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Accreditation jeopardy bcw acreditation blitz2
- 1. ACCREDITATION JEOPARDY Medication Safety Patient ROP XXXXXX Use Culture Identification Q $100 Q $100 Q $100 Q $100 Q $100 Q $200 Q $200 Q $200 Q $200 Q $200 Q $300 Q $300 Q $300 Q $300 Q $300 Q $400 Q $400 Q $400 Q $400 Q $400 Q $500 Q $500 Q $500 Q $500 Q $500 Final Jeopardy
- 2. $100 Question from Medication Use A process designed to ensure health care professionals obtain complete and accurate medication information for the patient upon transfer of care.
- 3. $100 Answer from Medication Use What is Medication Reconciliation?
- 4. $200 Question from Medication Use To minimize the possibility of incorrect selection of the wrong medication or concentration of a medication in the NICU.
- 5. $200 Answer from Medication 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
- 6. $300 Question from Medication Use These are examples of training nurses receive to safely use the infusion pumps for IV infusions and enteral feedings
- 7. $300 Answer from Medication Use What 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
- 8. $400 Question from Medication 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
- 9. $400 Answer from Medication Use What is… concentrated electrolyte solutions, heparin & other high risk medications (morphine, dopamine, epinephrine, etc)
- 10. $500 Question from Medication Use To accomplish safe medication practices in the NICU including independent double checks, this type of _________work must occur
- 11. $500 Answer from Medication Use What is TEAM work?
- 12. $100 Question from Safety Culture This province-wide patient event reporting system is used in the NICU to report adverse events, near misses, and hazards
- 13. $100 Answer from Safety Culture What is the Patient Safety & Learning System (PSLS)?
- 14. $200 Question from Safety 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
- 15. $200 Answer from Safety Culture Who are “Families”? Note: “How to Keep Your Baby Safe in the NICU” pamphlet is in all admission packages… please give asap to families as it has nursery contact information too
- 16. $300 Question from Safety Culture Record keeping system to document patient care, support multidisciplinary communication, and facilitate information flow to ensure safe, quality care is given
- 17. $300 Answer from Safety Culture What is the Patient’s Chart Chart Bloopers video
- 18. $400 Question from Safety Culture According to Accreditation Canada, this process could include: •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 prevent the event from occurring by making improvements •Responding to patient/family and or staff questions •Offering support/counseling to those involved
- 19. $400 Answer from Safety Culture What is disclosure?
- 20. $500 Question from Safety Culture To make improvements in the care of our NICU patients we implement the following strategies
- 21. $500 Answer from Safety Culture What are… •PSLS …Changes/Improvements from trends discovered from reports….Can you list any? •RPIWs…list some •Best Practices…cooling protocol, skin protocol, ACORN, Brainz monitor, No Bugs, hand hygiene practices, trophic early feedings etc.
- 22. $100 Question from Patient Identification These are the 2 key identifiers that you need to check prior to providing care/procedure/test to the infant
- 23. $100 Answer from Patient Identification What is the Infant’s Name and MRUN (medical record unit number)? Note: Can also use PHN & DOB
- 24. $200 Question from Patient Identification This 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
- 25. $200 Answer from Patient Identification What is… Name and MRUN on the results/requisitions/documents MATCHES with the Name and MRUN on and on
- 26. $300 Question from Patient 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
- 27. $300 Answer from Patient Identification What is verbal communication? Play patient communication video
- 28. $400 Question from Patient Identification The charting of this section on the nursing flow sheet is outdated and the new check is called the “Patient Identification Bundle”
- 29. $400 Answer from Accreditation Visit What is…
- 30. $500 Question from Patient Identification Examples of high-risk activities that in NICU has verification processes (special checking system) .
- 31. $500 Answer from Patient Identification What 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 infections during UVC/UAC/PICC insertions
- 32. $100 Question from Required Practices Information is transferred accurately and timely at transition points (handover, admission, discharge, transfer) for patients in the NICU
- 33. $100 Answer from Required 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.
- 34. $200 Question from Required Practices All staff have a role in hand hygiene in the NICU to help reduce infections for patients
- 35. $200 Answer from Required Practices What 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
- 36. $300 Question from Required Practices These word forms are not to be used for any written or pre-printed medication orders?
- 37. $300 Answer from Required Practices What is Abbreviations? •Posters on the wall •Instructions on back of physician orders •On line prescribing course- coming for all staff to complete
- 38. $400 Question from Required Practices The NICU multidisciplinary team encourages families to be participants in care or supports families in the following ways
- 39. $400 Answer from Required 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
- 40. $500 Question from Required Practices The types of education that is provided to staff in the Neonatal Program
- 41. $500 Answer from Required Practices What 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
- 42. 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
- 43. Final Jeopardy Answer What 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