Suicide- Don't do it Interpreter Services The Joint Commission Ain't EPIC Grand Data Galore
100
Where is our suicide precautions policy located?
Lippincott
100
What is the name of RAMC's interpreter service
Martii
100
How often does TJC survey RAMC?
Every 3 years unless their is a complaint
100
Where does one chart a patient off the floor?
Intentional Rounding
100
Which month for 2019 did ICU have the highest acuity of patients?
September
200
Does a sitter need to sign a form?
Yes- when being a sitter for a suicidal patient the sitters must sign the Suicide Precautions Environmental Safety Checklist
200
Where can you find Martii stored?
In the 2nd floor clean utility room or the ED
200
Name one nursing citation that we received in the last survey
Care Plan
200
Where do you find the sitter assessment?
Under notes
200
In which month did the wound clinic have over 100 patient visits?
October
300
What is performed in the yellow category?
They will be given a behavioral health referral list. This can be found on Lippincott or with the suicide printouts in the file cabinet
300
Does Martii provide sign language services
Yes- it has both phone and video capabilities
300
Where do you find the National Patient Safety Goals
Bulletin Board
300
Where can you charge for blood administration?
Bedside Procedures
300
How many Dean Health Readmissions have we had total for 2019
Zero
400
What is performed in the orange category (name 3)
1) Orange triangle on door
2) given behavioral health referral list
3) Staff will prepare a safe environment for the patient to be in
4) search patient and visitor belongings for any safety risks.
5)Staff will call crisis worker
6) Staff will document every 15 minutes on the Suicide Safety Sheet.
400
What do I do if there is a technical issue with Martii or it takes an extended length of time to get an interpreter
Complete a VERGE
400
Name 2 places on the 2nd floor where we have alert buttons for the police
MCC nurses station at the unit secretary desk and the ICU nurses station
400
Do you need an order to charge for a bladder scan?
Yes- if there is no order there is no billing
400
Which month had our shortest length of stay for inpatients
January
500
What is performed in the red category (name 3)
1) place red triangle on door
2) will be given a behavioral health referral list
3) create a safe environment
4) search patient and visitors
5) call crisis worker
6) 1:1 sitter at arm's length
7) document every 15 minutes on the Suicide Safety Sheet
500
Can a patient refuse Martii
Yes- document it!
500
When does a VERGE need to be completed on a complaint?
If it can't be resolved in the moment or if the patient/family requests it
500
Can any vital sign passport be used in any room?
No- they are set up to move vitals for the room that they are labeled with. Leave them in their room!
500
Name the 2 highest months of medical transfers for 2019
February and August






MCC/ICU A Year in Review

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