Table 6 Patient safety care activity scale for clinical nurses
From: Development of a patient safety care activity scale for clinical nurses in Korea
Subcategory | Item |
|---|---|
Security | 1. Printouts containing medical information should be kept so that individuals cannot be identified. |
2. Log out when you are away. | |
3. Do not use someone else’s ID and password when accessing the medical information system. | |
4. The password used for work accounts should be changed periodically. | |
5. Do not disclose patient information in private places. | |
6. Do not look up medical information that is not related to work. | |
7. Check and comply with institutional policies for medical information security. | |
Patient identification | 8. Patients are identified using two indicators: patient name and registration number before medication, blood and blood product administration. |
9. When collecting specimens such as blood, the patient is identified using two indicators such as the patient name and registration number, and the name and registration number on the sample label match. | |
10. Prior to treatment and procedure, patients are identified using two indicators: patient name and registration number. | |
11. Ask open-ended questions when confirming patient names. | |
Operation (invasive procedure) | 16. Before operation (procedure), check whether the area of surgery (procedure) is marked. |
17. Operation (procedure) patients perform a procedure to identify the correct patient, operation (procedure), and site for each stage of movement. | |
18. When checking the area of operation (procedure), ask the patient orally to confirm it. | |
Medication | 20. Always follow 5 Right when medication. |
21. Check the expiration date before medication. | |
22. You Know the precautions when administering high-risk drugs (heparin, insulin, etc.) and how to deal with side effects. | |
23. Label and store high-risk and high-caution drugs | |
25. Check whether or not the medication was brought when hospitalized, and manage to prevent the patient from taking the medication on arbitrarily. | |
Blood transfusion | 26. Before blood transfusion, check the blood type test and antibody screening test results. |
27. Ask patients about blood type and name in open-ended questions before blood transfusion | |
28. Explain the purpose and method of blood transfusion and side effects of blood transfusion to the patient before blood transfusion. | |
29. If side effects occur during blood transfusion, stop immediately and report to the doctor. | |
30. Blood is transfused within 30 min of dispensing. | |
31. Do not inject blood and intravenous injections at the same time. | |
Management of infection | 32. Hand washing is performed before contacting the patient and before clean/sterile treatment. |
33. Hand washing is performed after contact with blood and body fluids. | |
34. Hand washing is performed after contact with the patient and the patient’s surroundings. | |
35. Infected patients are managed according to the guidelines for managing infected patients. | |
36. Medical waste is collected in designated collection containers in accordance with bylaws. | |
37. Separate and store contaminated laundry and other laundry according to the bylaws. | |
Management of falls and sores | 38. Perform an initial patient assessment using a fall risk assessment tool. |
39. If there is a change in patient condition, medication, etc., re-evaluate the risk of falls. | |
40. Share information about patients at high risk of falls. | |
41. Provide fall prevention education to patients and caregivers at risk of falling. | |
42. Perform appropriate fall prevention activities (to go to the toilet before bedtime, side rails, lighting, etc.) according to the risk of falling. | |
43. Assess the risk of bedsores in all hospitalized patients using a bed sore assessment tool. | |
44. Share information about people at high risk for bedsores with colleagues. | |
45. Depending on the risk of bedsores, appropriate pressure sores prevention activities (change of position, use of support supplies, change of bedding, etc.) are carried out. | |
46. Regularly observe the area where pressure sores can occur, and perform appropriate care (dressing, etc.) if necessary. | |
Management of firefighting | 47. The hospital has a firefighting plan and you knows it. |
48. You Knows what to do in case of fire. | |
49. You participate in fire drills regularly. | |
50. You know where to evacuate in case of fire. |