‏لقطة شاشة ٢٠٢٣-١١-٢٨ في ٤.٤١.٤٠ م

ESR
COMMON QUESTIONS & ANSWERS

2018
PREPARED BY:
QUALITY AND PATIENT SAFETY DEPARTMENT
PHARMACY DEPARTMENT
PREVENTION AND CONTROL OF INFECTION DEPARTMENT
ESR Common Questions & Answers 2018 Page 1 of 18

Content
SN Topic page
Introduction
3-4
‫ﻣﻘﺪﻣﺔ‬
PATIENT IDENTIFICATION
1 5
‫ﺗﻌﺮﯾﻒ اﻟﻤﺮﯾﺾ‬
Ensure Safe Surgery
2 6-8
‫اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﺠﺮاﺣﺔ اﻵﻣﻨﺔ‬
CREDENTIALING &
3 PRIMARY SOURCE VERIFICATION 9
‫اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﺸﮭﺎدات‬
PRIVILEGING
4 9
‫اﻹﻣﺘﯿﺎزات و اﻟﺼﻼﺣﯿﺎت‬
SAFE BLOOD TRANSFUSION
5 10
‫ﻧﻘﻞ اﻟﺪم ﺑﺄﻣﺎن‬
PREVENTION OF DEVELOPING
6 VTE 11
‫ﺗﺠﻨﺐ ﺗﻌﺮض اﻟﻤﺮﯾﺾ ﻟﻠﺠﻠﻄﺎت اﻟﻮرﯾﺪﯾﺔ‬
Dealing with High alert Medications
and Look alike ,sound alike Medications
7 12-13
‫اﻟﺘﻌﺎﻣﻞ ﻣﻊ اﻷدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة واﻟﻤﺘﺸﺎﺑﮭﺔ‬
‫ﻓﻰ اﻟﺸﻜﻞ واﻟﻨﻄﻖ‬
Prevention and Control of infection
8 14-16
‫اﻟﻮﻗﺎﯾﺔ واﻟﺴﯿﻄﺮة ﻋﻠﻰ اﻟﻌﺪوى‬
FACILITY MANAGEMENT AND SAFETY
9 17-18
‫إدارة اﻟﻤﺮاﻓﻖ واﻟﺴﻼﻣﺔ‬

Introduction ‫ﻣﻘﺪﻣﺔ‬
What are the Essential National ‫ﻣﺎ ھﻰ اﻟﻤﺘﻄﻠﺒﺎت اﻟﻮطﻨﯿﺔ اﻷﺳﺎﺳﯿﺔ ﻟﺴﻼﻣﺔ اﻟﻤﺮﺿﻰ‬
Requirements For Patient Safety?
A list of 20 national standards for hospitals. ‫( ﻣﻌﯿﺎرا ً ﻣﻦ اﻟﻤﻌﺎﯾﯿﺮ‬20) ‫ھﻲ ﻋﺒﺎرة ﻋﻦ ﻗﺎﺋﻤﺔ ﻣﻦ ﻋﺸﺮﯾﻦ‬
They are deemed to be basic conditions that ‫اﻟﻮطﻨﯿﺔ ﻟﻠﻤﺴﺘﺸﻔﯿﺎت ﺗﻢ اﻋﺘﺒﺎرھﺎ اﺷﺘﺮاطﺎت أﺳﺎﺳﯿﺔ ﯾﺠﺐ‬
must be fully observed to ensure patient safety ‫اﻻﻟﺘﺰام ﺑﮭﺎ ﺑﺸﻜﻞ ﻛﺎﻣﻞ ﻟﻀﻤﺎن ﺳﻼﻣﺔ اﻟﻤﺮﺿﻰ ﻣﻦ اﻷﺧﻄﺎء‬
and protection against healthcare related errors. ‫اﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ وھﻢ‬
Which are:

‫‪1. PATIENT IDENTIFICATION‬‬ ‫‪ .1‬ﺗﻌﺮﯾﻒ اﻟﻤﺮﯾﺾ‬
‫?‪How do you identify the patient‬‬ ‫ﻣﺎ ھﻲ آﻟﯿﺔ اﻟﺘﻌﺮف ﻋﻠﻰ اﻟﻤﺮﯾﺾ؟‬
‫‪ By asking the patient to state his full name‬‬ ‫‪ ‬ﺑﺴﺆال اﻟﻤﺮﯾﺾ ﻋﻦ اﺳﻤﮫ اﻟﻜﺎﻣﻞ‬
‫‪ By asking the attendant for pediatric patient‬‬ ‫‪ ‬ﺑﺴﺆال اﻟﻤﺮاﻓﻖ ﻓﻲ ﺣﺎل اﻻطﻔﺎل واﻟﻐﯿﺮ ﻗﺎدرﯾﻦ ﻋﻠﻰ‬
‫‪or patient(s) unable to talk.‬‬ ‫اﻟﺘﺤﺪث ﻣﻦ اﻟﻤﺮﺿﻰ ﻋﻦ ﺑﯿﺎﻧﺎت اﻟﻤﺮﯾﺾ‬
‫‪ By using at least two identifiers:‬‬ ‫‪ ‬ﯾﺘﻢ اﻟﺘﻌﺮف ﻋﻠﻰ اﻟﻤﺮﯾﺾ ﺑﺎﺳﺘﺨﺪام طﺮﯾﻘﺘﯿﻦ ﻋﻠﻰ اﻷﻗﻞ‪:‬‬
‫‪ Patient's full name‬‬ ‫‪ ‬اﻻﺳﻢ اﻟﺜﻼﺛﻲ‬
‫‪ Medical Record Number‬‬ ‫‪ ‬رﻗﻢ اﻟﻤﻠﻒ اﻟﻄﺒﻲ‬
‫?‪When to identify patient‬‬ ‫ﻣﺘﻰ ﯾﺘﻢ اﻟﺘﻌﺮف ﻋﻠﻰ اﻟﻤﺮﯾﺾ ؟‬

‫‪ Before providing treatments (medications,‬‬ ‫ﻗﺒﻞ إﻋﻄﺎء اﻟﻌﻼج ‪ /‬ﻧﻘﻞ اﻟﺪم وﻣﺸﺘﻘﺎﺗﮫ‬ ‫‪‬‬
‫)‪blood or blood products, etc.‬‬ ‫ﻗﺒﻞ ﻋﻤﻞ أى إﺟﺮاء طﺒﻰ أو ﻓﺤﻮﺻﺎت ﻣﺜﻞ أﺧﺬ ﻋﯿﻨﺎت‬ ‫‪‬‬
‫‪ Before performing procedures‬‬ ‫دم ‪ /‬اﻟﺘﺤﺎﻟﯿﻞ‬
‫‪ Before any diagnostic procedures‬‬ ‫ﻗﺒﻞ ﻋﻤﻞ أي إﺟﺮاءات ﺗﺸﺨﯿﺼﯿﺔ‬ ‫‪‬‬
‫‪ Before Serving diet tray‬‬ ‫ﻗﺒﻞ ﺗﻘﺪﯾﻢ وﺟﺒﺎت اﻟﻄﻌﺎم‬ ‫‪‬‬
‫?‪What are the used tools for identifying patient‬‬ ‫ﻣﺎھﻲ اﻷدوات اﻟﻤﺴﺘﺨﺪﻣﺔ ﻟﺘﻌﺮﯾﻒ اﻟﻤﺮﯾﺾ؟‬
‫‪ ID wrist band for all admitted patients and‬‬ ‫ﺑﺎﺳﺘﺨﺪام أﺳﻮرة اﻟﺘﻌﺮﯾﻒ ﻓﻲ اﻟﺮﺳﻎ ﻟﺠﻤﯿﻊ ﻣﺮﺿﻰ ﻗﺴﻢ‬ ‫‪‬‬
‫‪ER patients who undergo to any procedures‬‬ ‫اﻟﺘﻨﻮﯾﻢ وﻣﺮﺿﻰ ﻗﺴﻢ اﻟﻄﻮارئ اﻟﺬﯾﻦ ﺳﯿﺘﻢ ﻋﻤﻞ ﻟﮭﻢ‬
‫‪e.g. medication administration.‬‬ ‫إﺟﺮاء طﺒﻰ داﺧﻞ ﻗﺴﻢ اﻟﻄﻮارئ ﻣﺜﻞ إﻋﻄﺎء اﻟﺪواء‬
‫ﻟﻠﻤﺮﯾﺾ ﻓﻲ ﻗﺴﻢ اﻟﻄﻮاريء‪.‬‬
‫‪ Receipt for OPD Patients and ER Patients‬‬ ‫ﺑﺎﺳﺘﺨﺪام اﻟﻔﺎﺗﻮرة ﻓﻲ اﻟﻌﯿﺎدات اﻟﺨﺎرﺟﯿﺔ أو ﻗﺴﻢ‬ ‫‪‬‬
‫اﻟﻄﻮاريء اﻟﺬﯾﻦ ﻟﻦ ﯾﺘﻢ ﻋﻤﻞ إﺟﺮاءات طﺒﯿﺔ ﻟﮭﻢ‪.‬‬
‫‪ All patient forms are identified by patient‬‬
‫ﯾﺠﺐ ﻛﺘﺎﺑﺔ اﻻﺳﻢ اﻟﻜﺎﻣﻞ ‪ +‬رﻗﻢ اﻟﻤﻠﻒ اﻟﻄﺒﻲ ﺑﺎﻹﺿﺎﻓﺔ‬ ‫‪‬‬
‫‪Name and MRN‬‬
‫ﻟﻠﺒﯿﺎﻧﺎت اﻟﻤﻄﻠﻮﺑﺔ ﺟﻤﯿﻊ اﻟﻤﺮﺿﻰ‬
‫?‪How to identify a newborn‬‬ ‫ﻛﯿﻒ ﯾﺘﻢ ﺗﻌﺮﯾﻒ ﺣﺪﯾﺜﻰ اﻟﻮﻻدة؟‬

‫‪By TWO ID bands of in the right wrist and left‬‬ ‫ﺑﺎﺳﺘﺨﺪام اﺳﻮرﺗﯿﻦ ﺗﻌﺮﯾﻔﯿﺔ ‪ ،‬اﺳﻮرة ﻓﻲ اﻟﺮﺳﻎ ‪ +‬اﺳﻮرة ﻓﻲ‬
‫‪ankle with the following information: Mother’s‬‬ ‫اﻟﻜﺎﺣﻞ و ﺗﺤﺘﻮي ﻋﻠﻰ اﻟﺒﯿﺎﻧﺎت اﻟﺘﺎﻟﯿﺔ ‪:‬‬
‫‪full name, Mother’s MRN, newborn’s sex, birth‬‬ ‫اﻻﺳﻢ اﻟﻜﺎﻣﻞ ﻟﻸم ‪ +‬رﻗﻢ اﻟﻤﻠﻒ اﻟﻄﺒﻲ ﻟﻸم ‪ +‬ﺟﻨﺲ اﻟﻤﻮﻟﻮد ‪+‬‬
‫‪date and time, Baby’s MRN.‬‬ ‫ﺗﺎرﯾﺦ و وﻗﺖ اﻟﻮﻻدة ‪ +‬رﻗﻢ اﻟﻤﻠﻒ اﻟﻄﺒﻲ ﻟﻠﻤﻮﻟﻮد‬
‫‪What will you do if you have two patients in your‬‬ ‫ﻛﯿﻒ ﯾﺘﻢ اﻟﺘﺼﺮف ﻓﻲ ﺣﺎل ﺗﺸﺎﺑﮫ اﻻﺳﻢ ﻟﻤﺮﯾﻀﯿﻦ أﺛﻨﺎء وﺟﻮدھﻢ‬
‫?‪unit with same names‬‬ ‫ﻧﻔﺲ اﻟﻘﺴﻢ ؟‬
‫‪We will use Name Alert Card on medical record,‬‬ ‫ﯾﺘﻢ اﺳﺘﺨﺪام اﻟﻜﺮت اﻟﺨﺎص ﺑﺎﻷﺳﻤﺎء اﻟﻤﺘﺸﺎﺑﮭﺔ و ﯾﺘﻢ وﺿﻌﮭﺎ ﻋﻠﻰ‬
‫‪medication cabinet, etc.‬‬ ‫اﻟﻤﻠﻒ اﻟﻄﺒﻲ و ﺟﻤﯿﻊ ﻣﺘﻌﻠﻘﺎت اﻟﻤﺮﯾﺾ ﻣﺜﻞ أدراج اﻷدوﯾﺔ‬
‫‪ESR Common Questions & Answers 2018‬‬ ‫‪Page 5 of 18‬‬

