2. $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.
4. $200 Question from
Medication Use
To minimize the possibility of incorrect
selection of the wrong medication or
concentration of a medication in the
NICU.
5. $200 Answer 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
6. $300 Question from
Medication Use
These are examples of training
nurses receive to safely use the
infusion pumps for IV infusions and
enteral feedings
7. $300 Answer 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
8. $400 Question 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
9. $400 Answer from
Medication Use
What is… concentrated electrolyte
solutions, heparin & other high risk
medications (morphine, dopamine,
epinephrine, etc)
10. $500 Question from
Medication Use
To accomplish safe medication practices in
the NICU including independent double
checks, this type of _________work must
occur
12. $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
14. $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
15. $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
16. $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
18. $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
20. $500 Question from
Safety Culture
To make improvements
in the care of our
NICU patients
we implement the following
strategies
21. $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.
22. $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
23. $100 Answer from
Patient Identification
What is the Infant’s
Name and MRUN
(medical record unit number)?
Note: Can also use PHN & DOB
24. $200 Question from
Patient Identification
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
25. $200 Answer from
Patient Identification
What is…
Name and MRUN
on the results/requisitions/documents
MATCHES
with the
Name and MRUN
on and on
26. $300 Question 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
27. $300 Answer from
Patient Identification
What is verbal communication?
Play patient communication video
28. $400 Question 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”
30. $500 Question from
Patient Identification
Examples of high-risk activities
that in NICU
has verification processes
(special checking system)
.
31. $500 Answer 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
32. $100 Question from
Required Practices
Information is transferred
accurately and timely
at transition points
(handover, admission, discharge, transfer)
for patients in the NICU
33. $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.
34. $200 Question from
Required Practices
All staff have a role in
hand hygiene
in the NICU to
help reduce infections for
patients
35. $200 Answer 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
36. $300 Question from
Required Practices
These word forms
are not to be used for any
written or pre-printed
medication orders?
37. $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
38. $400 Question from
Required Practices
The NICU multidisciplinary team
encourages families
to be participants in care
or supports families
in the following ways
39. $400 Answer 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
40. $500 Question from
Required Practices
The types of education that is
provided to staff in the Neonatal
Program
41. $500 Answer from
Required Practices
What is…
•Yearly fire and safety •ACORN
•Employee health and wellness •Charge nurse workshops
•Emergency preparedness •Violence prevention
•Hand Hygiene updates •Education days that address learning needs
•Tracheostomy care identified by the staff (eg cardiac, ECG, new
practices, BIPP tool, improvements as a result of
•Central Line Care RPIWs)
•NRP updates and re-certifications •Education days, fast fives, email, posters, edu
quicks
42. 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
43. 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
