Safety

Question 1

What is wvpp

Answer 1

Workplace violence prevention plan

Question 2

Workplace violence prevention plan patient assessment

Answer 2

Intake, communication & precautions at hand off, reassessment of risk of aggression, observation level reviews,

Question 3

Millieu management

Answer 3

This characterization of a healthcare unit describes maintaining a therapeutic environment to minimize violence, via schedules, timely observations, and being alert

Question 4

Good catch program

Answer 4

Near misses / these catches for mitigating risk

Question 5

Training types for violence risk

Answer 5

De escalation like verbal, nci training (physical holds, chemical restraints, seclusion ), diagnosis training, code response and drills, millieu management and points systems, crisis planning, patient supervision and observation, schedule and transition management

Question 6

Conduct for illegal sex harassment

Answer 6

Unwelcomed, offensive to a reasonable person, severe or pervasive (single act or repeated)

Question 7

A prompt and thorough (& confidential as possible) investigation, is required for reports of these

Answer 7

Harassment and discrimination

Question 8

Four areas of discharge safety planning

Answer 8

Problem solving strategies, planning for post hospitalization needs, lethal means strategy (CALM), & transportation

Question 9

Counseling on access to lethal means it’s required for all patients, addressing access and securing any legal means pt had used or communicated; but if not possible to limit or secure (eg jumping from an overpass), then the safety plan should include a support person for (blank) hours

Answer 9

24 to 72

Question 10

This document can be signed as limited for resistant patients concerned with confidentiality, that still need counseling / securing of access to lethal means

Answer 10

Release of information

Question 11

This discharge safety document must be completed even if patient is going to another level of care externally, and even if pt is being stepped down to another level internally, (upon admission)

Answer 11

Counseling on access to lethal means

Question 12

Only the patients support person can sign this discharge document

Answer 12

Individual crisis safety plan

Question 13

Common Suicide safety assessments intervals

Answer 13

Intake, nursing assessments, self assessments, discharge, reassessment upon new / intensified stressors, clinical presentation change, and mental change

Question 14

Nssi

Answer 14

Non social self injury (behavior)

Question 15

5 steps to use to recognize suicidal life stressors

Answer 15

Ask questions, keep them safe with monitoring / reporting, be there / listen, help them connect to goals & resources, follow up

Question 16

Recognizing suicide - Asking

Answer 16

How are you feeling, how was your call / meeting, are you having harmful thoughts, do you have any plans of harm

Question 17

This intake sheet notifies staff of the 7 possible precautions: suicide, aggression / homicide, fall, elopement, sao (sexual acting out ) victim, sao aggressor, and medical risk

Answer 17

High risk visual que

Question 18

Charge nurse/ supervisor is required to complete (these) at a minimum of twice per 8 hour shift, or 3 times per 12 hours

Answer 18

Round reviews

Question 19

These reviews should be conducted once per shift, on all units, and should include 1/3 camera reviews

Answer 19

Senior leader observation audits

Question 20

Senior leader safety audits / camera reviews of staffs observation rounding

Answer 20

Confirm observation round compliance: confirming respirations and identity, 15 minutes timely rounding, varying staggered patterns during rounding, carries observation sheet and flash light

Question 21

Checking for patients safety and contraband is part of this procedure

Answer 21

Hand- off

Question 22

How do we respond to sexual allegations / or actual events

Answer 22

Separate patients (ensure safety), notify supervisor and physician, obtain physician orders for testing needed (eg ER & rape kit, std test, plan b etc), notify guardians, Dept of health, child services, any others required by state / fed law

Question 23

How do we respond to an aggressive event

Answer 23

Call for assistance, separate patients and remove others from the area, assess for injuries, notify physician and initiate emergency response to p&P’s, inform guardians of Right to involve police

Question 24

How do we respond to a fall

Answer 24

Notify RN / supervisor, nurse to assess for injury before moving, facilitate medical evaluation if needed, assess the environment to identify / resolve and contributing factors, order fall precautions & update treatment plan, re-educate/ document fall safety and prevention

Question 25

Regularly checking this room and rounding, to ensure there's been no tampering, as well as using suicide risk assessments, & knowing pts history & encouraging / building report, are ways to be proactive with this

Answer 25

Protective Bathroom risk assessments

Question 26

Dispute resolution policy: problem solving for: interpersonal conflicts, discrimination, harassment, pay, unfair employment practice, undermining safety

Answer 26

Step 1) discuss with a supervisor 2) set appt with next level if unresolved 3) if still unresolved, contact hr 4) if not resolved, write CEO 5) finally, can be reported to cooperate hr representative

Question 27

Conflicts of interest, hippa breaches, billing and coding, unethical conduct (stealing), unethical patient care (abuse or neglect)

Answer 27

1) inform supervisor 2) should be reported to compliance hotline

Question 28

Emergency preparedness steps

Answer 28

Risk assessment / hazard assessment and planning, identifying strategies and processes (policies and procedures), communication planning, incident response procedures, training and testing

Question 29

Eid

Answer 29

Emergency infectious disease: ensure preparedness aligned with state and local emergency plans / pandemic plans