2. Ensure Safe Surgery
‫ اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﺠﺮاﺣﺔ اﻵﻣﻨﺔ‬.2
(ensure correct patient , correct site &
( ‫ اﻹﺟﺮاء اﻟﺼﺤﯿﺢ‬+ ‫اﻟﻤﻜﺎن اﻟﺼﺤﯿﺢ‬+ ‫) اﻟﻤﺮﯾﺾ اﻟﺼﺤﯿﺢ‬
correct procedure / procedure)
What is the protocol used for performing safe ‫ﻣﺎھﻰ اﻹﺟﺮاءات اﻟﻤﺘﺒﻌﺔ ﻟﻠﺘﺄﻛﺪ ﻣﻦ اﻟﻘﯿﺎم ﺑﺠﺮاﺣﺔ آﻣﻨﺔ ؟‬
surgery?
 Get Informed Consent ‫اﺧﺬ اﻗﺮار اﻟﻤﻮاﻓﻘﺔ اﻟﺨﻄﯿﺔ ﻋﻠﻰ اﻻﻗﺮار‬ 
 Site Marking ‫وﺿﻊ ﻋﻼﻣﺔ ﻣﻜﺎن إﺟﺮاء اﻟﻌﻤﻠﯿﺔ‬ 
 Pre-Operative Checklist ‫ﻧﻤﻮذج ﻗﺎﺋﻤﺔ اﻹﺟﺮاءات ﻟﺘﺠﮭﯿﺰ اﻟﻤﺮﯾﺾ ﻗﺒﻞ اﻟﻌﻤﻠﯿﺔ‬ 
 Surgical Safety Checklist (sign in-time out- ‫ﻧﻤﻮذج اﻟﺠﺮاﺣﺔ اﻵﻣﻨﺔ و اﻟﺬي ﯾﺤﺘﻮي ﻋﻠﻰ ﺛﻼﺛﺔ ﻣﺮاﺣﻞ‬ 
sign out) (sign in-time out-sign out)
When site marking must be done? ‫ﻣﺘﻰ ﯾﺘﻢ وﺿﻊ ﻋﻼﻣﺔ ﻣﻜﺎن اﻟﻌﻤﻠﯿﺔ اﻟﺠﺮاﺣﯿﺔ ؟‬
 For all procedures involving: :‫ ﯾﺘﻢ وﺿﻊ ﻋﻼﻣﺔ ﻣﻜﺎن اﻟﻌﻤﻠﯿﺔ اﻟﺠﺮاﺣﯿﺔ ﻓﻲ اﻟﺤﺎﻻت اﻟﺘﺎﻟﯿﺔ‬
 Laterality (Left / right distinction) ‫ ﺗﺤﺪﯾﺪ ﻋﻀﻮ ﻓﻲ أﺣﺪ اﻟﺠﺎﻧﺒﯿﻦ ﯾﻤﯿﻦ ) أو ( ﯾﺴﺎر‬
 Multiple structures (such as fingers, toes) ‫ ﺗﺤﺪﯾﺪ ﻣﻜﺎن واﺣﺪ ﻓﻲ ﺣﺎل وﺟﻮد ھﯿﺎﻛﻞ ﻣﺘﻌﺪدة ﻣﺜﻞ أﺻﺎﺑﻊ اﻟﯿﺪ‬
 Multiple levels (as in spinal procedures) ‫أو أﺻﺎﺑﻊ اﻟﻘﺪم‬
‫ ﺗﺤﺪﯾﺪ ﻣﻜﺎن واﺣﺪ ﻓﻲ ﺣﺎل وﺟﻮد ﻣﺴﺘﻮﯾﺎت ﻣﺘﻌﺪدة ﻣﺜﻞ ﻓﻘﺮات‬
‫اﻟﻌﺎﻣﻮد اﻟﻔﻘﺮي‬
 Site marking shall be done before
‫ ﯾﺠﺐ وﺿﻊ اﻟﻌﻼﻣﺔ ﻣﻜﺎن اﻟﻌﻤﻠﯿﺔ اﻟﺠﺮاﺣﯿﺔ ﻗﺒﻞ ﻧﻘﻞ‬
transferring patients to OR
‫اﻟﻤﺮﯾﺾ إﻟﻰ ﻏﺮﻓﺔ اﻟﻌﻤﻠﯿﺎت‬
Who will do the site marking? ‫ﻣﻦ ﯾﻘﻮم ﺑﻮﺿﻊ اﻟﻌﻼﻣﺔ ﻋﻠﻰ ﻣﻜﺎن اﻟﻌﻤﻠﯿﺔ اﻟﺠﺮاﺣﯿﺔ ؟‬
 Attending Surgeon or Physician. ‫اﻟﻄﺒﯿﺐ اﻟﺠﺮاح أو اﻟﻄﺒﯿﺐ اﻟﻤﻌﺎﻟﺞ‬ 
* NO NURSE is allowed to do the site ‫* ﻏﯿﺮ ﻣﺴﻤﻮح ﻟﻠﻤﻤﺮض ﻋﻤﻞ ھﺬا اﻻﺟﺮاء ﺣﺘﻰ‬
marking even ordered by the physician or ‫ اﻟﺠﺮاح‬/ ‫ﻟﻮ ﻛﺎن ذﻟﻚ ﺑﺄﻣﺮ اﻟﻄﺒﯿﺐ اﻟﻤﻌﺎﻟﺞ‬
surgeon
What is the shape of site marking? ‫ﻣﺎ ھﻲ اﻟﻌﻼﻣﺔ اﻟﺘﻲ ﯾﺘﻢ وﺿﻌﮭﺎ ﻋﻠﻰ ﻣﻜﺎن اﻟﻌﻤﻠﯿﺔ اﻟﺠﺮاﺣﯿﺔ ؟‬
 Arrow sign drawn clearly at or near the ‫ ﺑﺠﺎﻧﺐ ﻣﻜﺎن‬/ ‫ﯾﺘﻢ رﺳﻢ ﻋﻼﻣﺔ ﺳﮭﻢ ﺑﻮﺿﻮح ﻋﻠﻰ‬ 
Surgical / Invasive procedure site ‫ اﻹﺟﺮاء‬/‫اﻟﻌﻤﻠﯿﺔ اﻟﺠﺮاﺣﯿﺔ‬
Regarding Surgical Safety Checklist : ‫ﻓﻲ ﻧﻤﻮذج اﻟﺠﺮاﺣﺔ اﻵﻣﻨﺔ‬

What is sign in? ‫ ؟‬sign in ‫ﻣﺎ ھﻲ ﻣﺮﺣﻠﺔ‬
Who will do Sign in? ‫ ؟‬sign in ‫ﻣﻦ اﻟﻤﺴﺆول ﻋﻦ ﻋﻤﻞ‬
When to do Sign in? ‫ ؟‬sign in ‫ﻣﺘﻰ ﯾﺘﻢ ﻋﻤﻞ‬
Why sign in? ‫ ؟‬sign in ‫ﻟﻤﺎذا ﯾﺘﻢ ﻋﻤﻞ‬
 Sign in : It is the first of the 3 phases of the ‫ ھﻲ اﻟﻤﺮﺣﻠﺔ اﻷوﻟﻰ اﻟﺘﻲ ﯾﺘﻢ ﻣﻦ ﺧﻼﻟﮭﺎ‬: Sign in 
surgical safety checklist to ensure safe ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻋﻤﻞ اﻹﺟﺮاء اﻟﺼﺤﯿﺢ ﻓﻲ اﻟﻤﻜﺎن اﻟﺼﺤﯿﺢ‬
surgery (ensure correct patient , correct site ‫ﻟﻠﻤﺮﯾﺾ اﻟﺼﺤﯿﺢ‬
& correct surgery / procedure) ( ‫ طﺒﯿﺐ اﻟﺘﺨﺪﯾﺮ ) ﻋﻠﻰ اﻷﻗﻞ‬+ ‫ﺗﺘﻢ ﻣﻦ ﻗﺒﻞ اﻟﻤﻤﺮض‬ 
 It should be done by at least a nurse and ‫ﻋﻨﺪ اﺳﺘﻼم اﻟﻤﺮﯾﺾ ﻓﻲ ﻗﺴﻢ اﻟﻌﻤﻠﯿﺎت ﻗﺒﻞ اﻟﺘﺨﺪﯾﺮ‬
anesthesiologist, before induction of
anesthesia, on receiving patient
:‫ ﻓﻲ ھﺬه اﻟﻤﺮﺣﻠﺔ ﯾﺘﻢ اﻟﺘﺤﻘﻖ ﻣﻦ اﻵﺗﻲ‬
 In sign in we will confirm the following:
‫ اﻹﺟﺮاء‬+ ‫ ﻣﻜﺎن اﻟﻌﻤﻠﯿﺔ اﻟﺠﺮاﺣﯿﺔ‬+ ‫ ھﻮﯾﺔ اﻟﻤﺮﯾﺾ‬
 The patient Identity, Site ,Procedure , ‫ اﻗﺮاراﻟﻤﻮاﻓﻘﺔ ﻋﻠﻰ‬+ ‫اﻟﺠﺮاﺣﻲ اﻟﺬي ﺳﯿﺘﻢ ﻋﻤﻠﮫ‬
Consent ‫إﺟﺮاء اﻟﻌﻤﻠﯿﺔ‬

