is in the control of the health-care professional, patient, or consumer”.
Health care provider who discover medication error can report medication error, electronic form of
medication error on hospital portal should filled to report medication error.

110
Q

How you deal with adverse drug reaction?

A

First discontinue immediately medication responsible for ADR, stabilize patient and inform physician
.then fill ADR form send it to pharmacy with in 24 hour.

111
Q

-what is LASA medication

A

Look alike/sound alike drugs” refers to medications having drug names that look similar in print
or sound similar to other drugs when their names are spoken.
* * Reading carefully the label each time a medication is accessed, and/or prior to administration.
* * Checking the purpose/indication of the medication on the prescription prior to dispensing and
administering.
* Placing LASA medications in locations separate from each other or in no alphabetical order

112
Q
A