Safety

Question 1

What is an occurrence report?

Answer 1

An unexpected event

Question 2

What is a Near-miss event?

Answer 2

Error that could have harmed the client which almost occurs, but was caught and avoided

Question 3

What is a Client-Safety event?

Answer 3

An unexpected event that occurred and had the potential to cause injury to the client

Question 4

What is a sentinel event (never event)?

Answer 4

Is a critical unexpected adverse event that causes severe physical or psychological harm to a client, including death, dismemberment, permanent injury, and severe or temporary injury

Question 5

What is an adverse event?

Answer 5

Situation or circumstance that caused unexpected harm to the client

Question 6

What does QSEN stand for?

Answer 6

Quality and Safety in Nursing Eduction

Question 7

What are the six focus areas for QSEN?

Answer 7

-Evidence-Based Practice
-Patient-Centered Care
-Quality Improvement
-Teamwork and Collaboration
-Safety
-Informatics

Question 8

What is safety?

Answer 8

Minimize risk of harm to patients and providers through both system effectiveness and individual performance

Question 9

How many patient identifiers should you use?

Answer 9

At least two

Question 10

What is patient-centered care?

Answer 10

Patient is in control and a full partner; care is based on respect for patient’s preferences, values, and needs

Question 11

What is teamwork and collaboration?

Answer 11

Achieve quality patient outcomes by effectively communicating with nurses and inter-professional teams having mutual respect and shared decision making

Question 12

What patient identifies can you use?

Answer 12

-Clients full name
-Clients date of birth
-Clients telephone number
-Clients designated hospital number
-or alternatives client-specific documentation

Question 13

What is the ISBARR communication tool?

Answer 13

Identity, Situation, Background, Assessment, Recommendations, Read back

Question 14

What does I stand for in ISBARR?

Answer 14

Identity; introduce yourself and where you are calling from

Question 15

What does the S stand for in ISBARR?

Answer 15

Situation; client name and age, admitting diagnosis, and chief complaint or urgent need for rapid response

Question 16

What does the B stand for in ISBARR?

Answer 16

Background; medical history including current medications and advanced directives (if any)

Question 17

What does the A stand for in ISBARR?

Answer 17

Assessment; general client impression and significant findings through assessment, diagnostic tests, lab work, and vital signs

Question 18

What does the 1st R stand for in ISBARR?

Answer 18

Recommendation; treatment provided and the clients response to the treatment

Question 19

What does the 2nd R stand for in ISBARR?

Answer 19

Read back; read back the message or prescription from the provider, which allows for clarification

Question 20

What does the acronym CUS stand for?

Answer 20

-I am Concerned!
-I am Uncomfortable!
-This is a Safety issue!

Question 21

What is evidence based practice?

Answer 21

Integrate best current evidence, clinical expertise, and patient values to deliver optimal health care (based on high quality research, protocols, policies, procedures, utilize appropriate resources to develop plan of care)

Question 22

What is quality improvement?

Answer 22

Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems

Question 23

Three major principles when it comes to Radiation Safety?

Answer 23

Reduce time, increase distance, and use shielding

Question 24

What is informatics?

Answer 24

Use information and technology to communicate, manage knowledge, mitigate error, and support decision making (Electronic health record EHR, Computerized provider order entry CPOE, and ultimate data based for quality improvement)

Question 25

Name some safety organizations.

Answer 25

-Institute of Medicine (IOM)
-QSEN Movement
-National Quality Forum
-The Joint Comission
-Center for Medicare and Medicaid services (CMS)

Question 26

What kind of prong should you use in a hospital?

Answer 26

Third prong power plug

Question 27

What does RACE stand for?

Answer 27

-Rescue, Activate alarm, Contain fire, and Extinguish

Question 28

What does PASS stand for?

Answer 28

-Pull the pin
-Aim the nozzle at base of fire
-Squeeze the handle
-Sweep the nozzle side to side across fire

Question 29

When are restraints used?

Answer 29

Used as last measure to keep patient safe

Question 30

Give some examples hazardous material can enter your body.

Answer 30

-Ingestion
-Skin Absorption
-Unprotected, cuts chapped, damaged skin
-Injection
-Skin punctured by needle or sharp object
-Inhalation

Question 31

When in contact with hazardous materials what should you do first?

Answer 31

Don PPE

Question 32

What are some alternatives/examples before using restraints?

Answer 32

Reduce environmental stimuli, increase observation of patient, relocate patient for more frequent observation, increased diversionary activity, identify potential cause, mittens

Question 33

Can you just put a client on restraints?

Answer 33

No, it require an order. CAN NEVER BE PRN (as needed)

Question 34

How often should restraints be renewed?

Answer 34

Every 24 hours

Question 35

Even in an emergency application when are restraints used?

Answer 35

Order within an order

Question 36

How often should patient with restraints be assessed?

Answer 36

Every 15 minutes

Question 37

How often should restraints be taken off and site assessed and ROM performed?

Answer 37

At least every 2 hours