 The site marked ‫ وﺿﻊ ﻋﻼﻣﺔ ﻣﻜﺎن اﻟﻌﻤﻠﯿﺔ اﻟﺠﺮاﺣﯿﺔ‬
 Pre – operative checklist completed ‫ اﺳﺘﻜﻤﺎل ﻧﻤﻮذج ﻗﺎﺋﻤﺔ اﻹﺟﺮاءات ﻟﺘﺠﮭﯿﺰ اﻟﻤﺮﯾﺾ‬
 Does the patient have known allergy? ‫ﻗﺒﻞ اﻟﻌﻤﻠﯿﺔ‬
 Difficult airway or aspiration risk? ‫ ھﻞ اﻟﻤﺮﯾﺾ ﻟﺪﯾﮫ أي ﻧﻮع ﻣﻦ اﻟﺘﺤﺴﺲ‬
 Risk of > 500ml blood loss (7ml/kg in ‫ ﻣﻌﺮﻓﺔ وﺟﻮد ﺻﻌﻮﺑﺔ ﻓﻲ ادﺧﺎل اﻧﺒﻮب اﻟﺘﺮﻗﯿﺔ أو‬
children) ‫اﻟﺘﻌﺮض ﻟﻼﺧﺘﻨﺎق‬
 Blood and/or blood product available ‫ ﻣﻞ‬7 ) ‫ ﻣﻞ ﻟﻠﺒﺎﻟﻐﯿﻦ‬500 ‫ ﻣﺪى ﺗﻮﻗﻊ ﻟﻔﻘﺪ دم اﻛﺜﺮ ﻣﻦ‬
 Transfusion consent available ( ‫ ﻛﯿﻠﻮ ﺟﺮام ﻓﻲ ﺣﺎل اﻷطﻔﺎل‬/
 Is the anaesthesia machine and ‫ ﻣﺸﺘﻘﺎت اﻟﺪم‬/ ‫ ﺗﻮﻓﺮ اﻟﺪم‬
medication check complete ? ‫ ﻣﺸﺘﻘﺎت اﻟﺪم‬/ ‫ إﻗﺮار اﻟﻤﻮاﻓﻘﺔ ﻋﻠﻰ ﻧﻘﻞ اﻟﺪم‬
 Is the pulse oximeter on the patient and ‫ إﻛﺘﻤﺎل ﻓﺤﺺ ﺟﮭﺎز اﻟﺘﺨﺪﯾﺮ و ﺗﻮﻓﺮ اﻷدوﯾﺔ اﻟﻤﻄﻠﻮﺑﺔ‬
functioning ? ‫ ﻛﻔﺎءة ﻋﻤﻞ ﺟﮭﺎز ﻗﯿﺎس ﻣﻌﺪل اﻷﻛﺴﺠﯿﻦ ﻓﻲ اﻟﺪم‬
What is time out? ‫ ؟‬time out ‫ﻣﺎ ھﻲ ﻣﺮﺣﻠﺔ‬
Who will do Time out? ‫ ؟‬time out ‫ﻣﻦ اﻟﻤﺴﺆول ﻋﻦ ﻋﻤﻞ‬
When to do Time out? ‫ ؟‬time out ‫ﻣﺘﻰ ﯾﺘﻢ ﻋﻤﻞ‬
Why time out? ‫ ؟‬time out ‫ﻟﻤﺎذا ﯾﺘﻢ ﻋﻤﻞ‬
 Time Out is the second of the 3 phases of ‫ھﻲ اﻟﻤﺮﺣﻠﺔ اﻟﺜﺎﻧﯿﺔ اﻟﺘﻲ ﯾﺘﻢ ﻣﻦ ﺧﻼﻟﮭﺎ‬: Time Out 
the surgical safety checklist to ensure safe ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻋﻤﻞ اﻹﺟﺮاء اﻟﺼﺤﯿﺢ ﻓﻲ اﻟﻤﻜﺎن اﻟﺼﺤﯿﺢ‬
& correct surgery / procedure)
 It should be done by a nurse, anesthesiologist ( ‫ اﻟﺘﻤﺮﯾﺾ‬+ ‫ اﻟﺘﺨﺪﯾﺮ‬+ ‫ﺗﺘﻢ ﺑﻮﺟﻮد اﻟﻔﺮﯾﻖ ) اﻟﺠﺮاح‬ 
and surgeon , before skin incision ‫ﻗﺒﻞ ﺷﻖ اﻟﺠﻠﺪ‬
 In Time Out phase we will confirm the :‫ﯾﺘﻢ اﻟﺘﺤﻘﻖ ﻣﻦ اﻷﻣﻮر اﻟﺘﺎﻟﯿﺔ‬ 
following: ‫اﻟﺘﻌﺮﯾﻒ ﺑﺠﻤﯿﻊ أﻋﻀﺎء اﻟﻔﺮﯾﻖ و أدوارھﻢ‬ 
 All team members have introduced ‫ ﻧﻮع‬+ ‫ ﻣﻜﺎن اﻹﺟﺮاء اﻟﺠﺮاﺣﻲ‬+ ‫ھﻮﯾﺔ اﻟﻤﺮﯾﺾ‬ 
themselves by name and role. ‫اﻹﺟﺮاء اﻟﺠﺮاﺣﻲ‬
 Confirm the patient's identity , site, (60) ‫ھﻞ ﺗﻢ إﻋﻄﺎء اﻟﻤﻀﺎد اﻟﺤﯿﻮي اﻟﻮﻗﺎﺋﻲ ﺧﻼل اﻟـ‬ 
procedure ‫دﻗﯿﻘﺔ اﻷﺧﯿﺮة ﻗﺒﻞ اﻹﺟﺮاء اﻟﺠﺮاﺣﻲ‬
 Has antibiotic prophylaxis been given ‫ھﻞ ﺗﻢ إﻋﻄﺎء ﻣﻀﺎد اﻟﺨﺜﺮات اﻟﻮرﯾﺪﯾﺔ ﺧﻼل اﻟـ‬ 
within the last 60 minutes?
‫( ﺳﺎﻋﺔ ﻗﺒﻞ اﻹﺟﺮاء اﻟﺠﺮاﺣﻲ‬24)
 Has VTE prophylaxis been given within
24 hours prior to surgery? : ‫اﻷﺣﺪاث اﻟﻌﺎﻟﯿﺔ اﻟﺨﻄﻮرة اﻟﻤﺘﻮﻗﻌﺔ ﺑﺎﻟﻨﺴﺒﺔ ﻟـ‬ 
 Anticipated Critical Events: ‫ اﻟﺠﺮاح‬
 To Surgeon: ‫ طﺒﯿﺐ اﻟﺘﺨﺪﯾﺮ‬
 To Anesthesiologist: ‫ ﻓﺮﯾﻖ اﻟﺘﻤﺮﯾﺾ‬
 To Nursing Team: ‫ھﻞ ھﻨﺎك أي أﻣﻮر ﯾﺠﺐ اﻟﺘﺮﻛﯿﺰ ﻋﻠﯿﮭﺎ ﻓﻲ ﻣﺎ ﯾﺨﺺ‬ 
 Are there equipment issues or any concerns? ‫اﻷﺟﮭﺰة‬
 Is essential imaging displayed? .‫ اﻟﺦ‬.... ‫ھﻞ ﺳﯿﺘﻢ ﻋﺮض أي أﺷﻌﺔ ﺗﺼﻮﯾﺮﯾﺔ‬ 

What is sign out? ‫ ؟‬sign out ‫ﻣﺎ ھﻲ ﻣﺮﺣﻠﺔ‬
Who will do sign out? ‫ ؟‬sign out ‫ﻣﻦ اﻟﻤﺴﺆول ﻋﻦ ﻋﻤﻞ‬
When to do sign out? ‫ ؟‬sign out ‫ﻣﺘﻰ ﯾﺘﻢ ﻋﻤﻞ‬
Why sign out? ‫ ؟‬sign out ‫ﻟﻤﺎذا ﯾﺘﻢ ﻋﻤﻞ‬
 Sign Out is the third of the 3 phases of the ‫ھﻲ اﻟﻤﺮﺣﻠﺔ اﻟﺜﺎﻟﺜﺔ اﻟﺘﻲ ﯾﺘﻢ ﻣﻦ ﺧﻼﻟﮭﺎ‬Sign Out 
surgical safety checklist to ensure safe ‫اﻟﺘﺤﻘﻖ ﻣﻦ ﻋﻤﻞ اﻹﺟﺮاء اﻟﺼﺤﯿﺢ ﻓﻲ اﻟﻤﻜﺎن اﻟﺼﺤﯿﺢ‬
& correct surgery / procedure) ( ‫ اﻟﺘﻤﺮﯾﺾ‬+ ‫ اﻟﺘﺨﺪﯾﺮ‬+ ‫ ﺗﺘﻢ ﺑﻮﺟﻮد اﻟﻔﺮﯾﻖ ) اﻟﺠﺮاح‬
 It should be done by a nurse, anesthesiologist ‫ﻗﺒﻞ ﻧﻘﻞ اﻟﻤﺮﯾﺾ ﻣﻦ ﻏﺮﻓﺔ اﻟﻌﻤﻠﯿﺎت‬
and surgeon , before patient leaves Operating ‫ ﻓﻲ ھﺬه اﻟﻤﺮﺣﻠﺔ ﺳﯿﺘﺤﻘﻖ اﻟﻤﻤﺮض ﻣﻊ اﻟﻔﺮﯾﻖ ﻣﻦ‬
Room :‫اﻷﻣﻮر اﻟﺘﺎﻟﯿﺔ‬
 In Sign Out phase the Nurse verbally ‫ ﺗﺴﺠﯿﻞ اﺳﻢ اﻻﺟﺮاء‬
confirms with the team: ‫ ﻋﺪ ﺻﺤﯿﺢ وﻛﺎﻣﻞ ﻟﻸدوات واﻟﻀﻤﺎدات واﻻﺑﺮ‬
 The Name of Procedure ‫ ﻛﺘﺎﺑﺔ اﻟﺒﯿﺎﻧﺎت ﻛﺎﻣﻠﺔ ﻓﻲ ﺣﺎل أﺧﺬ ﻋﯿﻨﺔ‬
 Completion count of instrument, sponge ‫ ذﻛﺮ أي ﻣﺸﺎﻛﻞ ﺑﺨﺼﻮص اﻷﺟﮭﺰة ﻓﻲ ﺣﺎل ﺣﺪوﺛﮭﺎ‬
and needles ‫ اﻟﺘﻤﺮﯾﻀﻞ ﻛﻞ‬+ ‫ طﺒﯿﺐ اﻟﺘﺨﺪﯾﺮ‬+ ‫ ﻣﺮاﺟﻌﺔ اﻟﺠﺮاح‬
 The specimen is labelled (Including ‫ﻣﺎ ﯾﺨﺺ إﻓﺎﻗﺔ اﻟﻤﺮﯾﺾ ؟‬
patient name)
 Whether there are any equipment
problems to be addressed
 To Surgeon, Anaesthesiologist and
Nurse:
What are the key concerns for recovery
and management of this patient?

