Ten Steps to BFHI
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Mission vision values
OUR PURPOSE
Our purpose is to enhance the quality of life.
OUR VISION
Our vision is to be the partner of choice that people trust for all their healthcare needs.
OUR VALUES
IN OUR BEHAVIOUR, WE ARE:
- Client centred
- Trusting and respectful
- Patient safety focused
- Performance driven
- Team orientated
RACE and PASS
FIRE SAFETY PROCEDURE
REMEMBER RACE
Rescue/remove anyone in immediate danger without endangering yourself.
Alert/call operator, by dialing 5555, inform code red, fire location, fire type, your name. Activate fire alarm.
Confine/contain close all doors (don't lock), windows & turn off air conditioner.
Extinguish using PASS (if possible)/Evacuate the building to the assembly point using emergency exits.
Do not use lift, alert others as you leave.
OPERATING A FIRE EXTINGUISHER
REMEMBER PASS AND DO NOT PANIC
Emergency codes
Call 5555 in case of these emergencies
Hand Wash
6 STEPS OF HAND WASHING
Palm to palm
Backs of hands
Spaces between fingers
Rub knuckles
Thumbs
Fingertips and wrists
10 Rights of Medication management
i. Right Patient
ii. Right Drug
iii. Right Time
iv. Right Dose
v. Right Route
vi. Right Quality
vii. Right Expiry
viii. Right Indication
ix. Right Communication
x. Right Documentation
CALL CENTRE 800 2000
International Patient Safety Goals (IPSG)
IPSG 1 – IDENTIFY PATIENTS CORRECTLY
- On registration, identification verification shall be done using EID / Passport / Driving License / Photo ID
- Use full name and MRN as two identifiers (Full Name, DOB & URN /MRN);
- For pediatrics and neonates, involve parents in identification
- Newborns – Use all identifiers - Baby’s Name (S/o or D/o...), URN /MRN, DOB and Gender
- Always follow active verification i.e., ask patients for their name
- Identify patients before performing diagnostic procedures, providing treatments, and performing other procedures and to include the process for comatose patients
- Room Number / Bed Number / Patient location must not be used for identification
- Know processes for patients with Same Name, Unconscious Patients and Unknown Patients
IPSG 2– IMPROVE EFFECTIVE COMMUNICATION
- Telephone orders and Critical Results communication - Write Down and Read Back (WDRB) & confirmation of the order / result.
- Critical results to be communicated within 15mins
- Document order / result in Bayanaty with Date, time & name of the person along with follow up action
- Hand-Off Communication – Follow ISBAR & Physicians handover form
IPSG 3 – IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS (HAM)
- High Alert Medication –identified with red High alert Medication Stickers, stored separately from other drugs
- LASA – Separated from other drugs and highlighted with yellow stickers Concentrated Electrolytes – stored in pharmacy & crash carts - separated from other drugs;
- Labeled with Red sticker “Concentrated Electrolytes” and diluted from pharmacy;
- For conc. Electrolytes and HAM - Two person verification for administration – includes all steps of preparation, patient identification and administration
IPSG 4 – ENSURE SAFE SURGERY
Applicable in all areas where invasive procedures are done (OT, Cath lab, Radiology, Intensive care units, Dialysis and OPDs - Dental, Orthopedics, Gastroenterology etc.)
Follow Universal Protocol.
- Pre-operative verification – Verify patient, surgery, consents, images, implants, blood etc.
- Site Marking – use an arrow sign pointing to the site of the operative procedure, to be done by the person performing the procedure; applicable for sites which involve laterality and/or paired organs, multiple structures
- Sign-in – Checks before induction (Correct patient, procedure, site, side, consent, site marking, imaging documents etc.)
- Timeout – immediately before incision / start of procedure; Verify Correct Patient, Surgery, Site & Side, antibiotic prophylaxis; Second timeout to be done if a second surgery is performed in the same sitting;
- Sign out – before patient leaves the operating room; verify recorded procedure, completion of instruments, sponge & needle count, labeling of specimens and any equipment Problems
IPSG 5 – REDUCE THE RISK OF HEALTHCARE-ASSOCIATED INFECTIONS
- Follow Hand Hygiene (HH)
- Hand Hygiene to be performed as per WHO 5 moments of Hand Hygiene;
- Before touching a patient,
- Before clean procedures
- After body fluid exposure risks
- After touching a patient, and
- After touching the patient's surroundings
- HH compliance is monitored by silent observers
- Provide “Just in Time” training for staff who are non-compliant
Patient Handover(ISBAR)
Ensuring good communication takes place between professionals and healthcare organisations during transfer of patient care.
I - INTRODUCTION
- Introduce yourself
- Clearly identify patient and carer if present
S - SITUATION
- State the immediate clinical situation
- State particular issues, concerns or risks
- Identify risks - deteriorating patient, falls risk, allergies
B - BACKGROUND
- Provide relevant clinical history referring to medical record and/or EMR
A - ASSESSMENT
- What clinical observations are of particular concern?
- What do you think the problem is?
R - RECOMMENDATION
- What do you want the person you have called to do?
- What have you done?
- Be clear about what you are requesting and the timeframe
- Repeat to confirm what you have heard