• Identify patient correctly. Use at least two patient identifiers (neither can be patient's
room number) when providing care, treatment (e.g., medications), or services.
• Improve the effectiveness of communication among caregivers.
• Verbal or telephone orders require a verification "read-back" of the complete order
or test result by the person receiving the order/test result.
• Standardize a list of abbreviations, acronyms, symbols, and dose designations that
are not to be used throughout an organization.
• Improve the safety of using medications.
• Identify and at a minimum annually review a list of look-alike/sound-alike drugs used
by the organization.
• Before a procedure, label all medications and medication containers (e.g., syringes)
,that are not labeled. Do this in areas where medicines and supplies are set up, such as
on and off the sterile field in perioperative and other procedural settings. Labels
include drug name, strength, amount, expiration date when not used within 24 hours,
and expiration time when expiration occurs in less than 24 hours.
• Take extra care with patients who take anticoagulants. Use only oral unit-dose
products and premixed infusions. When heparin is administered intravenously and
continuously, use programmable infusion pumps.
• Maintain and communicate accurate patient medication information.
• Accurately and completely reconcile medications across the continuum of care.
• There is a process for comparing the patient's current medications with those
ordered for the patient while under the care of the health care organization.
• Communicate a complete list of the patient's medications to the next provider of
service when a patient is referred or transferred to another setting, service, or level of
care. Also provide the complete list to the patient on discharge from the agency.
• Encourage patients' active involvement in their own care as a patient safety strategy.
Give this one a try later!
Safe Medication Administration
are sudden, abnormal, electrical discharges in the brain causing alterations in
behavior, sensation, or consciousness.
Give this one a try later!
Seizure
-Mandates that health care agencies use safe needle devices and manufactured
needleless systems to reduce needlestick injury. Systems with catheter ports or Y-
connector sites are designed to contain a needle housed in a protective covering.
Needleless infusion lines allow a direct connection with the IV line via a recessed
connection port, a blunt-ended cannula, or shielded-needle device, eliminating the
risk for exposure to an IV needle.
,Give this one a try later!
The Needle Safety and Prevention Act of 2001
1. Inspect surface of hands for breaks or cuts in skin or cuticles. Cover any skin lesions
with a dressing before providing care. If lesions are too large to cover, you may be
restricted from direct patient care.
a. Stand in front of sink, keeping hands and uniform away from sink surface. (If hands
touch sink during handwashing, repeat sequence.)
b. Turn on water. Turn on faucet (see illustration) or push knee pedals laterally or press
pedals with foot to regulate flow and temperature.
c. Avoid splashing water against uniform.
d. Regulate flow of water so temperature is warm.
e. Wet hands and wrists thoroughly under running water. Keep hands and forearms
lower than elbows during washing.
f. Apply 3 to 5 mL of antiseptic soap and rub hands together (see illustration).
g. Perform hand hygiene using plenty of lather and friction for at least 15 seconds.
Interlace fingers and rub palms and back of hands with circular motion at least 5 times
each. Keep fingertips down to facilitate removal of microorganisms.
h. Areas underlying fingernails are often soiled. Clean them with fingernails of other
hand and additional soap or with disposable nail cleaner.
i. Rinse hands and wrists thoroughly, keeping hands down and elbows up (see
illustration).
j. Dry hands thoroughly from fingers to wrists with paper towel, single-use cloth, or
warm air dryer.
k. If used, discard paper towel in proper receptacle.
l. To turn off hand faucet, use clean, dry paper towel; avoid touching handles with
hands (see illustration). Turn off water with foot or knee pedals (if applicable).
m. If hands are dry or chapped, use small amount of lotion or barrier cream
dispensed from individual-use container.
Give this one a try later!
Handwashing using regular or antimicrobial soap
, Perform when a patient is able to cough effectively but is unable to clear secretions
such as for a patient with a neuromuscular injury who cannot manage his or her own
oral secretions. Patients with artificial airways and impaired swallowing require use to
provide oral hygiene.
Give this one a try later!
why you perform oropharyngeal suctioning
before meals
Give this one a try later!
ac
-Part of Planning
-are a moving target and change as the patient's condition changes
Safety
Airway
Breathing
Circulation
Pain
High Risk
Intermediate Risk
Low Risk
Give this one a try later!
room number) when providing care, treatment (e.g., medications), or services.
