Culture of Patient Safety

What step would the staff not take if there was water safety was in question?

• Place patients in bypass or discontinue treatment
• Report to biomed or charge nurse immediately
• Draw lab work on patients and report to physician
• Know limits- R/O rejection 80% or greater and total chlorine 0.09 ppm or less (less than 0.1 ppm)

Water and Dialysate red flags- What symptoms would you not expect if you have a question about water quality -

• Nausea and vomiting
• Chills
• Anxiety
• Itching

What is a culture of patient safety?

• a culture where the group has similar beliefs
• A culture that defines who you are as a person
• A culture where the staff are  identify issues before they happen
• a culture of happy well paid employees

A PCT has connected the wrong bath on a patient, tested it and confirmed the conductivity is correct per policy. She notices the error after the patient is hooked up and running on treatment. Is this a near miss?

• Yes
• No

A dietitian discovers that a patient has a potassium level of 6.2 that came over the fax machine and was not reported to the physician by the nurse. Is this incident a near miss?

• Yes
• No

A dialyzer is in chair 5 for Milly Mouse. It is a F200. the order is for F160. The pct discovers it before it is set up. Is this a near miss?
 

• Yes
• No

What would you do with the information regarding Milly mouses dialyzer once discovered?

• Call the Dr?
• Make an incident report ?
• Log it on the near miss log?
• Tell the patient you are sorry for your coworkers mistake?

What is an example of Culture of Safety in the clinic?

• Wipe up spilled coffee in the hallway
• Clean the toilet if it is dirty?
• Make sure all of the food is eaten after ordering a pizza?
• Talk to your supervisor if she is late?

Safe patient practice is placing a patient on what position  when they are choking

• Face down?
• On their back?
• On the side?
• Stand them up so they wont vomit?

During a bomb threat the best demonstrated practice is to?

• Scream "help"?
• Pass a note to a coworker to call the police?
• Run the bomb out of the building?
• Ask who is the prankster  is and call the manager?