Healthy Physiologic Responses Exam
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International Patient Safety Goals - ✔✔designed to provide improvements
in patient safety.
focuses on well-defined, practical, and cost-effective actions that can be
implemented in all organizations.
1. Identify patients correctly - ✔✔O Use at least 2 ways to identify a patient
O Some institutions use bar coding
O Others make use of wristbands
O The patient's room or bed number CANNOT BE used to identify the
patient. Identification of unresponsive patients is done by a family member.
O If the patient is unresponsive and unknown, a temporary name and
medical record number is given.
2. Improve effective communication - ✔✔O Implement a process for taking
verbal and telephone orders, or for the reporting of critical test results
,O It is recommended to follow a "read back" process
O repeat the name of the drug and the order to the person prescribing:
request for correct spelling if necessary.
• verbal orders for additional laboratory testing should include a paper copy;
• avoid using abbreviations; all numbers should be spelled out
• have a second person listen to the verbal order
• write a verbal order or critical test result directly into the patient's chart
• write the purpose of the medication on the order sheet
• provide the generic and brand names, provide patients with written
information about their drugs, including the brand and generic names
• the person receiving the order should sign, date, and note the time of the
order.
3. Improve the safety of high-alert medications - ✔✔O Remove
concentrated electrolytes from patient care units.
O All concentrated electrolyte solutions should be restricted and kept under
the supervision and control of the pharmacy.
O These drugs should not be allowed in undiluted form outside the
pharmacy.
, 4. Eliminate wrong-site, wrong-patient, wrong-procedure surgery - ✔✔O
Use a checklist, including a "timeout" to ensure the correct patient,
procedure, and body part.
O Mark the precise site
O Use a clearly understood mark and involve the patient
O The site should be marked prior to moving the patient
O Performance of the wrong procedure sometimes occurs because of
ascommunication breakdowns and lack of verification checklist.
O It is recommended that there be a verification checklist
O A specific person should be designated to start the "timeout"
marking of the surgical site - ✔✔a. be clear
b. be visible after the patient is prepped and draped
c. made using a marker that is sufficiently permanent to remain visible after
the completion of the skin prep
d. avoid using adhesive site markers
5. Reduce the risk of health care-acquired infection - ✔✔O Comply with
current and generally accepted hand hygiene guidelines.
A. soap and water when visibly dirty or contaminated;
B. alcohol-based hand rub for routine hand antisepsis