• Improve the effectiveness of communication among caregivers.
• Verbal or telephone orders require a verification "read-back" of the complete order
or test result by the person receiving the order/test result.
• Standardize a list of abbreviations, acronyms, symbols, and dose designations that
are not to be used throughout an organization.
• Improve the safety of using medications.
• Identify and at a minimum annually review a list of look-alike/sound-alike drugs used
by the organization.
• Before a procedure, label all medications and medication containers (e.g., syringes)
,that are not labeled. Do this in areas where medicines and supplies are set up, such as
on and off the sterile field in perioperative and other procedural settings. Labels
include drug name, strength, amount, expiration date when not used within 24 hours,
and expiration time when expiration occurs in less than 24 hours.
• Take extra care with patients who take anticoagulants. Use only oral unit-dose
products and premixed infusions. When heparin is administered intravenously and
continuously, use programmable infusion pumps.
• Maintain and communicate accurate patient medication information.
• Accurately and completely reconcile medications across the continuum of care.
• There is a process for comparing the patient's current medications with those
ordered for the patient while under the care of the health care organization.
• Communicate a complete list of the patient's medications to the next provider of
service when a patient is referred or transferred to another setting, service, or level of
care. Also provide the complete list to the patient on discharge from the agency.
• Encourage patients' active involvement in their own care as a patient safety strategy.
Give this one a try later!
Safe Medication Administration
are sudden, abnormal, electrical discharges in the brain causing alterations in
behavior, sensation, or consciousness.
Give this one a try later!
Seizure
-Mandates that health care agencies use safe needle devices and manufactured
needleless systems to reduce needlestick injury. Systems with catheter ports or Y-
connector sites are designed to contain a needle housed in a protective covering.
Needleless infusion lines allow a direct connection with the IV line via a recessed
connection port, a blunt-ended cannula, or shielded-needle device, eliminating the
risk for exposure to an IV needle.
,Give this one a try later!
The Needle Safety and Prevention Act of 2001
1. Inspect surface of hands for breaks or cuts in skin or cuticles. Cover any skin lesions
with a dressing before providing care. If lesions are too large to cover, you may be
restricted from direct patient care.
a. Stand in front of sink, keeping hands and uniform away from sink surface. (If hands
touch sink during handwashing, repeat sequence.)
b. Turn on water. Turn on faucet (see illustration) or push knee pedals laterally or press
pedals with foot to regulate flow and temperature.
c. Avoid splashing water against uniform.
d. Regulate flow of water so temperature is warm.
e. Wet hands and wrists thoroughly under running water. Keep hands and forearms
lower than elbows during washing.
f. Apply 3 to 5 mL of antiseptic soap and rub hands together (see illustration).
g. Perform hand hygiene using plenty of lather and friction for at least 15 seconds.
Interlace fingers and rub palms and back of hands with circular motion at least 5 times
each. Keep fingertips down to facilitate removal of microorganisms.
h. Areas underlying fingernails are often soiled. Clean them with fingernails of other
hand and additional soap or with disposable nail cleaner.
i. Rinse hands and wrists thoroughly, keeping hands down and elbows up (see
illustration).
j. Dry hands thoroughly from fingers to wrists with paper towel, single-use cloth, or
warm air dryer.
k. If used, discard paper towel in proper receptacle.
l. To turn off hand faucet, use clean, dry paper towel; avoid touching handles with
hands (see illustration). Turn off water with foot or knee pedals (if applicable).
m. If hands are dry or chapped, use small amount of lotion or barrier cream
dispensed from individual-use container.
Give this one a try later!
Handwashing using regular or antimicrobial soap
, Perform when a patient is able to cough effectively but is unable to clear secretions
such as for a patient with a neuromuscular injury who cannot manage his or her own
oral secretions. Patients with artificial airways and impaired swallowing require use to
provide oral hygiene.
Give this one a try later!
why you perform oropharyngeal suctioning
before meals
Give this one a try later!
ac
-Part of Planning
-are a moving target and change as the patient's condition changes
Safety
Airway
Breathing
Circulation
Pain
High Risk
Intermediate Risk
Low Risk
Give this one a try later!
