Al Salam Flashcards
1
Q
Code green
A
Rapid Response Team
2
Q
Code Blue
A
Cardiac Respiratory Arrest
3
Q
Code Violet
A
Stat Cesarean Delivery
4
Q
Code Red
A
fire
5
Q
Code Brown
A
Utility Failure
6
Q
Code Yellow
A
External Disaster
7
Q
Code Orange
A
Chemical Spill
8
Q
code gray
A
Severe Weather
9
Q
Code Pink
A
Infant / child abduction
10
Q
Code Black
A
Bomb Threat
11
Q
Code Silver
A
Active shooter
12
Q
Code Gold
A
Epidemic Disaster
13
Q
Fridge Temp
A
2-8
14
Q
5 moments of Hand Hygiene
A
- Before touching a patient
2.Before doing a Procedure - After touching the patient
- After a procedure or body fluid exposure risk
- After touching a patients surrounding
15
Q
A learning environment which balance blame free with appropriate accountability
A
Just culture
16
Q
Blue means
A
Health hazzard
17
Q
Red means
A
Fire
18
Q
Yellow means
A
Unstable
19
Q
PPE
A
Personal protective equipment
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
21
Q
Design to reduce risk of transmission infection and should be used to all pt
A
Standard precaution
22
Q
Uses gown and gloves
A
Contact precaution
23
Q
Uses surgical mask
A
Droplet
24
Q
N95
A
Airborne
25
Responsible for spill kit
Housekeeping
26
LASA
Look Alike Sound Alike
27
PQRST
1. Palliative or proactive factors
2. Quality
3. radiation
4. Severity
5. Temporal factors
28
Phases of surgery
1. Sign in
2. Time out
3. Sign out
29
10 Rights
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
30
International safety Goals
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
31
Sandostatin
2 weeks stability
32
Xylocaine
3 days stability
33
Room temp
18-25
34
FLACC
Face
Legs
Activity
Cry
Consolability
35
Communication 5c
Clear
Complete
Concise
Consistent
Correct
36
HEPPU
Hospital Emergency planning and preparedness unit
37
Doffing steps
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
38
Skin assessment tool
Braden score
39
RACE
Rescue
Alarm
Contain
Extinguish
40
PASS
Pull
Aim
Squeeze
Sweep
41
Medical waste, disposing of highly infectious disease, color of bag
Isolation category A
42
Disposal of not highly infectious disease
Isolation category b
43
Heavily soaked with blood and bodily fluid, disposed in which color of bag
Contaminated
44
Braden score is checking what?
Pressure sore risk
1. Sensory perception
2. Moisture
3. Activity
4. Mobility
5. Friction and shear
45
Scale to assess risk for fall
Morse score assessment and reassessment
46
Rapid turn around of lab result for appropriate treatment and mgt
Point of care testing
47
Scale for pain
Wong baker
48
Types of restraint
1. Chemical
2. Physical
3. Environment
4. Seclusion
5. Emergency
49
Infusion blood checking of vs
After 5 mins of infusion
X2 15mins
X1 30 mins
X 1 hour until finish
50
RASS
Richmond agitation sedation scale
51
For pain management
Give anelgesia
Assessment after 30 mins to 1 hour
If not relieve notify physician
52
Type of pain
Acute
Chronic
Somatic
Visceral
Neuropathic
53
Nursing process is systemic process
1. Assessment
2. Nursing dx
3. Planning
4. Implementation
5. Evaluation
54
CLABSI
Central Line Associated Blood Stream Infection
55
TYPES OF HAND HYGIENE
1. HAND WASHING WITH SOAP AND WATER
2. HAND RUBBING WITH ALCOHOL BASED SOLUTION
56
Meaning of BICSL
BASIC INFECTION CONTROL SKILLS LICENSE
57
BICSL 7 Components
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
High Alert Medication
Are drugs that bear a heightened risk of causing significant patient harm when the are used in error
59
WHO ARE AL SALAM COSTUMER
Everybody
60
FMS
Facility Management and Safety
61
Goal of FMS
Safe environment
62
WHAT SHOULD YOU DO IF YOU SEE SMOKE COMING FROM A PATIENT ROOM OR ANY SIGNS OF FIRE
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
WHERE ARE THE FIRE ALARM PULL BOXES LOCATED IN THE DEPATMENT
Reception 12
64
HOW DO YOU USE A FIRE EXTIGUISHER?
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
DELAY IN GIVING CARE
Turn around time
66
FOR MAKING AN APPROVAL WHAT NEEDS TO BE MET?
Justification and more clinical data
67
WHAT IS THE HOSPITAL EMERGENCY EXTENSION?
2222
68
HOW DO YOU TEST YOUR EMERGENCY PREPAREDNESS PROGRAM?
Quarterly mock drills
69
WHO IS TRAINED TO EVACUATE PATIENTS?
