What are 2 acceptable pt. identifiers used for conscious patients.

Full Name and Date of Birth

Where can we find the Advance directives status of a patient?

On the face sheet , left lower hand

How do we get consents for non-English Speaking patients?

Use of Language line ( speed dial #67 from any hospital phone), TDD, sign language via video.

A patient's H&P is valid how many days prior to surgery as long as it is updated that day?

30 days

According to SCIP core measures, prophylactic antibiotic should be given when?

1 hour prior to incision except for Vanco which is 2 hours prior.

According to SCIP core measures,

surgery patients should have intraoperative warming to maintain normothermia OR documentation of body temperature __________?

> 96.8°F/36.0°C within 30 min before or 15 min after anesthesia end time

How do we avoid alarm fatigue?

By setting alarm parameters according to pt's baseline numbers.

In PACU, How often do we assess and document pain?

 We follow policy # 5150 "Moderate/deep sedation for procedures"

"Pain or discomfort level will be assessed and documented every 3-5 minutes before additional doses and every 3-5 minutes until discharge/transfer criteria are met. "

Per SCIP core measures, when should pts receive VTE prophylaxis?

Surgery patients should receive appropriate VTE prophylaxis within 24 hours prior to anesthesia start

  to 24 hours after anesthesia end time.

When must foley catheter inserted during surgery be removed?

Surgery patients should have their urinary catheter removed on post-op day 1

What is our hand-off process ?  

Use of WHO checklist correctly.

What are we doing to prevent SSI?

Implementation of pre-op antisepsis protocol,  glycemic control, promoting normothermia pre-op, intra and post-op.

Describe the process of sending blood specimen for type and cross/screen.

Blood is drawn and labeled at bedside. 2 RN initials needed.

Name the 7  2016 National Patient Safety Goals.

1. Identify pts. correctly

2. Improve staff communication

3. Use medications safely

4. Use alarms safely

5. Prevent Infection

6. Identify pt. safety risks..(suicide screening)

7. Prevent mistakes in surgery(time out)

What is the process we follow when a pt. exhibits acute signs/symptoms  of stroke?

Call RRT...they are the only ones allowed to call a stroke alert.

Discuss our blood transfusion process.

Refer to policy # 2075 Blood/Blood product administration.

1. Check for orders

2. Consent for BT

3. Pt. Education

4. Retrieval, Identification, V/S monitoring : baseline, 5 minutes after, 15 minutes , hourly.

What type of falls reduction program is in place?

For inpatients, Morse falls score, falls risk armband.

A pt. takes carvedilol 6.25mg at home. What SCIP core

measure must we follow for this pt.?

Surgery patients on a beta blocker prior to hospital arrival should receive a peri-operative beta blocker

Where can you find a pt's preferred language?

 In Face Sheet

If a patient's preferred language is Spanish, and all the consents are in English, what needs to happen?

Ask the pt. if he/she can speak and read English, if so, have business office change the preferred language to English. If pt. can only speak English but not read, the consents have to be changed to Spanish and re-signed.

An inpatient who has DNR  is scheduled for surgery. What happens to the DNR status?

The anesthsiologist has to document that he has discussed with pt. regarding DNR being rescinded for surgery.

Which patient visit type needs medication reconciliation?

Inpatient and Observation visit type.

According to NPSG of medication safety, what meds need IDV.

Anticoagulants, Insulin, chemotherapy.

Is there a policy we follow for SIS downtime?

YES!

Title: Downtime Procedures: Perioperative Clinical Documentation Policy #: 0221 Replaces