$100 Question fromMedication Use A process designed to ensure health care professionals obtain complete and accurate medication information for the patient upon transfer of care.
$100 Answer fromMedication Use What is Medication Reconciliation?
$200 Question fromMedication Use To minimize the possibility of incorrect selection of the wrong medication or concentration of a medication in the NICU.
$200 Answer fromMedication Use What is limit concentrations of medications in the patient care areas?Examples•One concentration of oral morphine•Limited choices for drug concentration in guardrails
$300 Question fromMedication Use These are examples of training nurses receive to safely use the infusion pumps for IV infusions and enteral feedings
$300 Answer fromMedication UseWhat are…•Initial orientation on how to use the pump when hired•Edu-quicks on any changes or updates• Written practice updates•Online resources C&W info-source page (ALARIS web page)•Coming soon... •media-site online learning modules & •yearly peer validation checklist
$400 Question fromMedication Use These types of solutions cannot be found in any patient care areas and must be obtained from the satellite pharmacy if needed for the infant
$400 Answer fromMedication Use What is… concentrated electrolyte solutions, heparin & other high risk medications (morphine, dopamine, epinephrine, etc)
$500 Question fromMedication Use To accomplish safe medication practices in the NICU including independent double checks, this type of _________work must occur
$500 Answer fromMedication Use What is TEAM work?
$100 Question fromSafety Culture This province-wide patient event reporting system is used in the NICU to report adverse events, near misses, and hazards
$100 Answer fromSafety Culture What is the Patient Safety & Learning System (PSLS)?
$200 Question fromSafety Culture This group of people are informed about how to keep their infant safe by receiving a pamphlet when their infant is admitted to the NICU/IN
$200 Answer fromSafety CultureWho are“Families”?Note: “How to Keep Your BabySafe in the NICU” pamphletis in all admission packages…please give asap to families as it hasnursery contact information too
$300 Question fromSafety Culture Record keeping system to document patient care, support multidisciplinarycommunication, and facilitate information flow to ensure safe, quality care is given
$300 Answer fromSafety CultureWhat is the Patient’s Chart Chart Bloopers video
$400 Question fromSafety CultureAccording to Accreditation Canada, this process couldinclude:•Discussing the adverse event with the family and relevant staff•Acknowledging or apologizing for the event•Reviewing the actions taken at the time of the event to preventthe event from occurring by making improvements•Responding to patient/family and or staff questions•Offering support/counseling to those involved
$400 Answer fromSafety Culture What is disclosure?
$500 Question fromSafety Culture To make improvements in the care of our NICU patients we implement the following strategies
$500 Answer fromSafety CultureWhat are…•PSLS …Changes/Improvements from trends discovered fromreports….Can you list any?•RPIWs…list some•Best Practices…cooling protocol, skin protocol, ACORN,Brainz monitor, No Bugs, hand hygiene practices, trophic earlyfeedings etc.
$100 Question fromPatient Identification These are the 2 key identifiers that you need to check prior to providing care/procedure/test to the infant
$100 Answer fromPatient Identification What is the Infant’s Name and MRUN (medical record unit number)?Note: Can also use PHN & DOB
$200 Question fromPatient IdentificationThis check needs to be done:•Prior to using test results delivered to bedside•Prior to x-ray/ultrasound/echo being done•Prior to new labels/ID tags are used for patient
$200 Answer fromPatient IdentificationWhat is… Name and MRUN on the results/requisitions/documents MATCHES with the Name and MRUN on and on
$300 Question fromPatient Identification NICU infants cannot participate in this manner to confirm who they are making them extremely vulnerable to rely on staff to be committed to safe identification practices
$300 Answer fromPatient Identification What is verbal communication? Play patient communication video
$400 Question fromPatient Identification The charting of this section on the nursing flow sheet is outdated and the new check is called the “Patient Identification Bundle”
$500 Question fromPatient Identification Examples of high-risk activities that in NICU has verification processes (special checking system) .
$500 Answer from Patient IdentificationWhat is…•Medication administration- Independent double checks with a second nurse•Blood administration- special checks and forms with done with a second nurse•EBM administration- check with a second person•Insertion Checklist- checks to ensure safest care given to prevent infectionsduring UVC/UAC/PICC insertions
$100 Question fromRequired Practices Information is transferred accurately and timely at transition points(handover, admission, discharge, transfer) for patients in the NICU
$100 Answer fromRequired Practices What is… •BIT for Handover •BIT for Rounds •BIT for Discharge checklist •Blue Bird process •Shared Transfer Process used for BCCH infants Coming soon… Provincial Nursing Transfer of Information tool, Pre-printed discharge order sheets, Transfer Process for infants between NICU and PICU.
$200 Question fromRequired Practices All staff have a role in hand hygiene in the NICU to help reduce infections for patients
$200 Answer fromRequired PracticesWhat is…•Practice the 4 moments of hand hygiene•Utilize the alcohol hand rub as the gold standard of care•Wash hands when visibly soiled•Know the Audits results are posted on the performance wall•Advocate for patient …everyone practices safe hand hygiene•Teach families about hand hygiene
$300 Question fromRequired Practices These word forms are not to be used for any written or pre-printed medication orders?
$300 Answer from Required PracticesWhat is Abbreviations?•Posters on the wall•Instructions on back of physicianorders•On line prescribing course-coming for all staff to complete
$400 Question fromRequired Practices The NICU multidisciplinary team encourages families to be participants in care or supports families in the following ways
$400 Answer fromRequired Practices•Rounds•Safety pamphlet•Disclosure pamphlet•PSLS to report when concerns of parents are discovered•Quality Patient Office•Consent for treatments•Development of care plans•Kangaroo Care•Sibling Visitation•Translation services to ensure parents understand•Written materials in different languages•DNAR orders and palliative care P&P
$500 Question fromRequired Practices The types of education that is provided to staff in the Neonatal Program
$500 Answer from Required PracticesWhat is…•Yearly fire and safety •ACORN•Employee health and wellness •Charge nurse workshops•Emergency preparedness •Violence prevention•Hand Hygiene updates •Education days that address learning needs•Tracheostomy care identified by the staff (eg cardiac, ECG, new practices, BIPP tool, improvements as a result of•Central Line Care RPIWs)•NRP updates and re-certifications •Education days, fast fives, email, posters, edu quicks
Final Jeopardy Question Everyone has a role to contribute to patient safety and supporting materials located on the Neonatal team site are available to guide staff on safety
Final Jeopardy AnswerWhat are Patient Safety P&Ps located under “Hospital Policy & Procedures?• Stop the Line: Authority to Intervene to Ensure Patient Safety• Non-punitive Reporting• Commitment to a Culture of Patient Safety• Adverse Event and Incident Management• Disclosure of Adverse Events• Critical Patient Safety Event Review