QUESTION
What process improvement (PI) projects is your
area working on?
How do you know you are administering the
right medication to the right patient?
What is the proper method of operating a fire
extinguisher?
Where are Patients Rights found?
What is one patient right?
What are the five moments of hand hygiene?
What are standard precautions?
ANSWER
Varies across departments
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Dual identifiers, verify name and date of birth.
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P.A.S.S.
Pull pin
Aim the Nozzle
Squeeze the handle
Sweep base of fire
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Lobby and entrance areas and inpatient admission
packets.
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- Right to pain management
- Right to observation of their cultural and
person values, beliefs, and preferences
- Right to contact information for advocacy
groups
- Right to receive accommodation for a
disability
- Right to identify a support person to be
present during the hospital stay
- Right to designate a surrogate decision
maker
- Right to choose who may visit them during
a hospital stay
- Right to an interpreter
- Right to be free from discrimination
- Right to review and revise their health
directive at any time
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1. Before patient contact
2. Before exiting patient care area after
touching patient or their immediate
environment
3. Before performing a aseptic technique
4. After contact with blood, body fluids, or
contaminated services
5. Before and after glove use
Hand hygiene and barrier use for all body fluid or
mucous membrane or open skin contact, for care of
all patients regardless of diagnosis or presumed
infection status, to reduce the risk of transmission
from both recognized and unrecognized sources of
infection.
Name one Transmission based precaution
(clinic, HNS, Housekeeping)
What is the universal protocol?
Why do we use the teach back method?
What do you do if a patient has a complaint?
How is pain assessed and reassessed?
Name on code and how it is announced?
What should you do in the case of a fire?
Name one Infection Prevention National patient
Safety Goal your department is working on
Name Two other National Patient Safety Goals
What is the contact time for the disinfectant you
use for cleaning patient care equipment or the
environment
What is Riverwood’s Values acronym? And
what does it stand for?
How do you identify a patient who is a high fall
risk?
What is the visitor policy?
Enteric for Diarrhea
Contact for MRSA and other MDROs, RSV
Modified Droplet for Influenza-like-illness
Droplet for pertussis, respiratory infections
Airborne Infection Isolation for Chicken Pox,
Measles, TB, Disseminated shingles (room 646)
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Protocol in place to prevent wrong site, wrong
procedure, and wrong person surgery.
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Because 40-80 percent of medical information
patient’s receive is forgotten immediately. Teach
back method closes the loop and confirms that the
patient understood what you explained. For
example, “I want to be sure that I explained your
medication correctly. Can you tell me how you are
going to take this medication?”
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Fill out the Patient Comment/Complaint form and
submit to Quality. If they are requesting to speak to
someone in person, contact your manager or
Quality.
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Using the pain scale 1-10. Reassessed after
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Page 48
RACER- Rescue, Alarm, Contain,
Extinguish/Evacuate, Relocate
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Page 12-20
PDI-AF (3 minutes)
PDI-Bleach (3 minutes)
Oxycide (3 minutes for C dif 5 minutes for HepB
Page 6
Integrity, Customer Service, Unity, Respect,
Compassion, and Excellence
FYI flag, leaf on door, fall risk score, or red socks.
Policy 55-11
Visitors are allowed based on the patient’s
discretion. However restrictions may be put in

What are visitor responsibilities for preventing
infection?
What do you do if you don’t know an answer to
a surveyor question?
What items need to be locked up or secured?
place to maintain a healthy environment for our
patients and employees.
1. Respiratory hygiene and cough etiquette
2. Not to visit if exposed to a communicable
disease or are sick
3. Hand Hygiene before and after patient visit
4. Report to nurses’ station for instructions if
patient is in transmission based precautions
5. Wear gown and gloves if assisting with patient
care in contact and enteric precautions
Find your supervisor for help.
Needles, Saline flushes, medications