3. CREDENTIALING & ‫ اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﺸﮭﺎدات‬.3
PRIMARY SOURCE VERIFICATION
Who is responsible for verification of credentials ‫ﻣﻦ اﻟﻤﺴﺌﻮل ﻋﻦ اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﺸﮭﺎدات اﻟﺘﻲ ﺗﻢ اﻟﺤﺼﻮل ﻋﻠﯿﮭﺎ‬
of qualification from outside Saudi Arabia? ‫ﻣﻦ ﺧﺎرج اﻟﻤﻤﻠﻜﮫ؟‬
 Human Resources Department (Medical ( ‫ﻗﺴﻢ اﻟﻤﻮارد اﻟﺒﺸﺮﯾﺔ ) ﻣﻜﺘﺐ اﻟﺘﺮاﺧﯿﺺ اﻟﻄﺒﯿﺔ‬ 
License Office)
How the verification will be done for the ‫ﻛﯿﻒ ﯾﺘﻢ اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﺸﮭﺎدات اﻟﺼﺎدرة ﻣﻦ ﺧﺎرج اﻟﺴﻌﻮدﯾﺔ؟‬
certificates from outside Saudi Arabia? ( ‫ﺗﻘﺮﯾﺮ اﻟﺪاﺗﺎ ﻓﻠﻮ ) و ﻟﯿﺲ اﻹﯾﺼﺎل‬ 
 Dataflow Report ( NOT the receipt ) ‫ﻣﻦ ﻧﻈﺎم ﻣﻤﺎرس اﻟﺨﺎص ﺑﺎﻟﮭﯿﺌﺔ اﻟﺴﻌﻮدﯾﺔ ﻟﻠﺘﺨﺼﺼﺎت‬ 
 From SCHSP ( Mumaris ) ‫اﻟﺼﺤﯿﺔ‬
How the verification will be done for the ‫ﻛﯿﻒ ﯾﺘﻢ اﻟﺘﺤﻘﻖ ﻣﻦ اﻟﺸﮭﺎدات اﻟﺼﺎدرة ﻣﻦ داﺧﻞ اﻟﺴﻌﻮدﯾﺔ؟‬
certificates from Saudi Arabia? ‫ﺳﯿﺘﻢ اﻟﺘﻮاﺻﻞ ﻣﻦ ﻗﺒﻞ ﻣﻮظﻔﻲ ﻣﻜﺘﺐ اﻟﺘﺮاﺧﯿﺺ اﻟﻄﺒﯿﺔ‬ 
 Medical license office will communicate ‫ﻣﻦ ﻗﺴﻢ اﻟﻤﻮارد اﻟﺒﺸﺮﯾﺔ ﻣﻊ اﻟﺠﮭﺔ اﻟﻤﺎﻧﺤﺔ ﻟﻠﺸﮭﺎدة ﻋﻦ‬
with the institute which give the certificate to ‫طﺮﯾﻖ اﻹﯾﻤﯿﻞ أو اﻟﮭﺎﺗﻒ‬
the practitioner through e-mail or phone ‫ﻣﻦ ﻧﻈﺎم ﻣﻤﺎرس اﻟﺨﺎص ﺑﺎﻟﮭﯿﺌﺔ اﻟﺴﻌﻮدﯾﺔ ﻟﻠﺘﺨﺼﺼﺎت‬ 
 From SCHSP ( Mumaris ) ‫اﻟﺼﺤﯿﺔ‬
4. PRIVILEGING ‫ اﻹﻣﺘﯿﺎزات و اﻟﺼﻼﺣﯿﺎت‬.4
How do you make sure that a qualified medical ‫ﻛﯿﻒ ﯾﺘﻢ اﻟﺘﺄﻛﺪ ﻣﻦ أن اﻟﻄﺎﻗﻢ اﻟﻄﺒﻲ ﯾﻘﻮم ﺑﺘﻘﺪﯾﻢ ﺧﺪﻣﺎت‬
staff can provide clinical services consistent with ‫ﺳﺮﯾﺮﯾﺔ ﺗﺘﻔﻖ ﻣﻊ ﻣﺆھﻼﺗﮭﻢ؟‬
their qualifications? ‫ﻋﻦ طﺮﯾﻖ ﻣﻨﺢ اﻟﻄﺒﯿﺐ اﻻﻣﺘﯿﺎزات و اﻟﺼﻼﺣﯿﺎت‬ 
 Through the medical privileges approved by ‫اﻟﻤﻌﺘﻤﺪة ﻣﻦ ﻗﺒﻞ ﻟﺠﻨﺔ اﻋﺘﻤﺎد اﻻﻣﺘﯿﺎزات و اﻟﺼﻼﺣﯿﺎت‬
the credentialing and privileging committee ‫ﺑﻌﺪ اﻟﺘﺤﻘﻖ ﻣﻦ ﻣﺆھﻼت اﻟﻄﺒﯿﺐ‬
after the verification of all certificates
Who is the chairman of credentialing and ‫ﻣﻦ ھﻮ رﺋﯿﺲ ﻟﺠﻨﺔ اﻻﻣﺘﯿﺎزات و اﻟﺼﻼﺣﯿﺎت؟‬
privileging committee?
 Medical Director ‫اﻟﻤﺪﯾﺮ اﻟﻄﺒﻲ‬ 
How does an employee define his roles, ‫ﻛﯿﻒ ﯾﺘﻤﻜﻦ اﻟﻤﻮظﻒ ﻣﻦ ﻣﻌﺮﻓﺔ دوره وﻣﺴﺆوﻟﯿﺎﺗﮫ ؟‬
responsibilities? ‫ﻣﻦ ﺧﻼل اﻟﻮﺻﻒ اﻟﻮظﯿﻔﻲ اﻟﺬي ﯾﺘﻢ ﺷﺮﺣﮫ ﻟﻠﻤﻮظﻒ‬ 
 Through his signed Job Description which be ‫ﻣﻦ ﻗﺒﻞ رﺋﯿﺴﮫ اﻟﻤﺒﺎﺷﺮ و اﻟﺘﻮﻗﯿﻊ ﻋﻠﯿﮫ ﻣﻦ ﻗﺒﻞ اﻟﻤﻮظﻒ‬
explained to the employee by the direct ‫ اﻹدارة ذات اﻟﻌﻼﻗﺔ‬+ ‫ اﻟﺮﺋﯿﺲ اﻟﻤﺒﺎﺷﺮ‬+
department head
 Job Description should be signed by the
employee + Department Head + Related
Administration
How you will identify medical staff privileges? ‫ﻛﯿﻒ ﯾﻤﻜﻦ ﻣﻌﺮﻓﺔ اﻟﺼﻼﺣﯿﺎت اﻟﻤﻤﻨﻮﺣﺔ ﻟﻠﻄﺎﻗﻢ اﻟﻄﺒﻲ ؟‬
 Through privileging lists which distributed ‫ﻣﻦ ﺧﻼل اﻟﻘﻮاﺋﻢ اﻟﺨﺎﺻﺔ ﺑﺎﻟﺼﻼﺣﯿﺎت اﻟﻤﻤﻨﻮﺣﺔ ﻟﻸطﺒﺎء‬ 
by the medical licenses office to the related ‫و اﻟﺘﻲ ﯾﺘﻢ ﺗﻮزﯾﻌﮭﺎ ﻣﻦ ﻗﺒﻞ ﻣﻜﺘﺐ اﻟﺘﺮاﺧﯿﺺ اﻟﻄﺒﯿﺔ‬
clinical areas ‫ﻟﻸﻗﺴﺎم اﻟﻄﺒﯿﺔ ذات اﻟﻌﻼﻗﺔ‬

5. SAFE BLOOD TRANSFUSION ‫ ﻧﻘﻞ اﻟﺪم ﺑﺄﻣﺎن‬.5
Who will take consent from the patient before ‫ﻣن اﻟﻣﺳﺋول ﻋن أﺧذ ﻣواﻓﻘﺔ اﻟﻣرﯾض ﻋﻠﻰ ﻋﻣﻠﯾﺔ ﻧﻘل اﻟدم ؟‬
blood transfusion? ‫وﻣﺎ اﻟذى ﯾﺗم ﺷرﺣﮫ ﻗﺑل اﺧذ ﻣواﻓﻘﺔ اﻟﻣرﯾض؟‬
What are the items that will be explained before
the blood transfusion procedure?
‫ اﻟﻄﺒﯿﺐ اﻟﻣﻌﺎﻟﺞ ھو اﻟﻣﺳﺋول ﻋن أﺧذ ﻣواﻓﻘﺔ اﻟﻣرﯾض وﯾﺟب‬
 Attending physician should explain : : ‫ﻋﻠﯾﮫ ﺷرح اﻵﺗﻲ‬
 Description of the transfusion process ‫ إﺟراء ﻧﻘل اﻟدم اﻟذي ﺳﯾﺗم ﻟﮫ‬
 Identification of the risks and benefits of ‫ ﺷرح اﻟﻔواﺋد و اﻟﻣﺿﺎﻋﻔﺎت اﻟﻣﻣﻛن ﺣﺻوﻟﮭﺎ‬
the transfusion. ‫ اﻟﺑداﺋل اﻟﻣﺗﺎﺣﺔ ﻓﻲ ﺣﺎل رﻓض ﻧﻘل اﻟدم و اﻟﻣﺿﺎﻋﻔﺎت‬
 Identification of alternatives including the ‫اﻟﻣﻣﻛن ﺣﺻوﻟﮭﺎ‬
consequences of refusing the treatment
What is to be done prior to collecting blood sample ‫ﻣﺎ ھﻮ اﻻﺟﺮاء اﻟﻤﺘﺒﻊ ﻗﺒﻞ ﺳﺤﺐ ﻋﯿﻨﺔ دم ﻣﻦ اﻟﻤﺮﯾﺾ؟‬
from the patient? :‫ﯾﺘﻢ اﻟﺘﺤﻘﻖ ﻣﻦ ﻗﺒﻞ ﻣﻤﺮﺿﺘﯿﻦ‬ 
 Two staff nurses must verify patient identity ‫اﻻﺳم اﻟﺛﻼﺛﻲ ﻟﻠﻣرﯾض‬ 
 Patient's at least 3 names ‫رﻗم اﻟﻣﻠف اﻟطﺑﻲ‬ 
 Medical Record Number
What is to be done prior to requesting, collecting ‫ﻣﺎ ھﻮ اﻻﺟﺮاء اﻟﻤﺘﺒﻊ ﻗﺒﻞ طﻠﺐ وﺟﻤﻊ وﺣﺪات اﻟﺪم ﻣﻦ ﺑﻨﻚ اﻟﺪم‬
from blood bank and before administering the ‫وﻗﺒﻞ اﻋﻄﺎﺋﮫ ﻟﻠﻤﺮﯾﺾ ؟‬
blood? : ‫ﯾﺘﻢ اﻟﺘﺤﻘﻖ ﻣﻦ ﻗﺒﻞ اﻟﻄﺎﻗﻢ ﻣﻦ ﺣﺬﯾﺚ‬ 
 Two staff must verify patient identity ‫اﻻﺳم اﻟﺛﻼﺛﻲ ﻟﻠﻣرﯾض‬ 
 Patient's at least 3 names ‫رﻗم اﻟﻣﻠف اﻟطﺑﻲ‬ 
 Medical Record Number
How often the vital signs must be monitored? ‫ﻛﯿﻒ ﺗﺮﺻﺪ او ﺗﺮاﻗﺐ اﻟﻌﻼﻣﺎت اﻟﺤﯿﻮﯾﺔ ﺧﻼل ﻧﻘﻞ اﻟﺪم ؟‬
 Pre transfusion ‫ ﻗﺒﻞ ﻧﻘﻞ اﻟﺪم‬
 Every 15 minutes for the first 45 minutes ‫ دﻗﯿﻘﺔ ﻟﻤﺪة‬15 ‫ ﯾﺠﺐ ﻣﺮاﻗﺒﺔ اﻟﻌﻼﻣﺎت اﻟﺤﯿﻮﯾﺔ ﻛﻞ‬
 Then every 30 minutes till end of transfusion ‫ دﻗﯿﻘﺔ‬45
 After the transfusion ‫ ﺛﻢ ﻛﻞ ﻧﺼﻒ ﺳﺎﻋﺔ ﺣﺘﻰ ﻧﮭﺎﯾﺔ ﻧﻘﻞ اﻟﺪم‬
‫ ﺑﻌﺪ ﻧﮭﺎﯾﺔ ﻧﻘﻞ اﻟﺪم‬
What is to be done if signs of blood transfusion ‫ﻣﺎذا ﻋﻠﯿﻚ ﻓﻌﻠﮫ ﻓﻲ ﺣﺎل ظﮭﻮر ﻋﻼﻣﺎت ﺗﻔﺎﻋﻠﯿﺔ ﻣﻦ ﻧﻘﻞ اﻟﺪم ؟‬
reactions occur? ‫اﯾﻘﺎف ﻧﻘﻞ اﻟﺪم ﻣﺒﺎﺷﺮة‬ 
 Stop immediately the blood transfusion ‫اﺑﻼغ اﻟﻄﺒﯿﺐ اﻟﻤﺴﺆول‬ 
 Inform the physician. ‫ﻣﺮاﻗﺒﺔ اﻟﻤﺮﯾﺾ‬ 
 Monitor the patient closely
‫ﺗﻌﺒﺌﺔ اﻟﻨﻤﻮذج اﻟﺨﺎص ﺑﺬﻟﻚ وارﺳﺎﻟﺔ ﻟﻠﻤﺨﺘﺒﺮ ﻣﻊ ﻋﯿﻨﺔ‬ 
 Fill up the blood transfusion reaction form
and send to laboratory together with blood ‫دم ﻟﻠﻤﺮﯾﺾ و اﻟﻤﺘﺒﻘﻲ ﻣﻦ وﺣﺪة اﻟﺪم‬
sample from the patient and the remaining ‫إرﺳﺎل ﻋﯿﻨﺔ ﺑﻮل ﻟﻠﻤﺨﺘﺒﺮ‬ 
blood transfusion bag. ‫ﺗﻌﺒﺌﺔ ﻧﻤﻮذج ﺗﻘﺮﯾﺮ وﻗﻮع اﻟﺤﺎدﺛﺔ و إرﺳﺎﻟﮫ ﻟﻘﺴﻢ اﻟﺠﻮدة‬ 
 Send the first urine sample from the patient ‫وﺳﻼﻣﺔ اﻟﻤﺮﺿﻰ‬
 Send OVR to Quality and Patient Safety
Department
What are the acute blood transfusion reaction ‫ﻣﺎھﻰ اﻻﻋﺮاض اﻟﻨﺎﺗﺠﺔ ﻋﻦ ﺗﻔﺎﻋﻼت ﻧﻘﻞ اﻟﺪم ؟‬
symptoms? ‫ارﺗﻔﺎع ﻓﻰ درﺟﺔ اﻟﺤﺮارة‬ 
 Fever ‫رﻋﺸﺔ‬ 
 Chills ‫إﺣﻤﺮار ﺑﺎﻟﺠﻠﺪ‬ 
 Pruritus, or urticarial ‫ﺿﯿﻖ ﻓﻲ اﻟﺘﻨﻔﺲ‬ 
 Shortness of breath ‫إﺣﻤﺮار اﻟﺒﻮل‬ 
 Red urine ‫ﻓﻘﺪان اﻟﻮﻋﻰ‬ 
 Loss of consciousness

