ACCREDITATION JEOPARDY

Medication

Use

Safety

Culture Patient

Identification ROP XXXXXX

Q $100

Q $200

Q $300

Q $400

Q $500

Q $100 Q $100 Q $100 Q $100

Q $200 Q $200 Q $200 Q $200

Q $300 Q $300 Q $300 Q $300

Q $400 Q $400 Q $400 Q $400

Q $500 Q $500 Q $500 Q $500

Final Jeopardy

$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.

$100 Answer from

Medication Use

What is Medication Reconciliation?

To minimize the possibility of incorrect

selection of the wrong medication or

concentration of a medication in the

NICU.

$200 Question 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

$200 Answer from

Medication Use

These are examples of training

nurses receive to safely use the

infusion pumps for IV infusions and

enteral feedings

$300 Question 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

$300 Answer 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

$400 Question from

Medication Use

What is… concentrated electrolyte

solutions, heparin & other high risk

medications (morphine, dopamine,

epinephrine, etc)

$400 Answer from

Medication Use

To accomplish safe medication practices in

the NICU including independent double

checks, this type of _________work must

occur

$500 Question from

Medication Use

$500 Answer from

Medication Use

What is

TEAM

work?

$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

$100 Answer from

Safety Culture

What is the Patient Safety &

Learning System (PSLS)?

$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

$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

$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

$300 Answer from

Safety Culture

What is the Patient’s

Chart

Chart Bloopers video

$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

$400 Answer from

Safety Culture

What is disclosure?

$500 Question from

Safety Culture

To make improvements

in the care of our

NICU patients

we implement the following

strategies

$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.

$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

$100 Answer from

Patient Identification

What is the Infant’s

Name and MRUN

(medical record unit number)?

Note: Can also use PHN & DOB

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

$200 Question from

Patient Identification

What is…

Name and MRUN

on the results/requisitions/documents

MATCHES

with the

Name and MRUN

on and on

$200 Answer 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

$300 Question from

Patient Identification

What is verbal communication?

Play patient communication video

$300 Answer 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”

$400 Question from

Patient Identification

What is…

$400 Answer from

Accreditation Visit

Examples of high-risk activities

that in NICU

has verification processes

(special checking system)

.

$500 Question 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

$500 Answer from

Patient Identification

$100 Question from

Required Practices

Information is transferred

accurately and timely

at transition points

(handover, admission, discharge, transfer)

for patients in the NICU

$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.

All staff have a role in

hand hygiene

in the NICU to

help reduce infections for

patients

$200 Question 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

$200 Answer from

Required Practices

These word forms

are not to be used for any

written or pre-printed

medication orders?

$300 Question from

Required Practices

$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

The NICU multidisciplinary team

encourages families

to be participants in care

or supports families

in the following ways

$400 Question 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

$400 Answer from

Required Practices

The types of education that is

provided to staff in the Neonatal

Program

$500 Question from

Required Practices

What is…

•Yearly fire and safety

•Employee health and wellness

•Emergency preparedness

•Hand Hygiene updates

•Tracheostomy care

•Central Line Care

•NRP updates and re-certifications

$500 Answer from

Required Practices

•ACORN

•Charge nurse workshops

•Violence prevention

•Education days that address learning needs

identified by the staff (eg cardiac, ECG, new

practices, BIPP tool, improvements as a result of

RPIWs)

•Education days, fast fives, email, posters, edu

quicks

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

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