Everyone
70
WHO SHOULD BE CONTACTED UPON RECEIVING A BOMB THREAT?
1. Administrator
2. Security
3. Safety Officer
4. Department heads
71
WHERE IS THE OXYGEN VALVES LOCATED IN YOUR DEPARTMENT
Reception 12
72
WHERE ARE THE DETAILS ABOUT EVERY CHEMICAL USED IN THE AREA?
MSDS
73
MSDS MEANING?
Material Safety Data Sheet
74
OTHER THAN THE MSDS WHERE CAN YOU FIND THE HAZARDOUS INFORMATION?
On the container label
75
Can you name any hazardous materials in your department?
1. Incidin oxyfoam
2. Hydrogen Peroxide
76
MSDS BINDER IS LOCATED IN? AND HOW MANY BINDER YOU HAVE?
1. Clean utility room
2. 1 per floor
77
WHAT BY COLOURS DO YOU HAVE FOR MEDICAL WASTE AND FOR WHAT TYPES?
1. YELLOW BAGS-
2. RED BAGS-
3. BLACK BAGS -
1. YELLOW BAGS- Infectious waste
2. RED BAGS- Pathological waste
3. BLACK BAGS - Normal Waste
78
HOW DO YOU REPORT AN EMPLOYEE INCIDENT?
1. Found in the ASH Portal
2. Click the sawtak tab
79
HOW DO YOU HAVE INPUT ON WHAT SHOULD BE IMPOREVED IN YOUR AREA
Staff Meetings, Interviews and questionnaires
80
"SENTINEL EVENTS"
1. Suicide
2. Rape of patient
3. Surgery on the wrong patient or wrong body part
4. Hemolytic transfusion reaction
81
MOST EFFECTIVE MEANS IN PREVENTING THE SPREAD OF INFECTION WITHIN A FACILITY ACCORDING TO CDC
Handwashing
82
WHAT IMMUNIZATION IS AVAILABLE TO EMPLOYEES?
Hepatitis B, Measles, Mumps, Rubella (MMR), Varicella, Influenza vaccine only for HCW's
83
WHAT ARE CRITICAL ELEMENTS IN APPROPRIATENESS REVIEW?
1. Allergies
2. Lethal Drugs/Interactions
3. Weight based dosing
84
GENERAL CONSENT EXPIRATION?
As long as the file is valid/active
85
DEFAULT ALARM
Biomed
86
WHAT IS FATIGUE ALARM ?
Occurs when clinicians experience high exposure to medical device alarms causing alarm desensitization and leading to missed alarms or delayed respons
87
For any almost expired medication.
email, 3 mos prior
87
What should be done during chemical spill?
1. Confine
2. immediately call housekeeping
88
ADULT ASSESSMENT OF PAIN
Wong Bakers
89
For children or comatose patient assessment of pain?
FLACC
90
For assessment of Falls
John Hopkins
91
Charge Nurse responsibility during Fire
1. Fire warden
2. Assign responsibility for the teams
3. Shut the oxygen valve
92
Number of Fire extinguisher
11
93
What training have you had on PI?
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
Who is responsible for Infection Control?
ALL of us at Health care workers are responsible for preventing infections.
95
What would you do for an occupational exposure to blood borne pathogens (needle stick, splash
or spray to eyes, non-intact skin)?
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
What is personal protective equipment? Name an example and when you should use it.
specialized clothing or equipment worn by an employee for protection against a hazard (e.g., gloves,
masks, protective eyewear, and gowns).
97
. What are items that go in Red bags or Red containers?
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
What is appropriateness review
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
. Describe how the medication orders are processed for your hospital.
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
5. How are pharmacy services provided when pharmacy is closed? Who has keys of pharmacy?
In Al salaam hospital in patient pharmacy service 24 hours per day seven days a week.
101
How are drug storage areas checked?
Monthly inspection done by pharmacist in charge for all patient care area.
102
Define high alert medication? Give example
High-alert medications are drugs that bear a heightened risk of causing significant patient
harm when they are used in error. Example Epinepherin
103
. Is Verbal or Telephone order allowed for narcotic and controlled medication?
No verbal telephone order not allowed for narcotic and controlled medication only in emergency situation
such code blue
104
Is patient allowed for self-administration?
As per hospital policy self-administration not allowed for patient in admission time.
105
How long is a multiple dose drug good for?
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
Where do you get the locks for crash carts?
Pharmacy controls locks. Only pharmacist change lock crash cart after code blue or after monthly
checking
107
How are samples used at your hospital?
As per hospital policy samples not allowed to use in inpatient and not allowed to be in all clinic &patient
care areas
108
How you deal with patient own medication?
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
. Define medication error? Who report medication error?
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
How you deal with adverse drug reaction?
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
-what is LASA medication
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