6. PREVENTION OF DEVELOPING ‫ ﺗﺠﻨﺐ ﺗﻌﺮض اﻟﻤﺮﯾﺾ ﻟﻠﺠﻠﻄﺎت اﻟﻮرﯾﺪﯾﺔ‬.6
VTE
If the patient is immobile or bedridden, what risk ‫ﻣﺎھﻲ اﻟﻤﺨﺎطﺮ اﻟﻤﺤﺘﻤﻠﺔ اﻟﺘﻲ ﯾﺘﻌﺮض ﻟﮭﺎ اﻟﻤﺮﯾﺾ طﺮﯾﺢ‬
is he/she likely to develop? ‫اﻟﻔﺮاش واﻟﺬي ﻻ ﯾﺘﺤﺮك؟‬
 VTE- Venous Thromboembolism ‫اﻟﺠﻠﻄﺎت اﻟﻮرﯾﺪﯾﺔ‬ 
Who are to be assessed for the risk of VTE? ‫ﻣﻦ اﻟﺬﯾﻦ ﯾﺘﻢ ﺗﻘﯿﯿﻤﮭﻢ ﻟﻤﺨﺎطﺮ اﻟﺠﻠﻄﺎت اﻟﻮرﯾﺪﯾﺔ؟‬
 All adult patients upon admission to the ‫ﯾﺘﻢ اﻟﺘﻘﯿﯿﻢ ﻟﻜﻞ اﻟﻤﺮﺿﻰ اﻟﺒﺎﻟﻐﯿﻦ اﻟﺬﯾﻦ ﯾﺘﻢ ﺗﻨﻮﯾﻤﮭﻢ‬ 
hospital. ‫ﺑﺎﻟﻤﺴﺘﺸﻔﻰ‬
When assessment of VTE will be done? ‫ﻣﺘﻰ ﯾﺘﻢ ﺗﻘﯿﯿﻢ اﻟﺠﻠﻄﺎت اﻟﻮرﯾﺪﯾﺔ ؟‬
 Upon admission ‫ﺑﻤﺠﺮد دﺧﻮل اﻟﻤﺮﯾﺾ ﻟﻘﺴﻢ اﻟﺘﻨﻮﯾﻢ‬ 
 Changing in patient condition (like ‫ﺗﻐﯿﺮ ﺣﺎﻟﺔ اﻟﻤﺮﯾﺾ ) ﻣﺜﻞ إﻧﺘﻘﺎل اﻟﻤﺮﯾﺾ ﻣﻦ ﻣﺴﺘﻮى‬ 
transferring from level to higher or lower ( ‫أﻋﻠﻰ أو أﻗﻞ ﻓﻲ اﻟﺮﻋﺎﯾﺔ‬
level of care )
What is the form to be used in the assessment for ‫ﻣﺎھﻮ اﻟﻨﻤﻮذج اﻟﻤﺴﺘﺨﺪم ﻟﻠﺘﻘﯿﯿﻢ ؟‬
VTE? ‫ ﻧﻤﺎذج ﻟـﺘﻘﯿﯿﻢ اﻟﺠﻠﻄﺎت اﻟﻮرﯾﺪﯾﺔ ﯾﺘﻢ اﺳﺘﺨﺪاﻣﮭﺎ‬3 ‫ﯾﻮﺟﺪ‬ 
 We have 3 VTE risk Assessment forms : ‫ﺣﺴﺐ ﺣﺎﻟﺔ اﻟﻤﺮﯾﺾ‬
according to the case: ( ‫ ﻧﺴﺎء & وﻻدة‬/ ‫ ﺟﺮاﺣﻲ‬/ ‫) طﺒﻲ‬
(Medical / Surgical / OB & GYN)
What are the types of Prophylaxis for VTE? ‫ﻣﺎھﻲ طﺮق اﻟﻮﻗﺎﯾﺔ ﻣﻦ اﻟﺠﻠﻄﺎت اﻟﻮرﯾﺪﯾﺔ‬
 According to the adopted guidelines: ‫ ﺣﺴﺐ اﻷدﻟﺔ اﻹرﺷﺎدﯾﺔ ﺑﺬﻟﻚ ﯾﺘﻢ اﻟﻮﻗﺎﯾﺔ ﻣﻦ اﻟﺠﻠﻄﺎت‬
 Chemical / Medication : ‫ﺑﻮاﺳﻄﺔ‬
 Mechanical ‫ اﻷدوﯾﺔ‬Chemical /Medication 
‫ ﻣﺜﻞ اﻟﺟوارب اﻟﺿﺎﻏطﺔ‬Mechanical 

7. Dealing with High alert Medications ‫ اﻟﺘﻌﺎﻣﻞ ﻣﻊ اﻷدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة واﻟﻤﺘﺸﺎﺑﮭﺔ‬.7
and Look alike ,sound alike Medications ‫ﻓﻰ اﻟﺸﻜﻞ واﻟﻨﻄﻖ‬
What do you mean by High Alert Medications? ‫ﻣﺎ ﻣﻌﻨﻰ اﻻدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة؟‬
The medications that bear heightened risk of ‫ھﻲ اﻷدوﯾﺔ اﻟﺘﻲ ﺗﺴﺒﺐ ﺧﻄﻮرة ﻋﺎﻟﯿﺔ ﻟﻠﻤﺮﯾﺾ ﻟﻮ اﺳﺘﻌﻤﻠﺖ ﺑﺎﻟﺨﻄﺄ‬
causing significant patient harm when they are
used in error.
Where can you find the high alert medications in ‫ﻓﻲ ﻣﺴﺘﺸﻔﻰ اﻻﻣﯿﻦ أﯾﻦ ﺗﻮﺟﺪ اﻻدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة؟‬
Al Ameen Hospital? ‫ اﻟﻌﻤﻠﯿﺎت و ﻏﺮﻓﺔ‬, ‫اﻟﻌﻨﺎﯾﺔ اﻟﻤﺮﻛﺰة‬, ‫ اﻟﻄﻮارئ‬، ‫ﻓﻲ اﻻﻣﺎﻛﻦ اﻟﺨﻄﺮة‬
In critical area, (ER, ICU, OR, DR, Pharmacy and ‫اﻟﻮﻻدة واﻟﺼﯿﺪﻟﯿﺔ و ﻣﻣﻛن ﺗواﺟدھﺎ ﻓﻲ أﻗﺳﺎم اﻟﻌﻧﺎﯾﺔ ﺑﺎﻟﻣرﺿﻲ ﺣﺳب‬
permits in patient care areas wherever patient needs, .‫ﺣﺎﺟﺔ اﻟﻣرﯾض ﺑﺷرط ﺿﻣﺎن ﺳﻼﻣﺔ اﻟﺗﺧزﯾن واﻟﺗﻌﺎﻣل ﻣﻌﮭﺎ‬
ensuring safe secure storage and handling. 
How do you store the high alert medications? ‫ﻛﯿﻒ ﯾﺘﻢ ﺗﺨﺰﯾﻦ اﻻدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة‬
All high alert medications will be stored in cabinet ‫اﻻدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة ﺗﺨﺰن ﻓﻲ دوﻻب ﻣﻐﻠﻖ وﺑﻌﻼﻣﺔ ﻣﻤﯿﺰة‬
with lock and properly labelled. ](‫)ﻻﺻﻖ أﺣﻤﺮ اﻟﻠﻮن‬
What precaution to be done in preparing, ‫ﻣﺎ اﻻﺣﺘﯿﺎطﺎت اﻟﻤﺘﺨﺬة ﻋﻨﺪ اﻋﺪاد وﺗﻮزﯾﻊ واﻋﻄﺎء اﻻدوﯾﺔ ﻋﺎﻟﯿﺔ‬
dispensing and administering of High Alert ‫اﻟﺨﻄﻮرة؟‬
Medications?
Independent Double Check ‫اﻟﺘﺤﻘﻖ اﻟﺜﻨﺎﺋﻲ‬
What is Independent Double Check? ‫ﻣﺎ اﻟﺘﺤﻘﻖ اﻟﺜﻨﺎﺋﻲ ؟‬
A Procedure in which two individuals, preferable ‫ ﻣﻦ اﻻﺷﺨﺎص ﻣﻌﺘﻤﺪﯾﻦ ﯾﻘﻮﻣﻮن ﺑﺎﻟﺘﺸﯿﯿﻚ ﻋﻠﻰ اﻻدوﯾﺔ‬2 ‫ھﻮ اﺟﺮاء ﯾﻠﺰم‬
two licensed practitioners, separately check ‫واﻻﺟﺮاء‬
component of the work process.
Give example of High Alert Medications? ‫ﻣﺜﺎل ﻋﻠﻲ اﻻدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة ؟‬
Insulin, Heparin, Potassium Chloride, Magnesium ‫اﻻدوﯾﺔ‬, ‫ﺳﻠﻔﺎت اﻟﻤﺎﻏﻨﯿﺴﯿﻮم‬, ‫ﺑﻮﺗﺎﺳﯿﻮم ﻛﻠﻮراﯾﺪ‬, ‫ھﯿﺒﺎرﯾﻦ‬, ‫اﻧﺴﻮﻟﯿﻦ‬
Sulphate, narcotic and controlled drugs. (Refer to ‫اﻟﻤﺨﺪرة واﻟﺨﺎﺿﻌﺔ ﻟﻠﺮﻗﺎﺑﺔ)ﻣﻊ اﻟﺮﺟﻮع اﻟﻰ ﻗﺎﺋﻤﺔ اﻻدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة‬
list of High Alert Medications) (
From where you will get the list of High Alert ‫ﻣﻦ اﯾﻦ ﺗﺤﺼﻞ ﻋﻠﻰ ﻗﺎﺋﻤﺔ اﻻدوﯾﺔ ﻋﺎﻟﯿﺔ اﻟﺨﻄﻮرة؟‬
Medications? ‫اﻟﻠﺴﺘﺔ ﻣﻮزﻋﺔ ﻛﻤﺮﻓﻖ ﻟﺨﻄﺔ اﻟﺘﻌﺎﻣﻞ واﻻﺟﺮاءات اﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻻدوﯾﺔ ﻋﺎﻟﯿﺔ‬
List distributed as attachment of Plan of High Alert ‫اﻟﺨﻄﻮرة‬
Medications
What is Medication Error? ‫ﻣﺎ ھﻲ اﻻﺧﻄﺎء اﻟﺪواﺋﯿﺔ ؟‬
Any preventable event that may cause or lead to ‫أي ﺣﺪث ﯾﺘﺴﺒﺐ وﯾﺤﺪث ﺿﺮر ﻟﻠﻤﺮﯾﺾ ﻧﺘﯿﺠﺔ اﺳﺘﺨﺪام ﻏﯿﺮ ﺻﺤﯿﺢ‬
inappropriate medication use or patient harm after ‫ﻟﻸدوﯾﺔ ﺑﻮاﺳﻄﺔ ﻣﻘﺪﻣﻲ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ او اﻟﻤﺮﯾﺾ‬
reaching to the patient
What is a Medication Near Miss Event? ‫ﻣﺎ ھﻮ اﻟﺤﺪث وﺷﯿﻚ اﻟﻮﻗﻮع ﺑﺎﻟﻨﺴﺒﮫ ﻟﻠﺘﻌﺎﻣﻞ ﻣﻊ اﻷدوﯾﺔ ؟‬
Any medication error which detected and corrected .‫ﺧﻄﺄ دواﺋﻲ ﺣﺪث وﻟﻜﻦ ﺛﻢ اﻛﺘﺸﺎﻓﮫ و ﺗﺼﺤﺤﯿﮫ ﻗﺒﻞ أن ﯾﺼﻞ ﻟﻠﻤﺮﯾﺾ‬
before reaching to the patient.
What is Hazardous Situation? ‫ﻣﺎ اﻟﺤﺎﻻت اﻟﻤﻨﻄﻮﯾﺔ ﻋﻠﻲ اﻟﻤﺨﺎطﺮ؟‬
Hazardous situation – any condition which may lead to ‫اﻟﻈﺮوف اﻟﺘﻲ ﻣﻦ اﻟﻤﻤﻜﻦ ان ﺗﺆدى اﻟﻰ ﺣﺪوث ﺧﻄﺄ دواﺋﻲ ﻗﺒﻞ اﻟﺘﻌﺎﻣﻞ‬
medication error due to many reasons such as . ‫ﻣﻊ اﻻدوﯾﺔ اﻟﻤﺘﺸﺎﺑﮭﺔ ﻓﻲ اﻟﺸﻜﻞ واﻟﻨﻄﻖ‬
confusion over LASA drugs or similar packaging.
How do you report medication error? ‫ﻛﯿﻒ ﯾﺘﻢ اﻻﺑﻼغ ﻋﻦ اﻻﺧﻄﺎء اﻟﺪواﺋﯿﺔ؟‬
A medication error form should be filled by the discoverer ‫ ﺳﺎﻋﺔ ﻣﻦ‬24 ‫ﺗﻌﺒﺌﺔ ﻧﻤﻮذج اﻻﺧﻄﺎء اﻟﺪواﺋﯿﺔ ﺛﻢ اﯾﺼﺎﻟﮫ ﻟﻠﺼﯿﺪﻟﯿﺔ ﻓﻰ ﺧﻼل‬
and forwarded to the pharmacy department within 24 hrs ‫ﺣﺪوث اﻟﺨﻄﺄ‬
from occurring of the incident ‫ﯾﺠﺐ ﻋﻠﯿﻚ ﻣﻌﺮﻓﺔ أﺧﺮ ﺧﻄﺄ طﺒﻰ ﺣﺪث ﺑﻘﺴﻤﻚ أو وﺣﺪﺗﻚ‬
N.B. You should know what was your last Medication error
happened in your unit

