ESSENTIAL ACTIONS 1-2 Flashcards
What is the main goal of improving patient identification?
The main goal is to prevent errors involving the wrong patient by ensuring accurate identification throughout the care process.
What are the key components required for general patient identification at the care request office?
Full name, date of birth, and in case of multiple births, a numerical identifier should be added. For unconscious or unknown patients, gender, apparent age, date, and time are used.
How should patients be identified in a hospital setting?
Patients should be identified using bedside cards (name, date of birth, blood type, allergies, age, and fall risk) and wristbands placed on the extremities, with no procedures performed until the data is corroborated.
What actions should be taken to confirm patient ID before critical moments of care?
Patient ID should be checked before administering medication, IV infusions, blood transfusions, surgical procedures, clinical tests, patient transfers, diet provisions, and hemodialysis.
How are intravenous solutions and devices identified?
Patient data, name of the solution, duration, date, and time of installation are recorded on intravenous solutions. Probes and catheters should also have identification, and records must be maintained in the clinical record.
What protocols are implemented for effective communication between health professionals?
The listen-write-read-confirm protocol is used to improve communication and reduce errors, ensuring all instructions are recorded, confirmed, and standardized.
How should communication be handled during patient transfer?
The transfer process should include identification data, a brief description of the patient’s problem, an evaluation, medical background, diagnosis, procedures performed, medications, allergies, and recommendations
What precautions should be taken when writing medical prescriptions and annotations?
Leave a space between medication name, dosage, and units. Use commas for numbers over 1,000, do not abbreviate terms, and for dosages less than 1, add a zero before the decimal (e.g., 0.50, not .50).
What information should be included in patient discharge documents?
Discharge documents should contain patient identification, entry and exit date, reason for discharge, final diagnoses, summary of evolution, management during hospital stay, treatment plan, and follow-up recommendations.
What information is required for patient identification during imaging, clinical laboratory, and pathology studies?
X-rays and biological samples should include the patient’s full name and date of birth, with laboratory and pathology personnel verifying that this data matches the request forms.
What should be done when identifying anatomical parts or corpses?
Anatomical parts and corpses must have proper identification with the patient’s full name and date of birth to ensure accurate documentation and handling.
What is the listen-write-read-confirm protocol?
It is a protocol used by health personnel where they listen to instructions, write them down, read them back, and confirm the information to ensure accuracy, especially in patient care and laboratory results.
How is communication handled during emergencies and critical services?
The listen-write-read-confirm protocol is applied, ensuring that all orders and instructions are accurately recorded, confirmed, and executed in a timely manner during critical situations.
What information should be provided during patient transfer?
During transfers, health personnel must provide the patient’s identification, a brief description of the problem, background information (admission reason and date, diagnosis, procedures performed, medications, allergies), and recommendations.
How should critical values for laboratory, pathology, and cabinet studies be communicated?
Health personnel must notify patients about critical results, using the listen-write-read-confirm protocol to ensure accurate communication, particularly in outpatient settings.