If the medication error has reached the patient ‫ﻣﺎ اﻟﺬي ﯾﺠﺐ ﻓﻌﻠﮫ اذاﺣﺪث ﺧﻄﺄ دواﺋﻲ أﺿﺮ ﺑﺎﻟﻤﺮﯾﺾ او ﻻ ؟‬
either cause harm or not, what should we do? ‫ﯾﺘﻢ ﺗﺒﻠﯿﻎ اﻟﻄﺒﯿﺐ اﻟﻤﻌﺎﻟﺞ ﻓﻮرا ً وﯾﺒﻘﻰ اﻟﻤﺮﯾﺾ ﻓﻲ ﻣﻼﺣﻈﺔ ﻣﺸﺪده وﺗﺘﺎﺑﻊ‬
The treating physician should be informed immediately, the ‫اﻟﻌﻼﻣﺎت اﻟﺤﯿﻮﯾﺔ ﺛﻢ ﯾﺘﻢ ﺗﻌﺒﺄة ﻧﻤﻮذج اﻻﺧﻄﺎء اﻟﺪواﺋﯿﺔ وﯾﺴﻠﻢ ﻟﻠﺼﯿﺪﻟﯿﺔ‬
patient should be kept under close observation and vital ً‫ ﺳﺎﻋﺔ‬24 ‫ﺧﻼل‬
signs should be monitored and medication error report
should be filled and submitted to the pharmacy department
within 24 hrs
What is the meaning of LASA Medications? LASA‫ﻣﺎ ﻣﻌﻨﻰ‬
Look Alike Sound Alike Medications ‫اﻻدوﯾﺔ اﻟﻤﺘﺸﺎﺑﮭﺔ ﺷﻜﻼ وﻧﻄﻘﺎ‬
Give some examples of LASA Medications ‫ﺑﻌﺾ اﻻﻣﺜﻠﺔ ﻋﻠﻰ اﻻدوﯾﺔ اﻟﻤﺘﺸﺎﺑﮫ ﺷﻜﻼ وﻧﻄﻘﺎ‬
Syntocinon, sandostatin ‫ﺣﺴﺐ اﻟﻠﺴﺘﮫ اﻟﻤﺮﻓﻘﮫ ﺑﺎﻟﺴﯿﺎﺳﺔ ﻣﺜﻞ‬
Lasix, lanoxin Syntocinon, sandostatin
Solucortef, solu-medrol Lasix, lanoxin
Solucortef, solu-medrol
What is the precautions you make while ‫ﻣﺎ ھﻲ اﻻﺟﺮاءات اﻟﻤﺘﺒﻌﺔ ﻋﻨﺪ اﻟﺘﻌﺎﻣﻞ ﻣﻊ اﻷدوﯾﺔ اﻟﻤﺘﺸﺎﺑﮭﺔ ﻓﻲ‬
handling LASA medications. ‫اﻟﺸﻜﻞ و اﻟﻨﻄﻖ‬
1. Writing indication/diagnosis on the ‫اﻟﻐﺮض ﻣﻦ اﺳﺘﻌﻤﺎل اﻟﺪواء ﻋﻠﻰ اﻟﻮﺻﻔﺔ‬/‫ ﻛﺘﺎﺑﺔ اﻟﺘﺸﺨﯿﺺ‬.1
prescription
‫ ﺗﻘﻠﯿﻞ اﺳﺘﻌﻤﺎل اﻟﻮﺻﻒ ﺑﺎﻟﺘﻠﯿﻔﻮن او اﻟﻮﺻﻒ اﻟﺸﻔﻮي‬.2
2. Minimize the use of verbal and telephone
order ‫ اﺳﺘﻌﻤﺎل اﻻﺳﻢ اﻟﻌﻠﻤﻲ و اﻟﺘﺠﺎري ﻓﻲ اﻟﻮﺻﻔﺔ‬.3
3. Using both the brand and generic name
( ‫ اﺳﺘﻌﻤﺎل ﻣﻠﺼﻖ ﺗﺤﺬﯾﺮي ) اﺧﻀﺮ اﻟﻠﻮن‬.4
4. Using warning stickers ( look alike sound
alike) ‫ ﺗﺨﺰﯾﻦ اﻻدوﯾﺔ اﻟﻤﺘﺸﺎﺑﮭﺔ ﺑﻌﯿﺪا ً ﻋﻦ ﺑﻌﺾ‬.5
5. Putting LASA medications away from each
‫ ﻗﺮاءة اﺳﻢ اﻟﺪواء ﺟﯿﺪا ً و ﺑﻌﻨﺎﯾﺔ ﻋﻨﺪ اﻟﺼﺮف و ﻗﺒﻞ اﻻﻋﻄﺎء‬.6
other
6. Reading the label carefully each time the ‫ﻟﻠﻤﺮﯾﺾ‬
medication is accessed and before
‫ ﻣﺮاﺟﻌﺔ اﻟﺘﺸﺨﯿﺺ و اﻟﻐﺮض ﻣﻦ اﺳﺘﻌﻤﺎل اﻟﺪواء ﻗﺒﻞ‬.7
administration
7. Review the indication/diagnosis before ‫اﻟﺼﺮف و ﻗﺒﻞ اﻻﻋﻄﺎء ﻟﻠﻤﺮﯾﺾ‬
dispensing and administration
‫ ﺗﻄﺒﯿﻖ ﺧﺎﺻﯿﺔ اﻟﺘﺤﻘﻖ اﻟﺜﻨﺎﺋﻲ‬.8
8. Applying independent double check

8.Prevention and Control of infection ‫ اﻟﻮﻗﺎﯾﺔ واﻟﺴﯿﻄﺮة ﻋﻠﻰ اﻟﻌﺪوى‬.8
What are the requirements for isolation ‫ﻣﺎ ھﻲ ﻣﺘﻄﻠﺒﺎت ﻣﻤﺎرﺳﺎت اﻟﻌﺰل؟‬
practices? .ً‫ ﺳﺮﯾﺮا‬30-25 ‫ﻏﺮﻓﺔ ﺿﻐﻂ واﺣﺪة ﻋﻠﻰ اﻷﻗﻞ ﻟﻜﻞ‬
At least one negative pressure room for every 25- ‫ﯾﺠﺐ أن ﯾﻜﻮن ﻏﺮﻓﺔ ﻋﺰل ذات ﺿﻐﻂ ﺳﻠﺒﻲ ﻓﻰ ﻗﺴﻢ اﻟﻄﻮارىء‬
30 beds. There must be an isolation room in ER ‫وﯾﺠﺐ أن ﯾﻜﻮن ﻟﺪﯾﮭﺎ ﺟﺰء أﻣﺎﻣﻰ ﻣﻦ اﻟﻐﺮﻓﺔ وﺣﻮض ﻏﺴﯿﻞ ﯾﺪ ﻛﺎﻣﻞ‬
with negative pressure. It must have an ante room ‫ ﺟﻞ ﻛﺤﻮل ﯾﺪوي وﺣﺎوﯾﺔ‬، ‫ ﺻﺎﺑﻮن ﻣﻄﮭﺮ‬، ‫ ورق ﻣﻨﺎدﯾﻞ‬، ‫)ﺑﺎﻟﻮﻋﺔ‬
with complete hand washing facility (sink, tissue ‫ أﯾﻀﺎ ﺗﺨﺰﯾﻦ ﻣﻌﺪات اﻟﻮﻗﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ اﻟﻜﺎﻣﻠﺔ ﻣﻦ‬.(‫ﻧﻔﺎﯾﺎت ﻋﺎدﯾﺔ‬
paper, antiseptic soap, alcohol hand gel and / ‫ واﻟﻘﻔﺎزات )ﻣﻌﻘﻤﺔ‬، (‫( واﻟﻘﻨﺎع اﻟﺠﺮاﺣﻲ‬N-95 ‫اﻟﻌﺒﺎءات واﻟﻘﻨﺎع‬
regular waste container). Also complete PPE .‫ ودروع اﻟﻮﺟﮫ وﺣﺎوﯾﺔ اﻟﻨﻔﺎﯾﺎت اﻟﻄﺒﯿﺔ‬، ‫ ﻧﻈﺎرات واﻗﯿﺔ‬، (‫ﻏﯿﺮ ﻣﻌﻘﻢ‬
storage of gowns, mask (N-95 and surgical mask), ‫ﯾﺠﺐ ﺗﻮﻓﯿﺮ ﻣﺮﺣﺎض أو دش أو ﺣﻮض اﺳﺘﺤﻤﺎم ﻟﻜﻞ ﻏﺮﻓﺔ ﻋﺰل‬
gloves (sterile/non-sterile), goggles, face shields
and a medical wastes container. A toilet, shower,
or tub must be provided for each isolation room.
What are the types of used isolation on the ‫ﻣﺎ ھﻲ أﻧﻮاع اﻟﻌﺰل اﻟﻤﺴﺘﺨﺪﻣﺔ ﺑﻐﺮف اﻟﻌﺰل اﻟﻄﺒﻲ؟‬
complex? .‫اﻟﻌﺰل اﻟﻤﻨﻘﻮل ﻋﻦ طﺮﯾﻖ اﻟﺮذاذ‬ 
 Droplet isolation. .‫اﻟﻌﺰل اﻟﻤﻨﻘﻮل ﻋﻦ طﺮﯾﻖ اﻟﮭﻮاء‬ 
 Airborne isolation. .‫اﻟﻌﺰل اﻟﻤﻨﻘﻮل ﻋﻦ طﺮﯾﻖ اﻟﻠﻤﺲ‬ 
 Contact isolation.
What are the documents needed in isolation ‫ﻣﺎ ھﻲ اﻟﻤﺴﺘﻨﺪات اﻟﻤﻄﻠﻮﺑﺔ ﻓﻲ ﻏﺮف اﻟﻌﺰل؟‬
rooms? ‫ﯾﺟب أن ﯾﮐون ھﻧﺎك ﮐﺗﺎب ﺳﺟل ﻟرﺻد درﺟﺎت اﻟﺣرارة‬
There must be a log book to monitor daily ‫ ﺗﻐﯾﯾ ًرا ﻓﻲ‬12) ‫واﻟرطﻮﺑﺔ واﻟﺿﻐط واﻟﺗﺑﺎدﻻت اﻟﮭواﺋﯾﺔ اﻟﯾوﻣﯾﺔ‬
temperature, humidity, pressure and air exchanges ‫اﻟﮭواء ﻟﮐل ﺳﺎﻋﺔ( إذا ﮐﺎن ھﻧﺎك ﻣرﯾض وأﺳﺑوﻋﯾًﺎ إذا ﻟم ﯾﮐن ھﻧﺎك‬
(12 air changes per hour) if there is admitted ‫أي ﻣرﯾض‬
patient and weekly if no patient. ‫ﯾﺟب ﻓﺣص ﻣرﺷﺢ ھﯿﺒﺎ وﺻﯾﺎﻧﺗﮫ ﺑواﺳطﺔ اﻟﻣوظﻔﯾن اﻟﻣﻌﺗﻣدﯾن‬
HEPA filter must be checked and maintained by ‫ ﺑﺻﻔﺔ ﻣﻧﺗظﻣﺔ واﺳﺗﺑدال اﻟﻣرﺷﺢ وﻓﻘًﺎ‬....‫ﻣﮭﻨﺪس أﺟﮭﺰة طﺒﯿﺔ‬
the biomed staff regularly and replaced filter ‫ﻟﺗﻌﻟﯾﻣﺎت اﻟﺗﺻﻧﯾﻊ‬
according to manufacture instruction
What are the different types of transmission ‫ﻣﺎ ھﻲ اﻷﻧﻮاع اﻟﻤﺨﺘﻠﻔﺔ ﻣﻦ اﻻﺣﺘﯿﺎطﺎت اﻟﺨﺎﺻﺔ ﺑﻨﻘﻞ اﻟﻤﺮﯾﺾ ؟‬
precaution? ‫ اﺣﺘﯿﺎطﺎت اﻟﻌﺪوى اﻟﻤﻨﻘﻮل ﻋﻦ طﺮﯾﻖ اﻟﮭﻮاء‬.1
The 3 types of transmission-based precautions:
‫ﯾﻄﺒﻖ ﻋﻠﻰ ﻣﺮﺿﻰ اﻟﺴﻞ اﻟﺮﺋﻮي اﻟﻤﻔﺘﻮح )اﻟﻤﺸﺘﺒﮫ ﺑﮫ واﻟﻤﺜﺒﺖ‬
1. Airborne Precaution(applied to patients
with Open Pulmonary tuberculosis (suspected ، ‫ ﻣﺮﺿﻰ اﻟﻜﻮروﻧﺎ اﻟﺤﺮﺟﺔ‬، ‫ اﻟﺤﺼﺒﺔ‬، ‫ اﻟﺠﺪري‬، (‫ﻋﻠﯿﮫ‬
and confirmed), Chicken pox, Measles, critical
‫ اﻟﮭﺮﺑﺲ اﻟﻨﻄﺎﻗﻲ ﻷي ﻣﺮﯾﺾ وﻣﻮﺿﻌﻲ ﻟﻠﻤﺮﺿﻰ‬، ‫اﻟﺠﺪﯾﺮي‬
ill MERS patients , Small pox, disseminated
Herpes Zoster for any patient and localized for (‫اﻟﺬﯾﻦ ﯾﻌﺎﻧﻮن ﻣﻦ ﻧﻘﺺ اﻟﻤﻨﺎﻋﺔ‬
immunocompromised patient - Varicella or
‫• اﺳﺘﺨﺪم اﻟﻀﻐﻂ اﻟﺴﻠﺒﻲ‬
Shingles)
 Use a negative pressure. ‫ ﻟﺤﻈﺎت ﻣﻊ اﻟﻤﺮﯾﺾ‬5 ‫• ﻧﻈﺎﻓﺔ اﻟﯿﺪﯾﻦ ﺧﻼل‬
 Hand Hygiene during 5 moments with ‫ ﻗﺒﻞ اﻟﺪﺧﻮل‬95‫• ﯾﺠﺐ ﻋﻠﻰ اﻟﻌﺎﻣﻠﯿﻦ اﻟﺼﺤﯿﯿﻦ ارﺗﺪاء ﻗﻨﺎع ن‬
patient
 HCWs must wear an N95 fit tested ‫ﻟﻐﺮﻓﺔ اﻟﻌﺰل‬
mask/respirator before entering the ‫• ﺣﺎﻓﻆ ﻋﻠﻰ اﻟﺒﺎب ﻣﻐﻠﻘًﺎ ﻓﻲ ﺟﻤﯿﻊ اﻷوﻗﺎت‬
airborne isolation room.
 Keep the door closed at all times ‫• ﻗﻢ ﺑﺈزاﻟﺔ ﻗﻨﺎع ﺑﻌﺪ ﺧﺮوﺟﻚ ﻣﻦ ﻏﺮﻓﺔ اﻟﻤﺮﯾض‬
 Remove N-95mask after leaving patient’s
room in the ante room and throw in the

medical waste container and then wash ‫ إﺣﺘﯿﺎطﺎت اﻟﻌﺪوى اﻟﻤﻨﻘﻮل ﻋﻦ طﺮﯾﻖ اﻟﺮذاذ‬.2
your hands
‫ﯾﻄﺒﻖ ﻋﻠﻰ ﻣﺮﺿﻰ اﻟﻨﻜﺎف واﻟﺤﺼﺒﺔ اﻷﻟﻤﺎﻧﯿﺔ واﻟﺤﻤﻰ اﻟﻘﺮﻣﺰﯾﺔ‬
2. Droplet Precautions (applied to patients with
Mumps, Rubella, Scarlet fever, meningitis ‫واﻟﺘﮭﺎب اﻟﺴﺤﺎﯾﺎ اﻟﻨﺎﺟﻢ ﻋﻦ اﻟﺴﺤﺎﯾﺎ اﻟﻨﯿﺴﺮﯾﺔ أو اﻟﻤﺴﺘﺪﻣﯿﺔ اﻟﻨﺰﻟﯿﺔ‬
caused by Neisseria meningitides or
(‫ اﻟﺨﻨﺎق )اﻟﺒﻠﻌﻮم‬، ‫ﻣﻦ اﻟﻨﻮع ب‬
haemophilus, influenza type b ,diphtheria
(pharyngeal) ‫ ﻟﺤﻈﺎت ﻣﻊ اﻟﻤﺮﯾﺾ‬5 ‫• ﻧﻈﺎﻓﺔ اﻟﯿﺪﯾﻦ ﺧﻼل‬
 Hand hygiene during 5 moments with
‫ ﯾﺠﺐ اﺑﻘﺎء اﻟﺒﺎب ﻣﻐﻠﻘﺎ ﻋﻠﻰ اﻟﺪوام‬.‫• اﺳﺘﺨﺪم ﻏﺮﻓﺔ واﺣﺪة‬
patient.
 Use a single room. Keep door closed at all ‫• ارﺗﺪاء ﻗﻨﺎع ﺟﺮاﺣﻲ وﻏﯿﺮھﺎ ﻣﻦ ﻣﻌﺪات اﻟﺤﻤﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ‬
times .‫ﺣﺴﺐ اﻟﺤﺎﺟﺔ‬
 Wear surgical mask and other PPE as
needed. ‫ﺿﻊ ﻗﻨﺎﻋًﺎ ﺟﺮاﺣﯿًﺎ ﻋﻠﻰ اﻟﻤﺮﯾﺾ إذا ﻛﺎن ﯾﺠﺐ ﻋﻠﯿﮫ ﻣﻐﺎدرة‬ •
 Place a surgical mask on the patient if he/she ‫اﻟﻐﺮﻓﺔ‬
must leave the room
3.Contact Precautions(applied to patients with ‫ اﺣﺘﯿﺎطﺎت اﻟﻌﺪوى اﻟﺘﻼﻣﺴﯿﺔ‬.3
MDRO’s-infant with Hepatitis A, , RSV- MDRO’s- ‫ﺗﻄﺒﻖ ﻋﻠﻰ اﻟﻤﺮﺿﻰ اﻟﺬﯾﻦ ﯾﻌﺎﻧﻮن ﻣﻦ اﻟﺮﺿﻊ ﻣﻊ‬
Respiratory Syncytial Virus, Acute viral
conjunctivitis, Scabies, Impetigo, infant with Hepatitis A, , RSV-Respiratory
Diphtheria(cutaneous),Herpes simplex virus with Syncytial Virus, Acute viral conjunctivitis,
lesions)
 Hand hygiene during 5 moments with Scabies, Impetigo, Diphtheria(cutaneous),Herpes
patients simplex virus with lesions
 Use single room, keep door closed at all
times ‫ ﻟﺤﻈﺎت ﻣﻊ اﻟﻤﺮﺿﻰ‬5 ‫• ﻧﻈﺎﻓﺔ اﻟﯿﺪﯾﻦ ﺧﻼل‬
 Wear gown and gloves before entering ‫ واﻟﺤﻔﺎظ ﻋﻠﻰ اﻟﺒﺎب ﻣﻐﻠﻖ ﻓﻲ ﺟﻤﯿﻊ‬، ‫اﺳﺘﺨﺪام ﻏﺮﻓﺔ ﻓﺮدﯾﺔ‬ •
patient’s room and remove them before
leaving patients room ‫اﻷوﻗﺎت‬
 Patient care items must not be shared to ‫ﻗﻢ ﺑﺎرﺗﺪاء اﻟﻘﻔﺎزات واﻟﻘﻔﺎزات ﻗﺒﻞ اﻟﺪﺧﻮل إﻟﻰ ﻏﺮﻓﺔ اﻟﻤﺮﯾﺾ‬ •
other patients unless cleaned and
‫وإزاﻟﺘﮭﺎ ﻗﺒﻞ ﻣﻐﺎدرة ﻏﺮﻓﺔ اﻟﻤﺮﺿﻰ‬
disinfected. Disposable if possible.
‫• ﻻ ﺗﺘﺸﺎرك ﻣﻊ أدوات اﻟﻤﺮﯾﺾ‬
What is the N95 mask card? N95 ‫ﻣﺎھﻰ ﺑﻄﺎﻗﺔ اﻟﻜﻤﺎم‬
It is a card that shows mask type, manufacture ‫ھﻲ ﺑﻄﺎﻗﺔ ﺗﺒﯿﻦ ﻧﻮع اﻟﻜﻤﺎم وﻣﻘﺎﺳﮫ وأﺳﻢ اﻟﺸﺮﻛﺔ اﻟﻤﺼﻨﻌﮫ وﯾﺘﻢ‬
brand and the mask inspection ‫اﻟﺤﺼﻮل ﻋﻠﻰ اﻟﻔﺤﺺ ﻣﻦ ﻗﺴﻢ ﻣﻜﺎﻓﺤﮫ اﻟﻌﺪوى‬
It is available in infection control department.
When we can use N95 mask? ‫ﻣﺘﻰ ﻧﺴﺘﺨﺪم اﻟﻘﻨﺎع ﻋﺎﻟﻲ اﻟﻜﻔﺎءة؟‬
It is used only in case of contagious respiratory ‫ﻓﻲ ﺣﺎﻟﮫ وﺟﻮد ﻣﺮض ﺗﻨﻔﺴﻲ ﻣﻌﺪي‬
disease.
What are the followed procedures in case the ‫ﻣﺎ ھﻲ اﻹﺟﺮاءات اﻟﻤﺘﺒﻌﮫ ﻓﻲ ﺣﺎﻟﮫ أﺣﺘﺎج اﻟﻤﺮﯾﺾ ﻧﻘﻠﮫ ﻣﻦ ﻏﺮف‬
patient needs to transfer from the isolation room ‫اﻟﻌﺰل إﻟﻰ ﻗﺴﻢ اﻷﺷﻌﺔ أو ﻗﺴﻢ أﺧﺮ أو ﻣﻨﺸﺄه طﺒﯿﺔ أﺧﺮى؟‬
to X-ray or another department or health ‫ ﯾﺘﻢ إﺧﻄﺎر اﻟﻘﺴﻢ اﻵﺧﺮ ﺑﺒﯿﺎﻧﺎت اﻟﻤﺮﯾﺾ وﻧﻮع اﻟﻤﺮض‬.1
facilitation? ‫و اﻹﺣﺘﯿﺎطﺎت اﻟﻮﻗﺎﺋﯿﺔ‬
1- Inform the other department by patient data, ‫ ﯾﺘﻢ أﻟﺰام اﻟﻤﺮﯾﺾ ﺑﻠﺒﺲ اﻟﻜﻤﺎم‬.2
patient type and prevention precautions. ‫ ﯾﺘﻢ وﺿﻊ اﻟﻜﺮت اﻟﺨﺎص ﺑﻨﻮع اﻟﻌﺰل ﻋﻠﻰ ﺗﺮوﻟﻲ‬.3
2- Patient must wear the mask. .‫اﻟﻤﺮﯾﺾ أﺛﻨﺎء اﻟﻨﻘﻞ ﺑﺎﻟﻠﻐﺘﯿﻦ اﻟﻌﺮﺑﯿﺔ و اﻻﻧﺠﻠﯿﺰﯾﺔ‬
3- Isolation type card must be hanged on patient
trolley during the transformation in Arabic and
English

How can you protect yourself from the infection? ‫ﻛﯿﻒ ﺗﻘﻲ ﻧﻔﺴﻚ ﻣﻦ اﻟﻌﺪوى؟‬
By following the precautions by cleaning the -‫ﺑﺈﺗﺒﺎع اﻻﺣﺘﯿﺎطﺎت اﻟﻘﯿﺎﺳﯿﺔ ﻧﻈﺎﻓﺔ اﻟﯿﺪﯾﻦ – اﻟﻠﺤﻈﺎت اﻟﺨﻤﺲ‬
hands, your five moments for hand hygiene, PPE -‫ اﻟﻘﻔﺎز‬-‫( اﻟﻤﺎﺳﻚ اﻟﺠﺮاﺣﻲ‬PPE )‫اﺳﺘﺨﺪام اﻟﻮﺳﺎﺋﻞ اﻟﻮﻗﺎﺋﯿﺔ‬
(mask – gloves – gown- eye and face protector). ‫ واﻗﻲ اﻟﻌﯿﻦ واﻟﻮﺟﮫ‬-‫اﻟﺠﺎون‬
Can you show us isolation cards? ‫ھﻞ ﻣﻤﻜﻦ أن ﺗﻄﻠﻌﻨﻰ ﻋﻠﻰ ﻛﺮوت اﻟﻌﺰل؟‬
The employee will show the surveyors the ‫ﯾﻘﻮم اﻟﻤﻮظﻒ ﺑﺈظﮭﺎر ﻛﺮوت أﻧﻮاع اﻟﻌﺰل اﻟﻤﻮﺟﻮدة ﺑﺎﻟﻜﻮﻧﺘﺮ‬.
isolation cards in the counter.

9. FACILITY MANAGEMENT AND ‫ إدارة اﻟﻤﺮاﻓﻖ واﻟﺴﻼﻣﺔ‬.9
SAFETY
What are Hospital Emergency codes? ‫ﻣﺎھﻲ رﻣﻮز اﻟﻄﻮارئ ﺑﺎﻟﻤﺴﺘﺸﻔﻰ ؟‬
 Code Red – Internal Disaster ‫ﻛﺎرﺛﺔ داﺧﻠﯿﺔ‬- ‫اﻟﺮﻣﺰ اﻻﺣﻤﺮ‬ 
 Code Blue- Cardiac Arrest ‫اﻧﻌﺎش ﻗﻠﺒﻲ‬- ‫اﻟﺮﻣﺰ اﻻزرق‬ 
 Code Yellow- External Disaster ‫ ﻛﺎرﺛﺔ ﺧﺎرﺟﯿﺔ‬-‫اﻟﺮﻣﺰ اﻻﺻﻔﺮ‬ 
 Code White - Bomb Threat ‫اﻧﻔﺠﺎر‬- ‫اﻟﺮﻣﺰ اﻻﺑﯿﺾ‬ 
 Code Brown- Chemical Spill ‫اﻧﺴﻜﺎب ﻛﯿﻤﯿﺎﺋﻲ‬- ‫اﻟﺮﻣﺰ اﻟﺒﻨﻰ‬ 
 Code Pink- Child/ Infant Abduction ‫ اﺧﺘﻄﺎف اﻻطﻔﺎل‬-‫اﻟﺮﻣﺰ اﻟﻮردي‬ 
 Code C- All clear ‫اﻟﺮﻣﺰ س ﻛﻞ ﺷﺊ واﺿﺢ وﺧﺎﻟﻲ‬ 
What is the number to be called when ‫ﻣﺎ ھﻮ اﻟﺮﻗﻢ اﻟﺬي ﯾﺘﻢ اﻟﺘﺼﺎل ﺑﮫ ﻋﻨﺪ اﻛﺘﺸﺎف ﺣﺮﯾﻖ‬
You discover fire in the hospital? ‫ﺑﺎﻟﻤﺴﺘﺸﻔﻰ؟‬
222 222
What will you do in case of Fire?

‫ﻣﺎذا ﺗﻔﻌﻞ ﻓﻲ ﺣﺎل ﺣﺪوث ﺣﺮﯾﻖ ؟‬
Call 222 to activate code red in my area then the following steps :
‫ ﺛﻢ اﻟﺨﻄﻮات اﻟﺘﺎﻟﯿﺔ‬222 ‫اﻹﺗﺼﺎل ﻋﻠﻰ‬
Where is the nearest Fire Exits? ‫ﻣﺎ ھﻮ أﻗﺮب ﺑﺎب ﺧﺮوج طﻮارئ ﻟﻚ ؟‬
Where is the nearest Fire Extinguisher? ‫ﻣﺎ ھﻰ أﻗﺮب طﻔﺎﯾﺔ ﺣﺮﯾﻖ ﻟﻚ ؟‬
 You should know where is the nearest Fire ‫ﯾﺠﺐ ﻋﻠﯿﻚ ﻣﻌﺮﻓﺔ أﻗﺮب ﻣﺨﺮج طﻮارئ ﻟﻚ‬ 
Exit door ‫ﯾﺠﺐ ﻋﻠﯿﻚ ﻣﻌﺮﻓﺔ ﻣﻜﺎن أﻗﺮب طﻔﺎﯾﺔ ﺣﺮﯾﻖ ﻟﻚ‬ 
 You should know where is the nearest Fire
Extinguisher

Where is your medical gases shut off valve ‫أﯾﻦ ﺗﻘﻊ ﺻﻤﺎﻣﺎت إﻏﻼق اﻟﻐﺎزات اﻟﻄﺒﯿﺔ ﻓﻲ ﻗﺴﻤﻚ ؟‬
The key with whom? ‫ﻣﻊ ﻣﻦ اﻟﻤﻔﺘﺎح اﻟﺨﺎص ﺑﺼﻤﺎﻣﺎت اﻟﻐﺎزات اﻟﻄﺒﯿﺔ ؟‬
 You should know where is your medical ‫ﯾﺠﺐ ﻣﻌﺮﻓﺔ ﻣﻮﻗﻊ ﺻﻤﺎﻣﺎت إﻏﻼق اﻟﻐﺎزات اﻟﻄﺒﯿﺔ ﻓﻲ‬ 
gases shut off valve and the key is with ‫ﻗﺴﻤﻚ واﻟﺸﺨﺺ اﻟﺬي ﻣﻌﮫ اﻟﻤﻔﺘﺎح‬
whom.
How you will shut off the valve of medical ‫ﻛﯿﻒ ﯾﺘﻢ إﻏﻼق ﺻﻤﺎﻣﺎت اﻟﻐﺎزات اﻟﻄﺒﯿﺔ ؟‬
gases?

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‏لقطة شاشة ٢٠٢٣-١١-٢٨ في ٤.٤١.٤٠ م

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ESR

COMMON QUESTIONS & ANSWERS

ESR Common Questions & Answers 2018 Page 1 of 18

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ESR Common Questions & Answers 2018 Page 3 of 18

‫?‪When to identify patient‬‬ ‫ﻣﺘﻰ ﯾﺘﻢ اﻟﺘﻌﺮف ﻋﻠﻰ اﻟﻤﺮﯾﺾ ؟‬

‫?‪How to identify a newborn‬‬ ‫ﻛﯿﻒ ﯾﺘﻢ ﺗﻌﺮﯾﻒ ﺣﺪﯾﺜﻰ اﻟﻮﻻدة؟‬

‫‪ESR Common Questions & Answers 2018‬‬ ‫‪Page 5 of 18‬‬

Regarding Surgical Safety Checklist : ‫ﻓﻲ ﻧﻤﻮذج اﻟﺠﺮاﺣﺔ اﻵﻣﻨﺔ‬

ESR Common Questions & Answers 2018 Page 6 of 18

ESR Common Questions & Answers 2018 Page 7 of 18

ESR Common Questions & Answers 2018 Page 8 of 18

4. PRIVILEGING ‫ اﻹﻣﺘﯿﺎزات و اﻟﺼﻼﺣﯿﺎت‬.4

ESR Common Questions & Answers 2018 Page 9 of 18

ESR Common Questions & Answers 2018 Page 10 of 18

ESR Common Questions & Answers 2018 Page 11 of 18

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What will you do in case of Fire?

ESR Common Questions & Answers 2018 Page 17 of 18

ESR Common Questions & Answers 2018 Page 18 of 18

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