Meeting Minutes Perioperative Quality Improvement Committee Meeting
|
|
- Dustin Hancock
- 6 years ago
- Views:
Transcription
1 Meeting Minutes Perioperative Quality Improvement Committee Meeting Aim: To review systems issues uncovered by the morbidity and mortality process related to surgical patients with the goal to identify and Correct systems issues determined to be detrimental to patient care or staff safety. Meeting Date: Tuesday, November 17 th Leader: Dr. Jeff Dattilo Facilitator: 2009 Scribe: : 6:30 a.m. -7:30 a.m. Attendance: Please see Attendance List Susie Leming-Lee Mary Kay Matthys Project: Perioperative Quality Improvement Committee Location: Objective(s) of the meeting 5245 D Medical Center North, Blalock Conference Room Guest/New Member/s: Candis Kinkus, Administrative Director for Laboratories Note: Record additional attendance on opposite side 1. To review issues related to the September 2009 M&M Conference 2. To continue review of issues related to the June 12 th M&M Conference 3. To review update Management of Trauma Patients with Orthopedic Injury 4. To review Risk of Exposure: Disinfection and Sterilization of Instrument Case: How to Notify Patient and Family 5. To review update on Central Line Placement and Management: SonoSite Training for Residents and Faculty/Boot Camp 6. To review update Coagulation Protocol Progress Report Update 7. To review update Packing of Surgical Wounds Not Being Removed once patient leaves OR Update Pillar Quality & People I. INTRODUCTIONS 6:30 to 6:31 Dr. Jeff Dattilo A. Purpose of Today s Perioperative Quality Improvement Committee Meeting 6:31 to 6:33 Dr. Jeff Dattilo B. Introductions of New Committee Members or Guest: Dr. William Nealon, Surgeon in Chief 6:33 to 6:35 Dr. Jeff Dattilo C. Ground Rules and Housekeeping Dr. Jeff Dattilo called the Perioperative Quality Improvement Committee meeting to order. The minutes from October 2009 were approved. The committee has no new members to introduce today. The ground rules are available and there were no housekeeping issues. II. III. NEW BUSINESS- No New Business BUSINESS FROM PREVIOUS MEETING 6:35 to 7:00 Dr. Jeff Dattilo A. Update on M&M Conference September 2009 Cases: Recommendations for Action Intracranial Aneurysm Nerve Palsy Case: Stephanie Randa a) Report on Progress of Task Force Deployed to Address Communication Issues:
2 Rhonda Tully No standardization of Radiology Request Forms Dr. Dattilo updated the committee on this project, which stemmed from the inability to identify an aneurism by the Radiologist, who stated that the problem was an inability to identify clinical information on the request form. In hindsight from the M&M, the charge was to see if there could be a standardization of the Radiology request form. Rhonda Tully presented a small sample of variations of Radiology request forms for the committee to see (approx forms). Dr. Dattilo then showed the group the OPOC request form. Ms. Tully explained that this program presents difficulty for Radiology because it doesn t interface with other programs. Dr. Dattilo stated he had discovered the same issues. Ms. Tully also showed the Radiology request form that is in Star Panel, which interfaces well but requires a short tutorial before you can use it. Dr. Peter Bream stated that Interventional Radiology (IR) is in the process of adding a dedicated consultation form for IR instead of a Radiology request, although this would not work for others. Ms. Tully stated that it is her understanding that there is a movement by the VMG clinics to put together an Outpatient Order Entry system. The Outpatient Order Entry system is headed up by Margaret Head although the first meeting has not yet occurred. Dr. Bream stated that the barrier relates to the Wiz order not recognizing outpatients in electronic order entry. The committee noted that no other Star forms require a tutorial. Ms. Susie Leming-Lee stated that this is a large issue and perhaps it should go to the Patient Safety Committee. Ms. Tully stated that it has to be a directive from VMG for clinicians to use it. Ms. Leming-Lee stated that VMG representatives sit on the Safety Council because it is an enterprise-wide committee. She feels the Safety Council may not be aware of this issue. Susan Moseley is the contact person to get something on the Safety Council. Dr. Dattilo and Rhonda Tully will ask to be on the next Hospital Safety Committee agenda to present this issue and request help for change. Dr. Peter Bream Need for more specific orders for Radiological Studies Dr. Dattilo stated that this falls back to a previous M&M discussion. One item was to make sure there was digital imaging equipment in all critical care units, which has been accomplished. Another issue was a way to quickly retrieve the clinical information. Dr. Bream stated that the ER Radiology Reading room has a hot phone which is manned 24 hours a day. There are also Attendings present 24 2
3 hours a day now. Emergent questions should call that number. If unexpected finding occur, the Radiologist also contacts the doctor who ordered the image, and that information is put right into the dictation. A recommendation was made by this committee that all stat printed Radiology orders have a line stating If you need urgent input on this order call l It should also be listed in the Wiz order system on emergent orders. Rhonda Tully will try to get a slot placed on order sheet with hot line number to call. 1. Exposure Case: Stephanie Randa a) Meet with Administrative Leadership of Anesthesiology, Surgery, and the SSIPC to Discuss Resolutions to the Following Issues: Implement both isolation and contact isolation precautions at the beginning of the treatment when Strep is present When aerosolized particles are present consider higher quality level of mask Staff, Surgeons, Anesthesia providers in the OR having close direct with body fluids should wear impervious gowns, double glove, and use boot covers Limit excessive OR Traffic Remove shoe covers before leaving OR Consider Showering if exposed to harmful pathogens 3
4 Communication Triggers for Contact Investigation Make scrubs readily available, not in the machine so that scrubs can be easily changed Case cancellation if Surgeon is ill IV. OLD BUSINESS 7:00 to 7:25 Dr. Jeff Dattilo A. M&M Conference June 2009 Cases: Recommendations for Action 1. Need to employ Standard Institutional Communication at every level of contact with every patient. Reevaluation before transfer needs to happen with all patients and documented in all cases. Nancye Feistritzer Meet with Family Council to discuss need to collect more data regarding family needs Nancye Feistritzer Add tab to Star Panel to document the correct notification contact family member Barbara Martin Develop a Tool that will provide a method for Determining if a Patient is Still Appropriate for Transfer: Ms. Martin will ask for the Creation of Identification of Primary Caretaker Form and take this Form to the ICC Medical Directors Forum and then to the ICCC for Discussion Ms. Martin stated that this agenda item is one that needs to go to ICC Medical Directors Forum which was canceled last due to Day in the Life. The committee will meet again this month. A short discussion was held by the group led by Dr. May discussing how each intensive care unit has a different process for this, which creates an inconsistent overall process. Dr.May stated that a transfer data form should be easy, and queried in a Star form, with no more than 5 questions total, including family member contact. Ms. Martin stated that Star information is now mapped to the EDW. Ms. Martin will bring it to the next ICC Medical Directors meeting and revisit what the next step needs to be. 4
5 Barbara Martin Identify high risk population at patient s initial visit. Consider an in-dwelling catheter for drainage to allow monitoring of bleeding (if it happens). 7:15 to 7:30 B. Safety and Care Issues Related to Previous M&M Conferences Dr. Jeff Dattilo and Committee Members 1. Risk of Exposure: Disinfection and Sterilization of Instrument Case: Patient Exposed to Unsterile Instruments: a) Disclosure of Error to Patient and Family: What is most efficient and effective method? 3. Central Line Placement: Safety Committee Meeting Update: Dr. Peter Bream a) Presentation of the Central Line Placement Credentialing to Institutional Critical Care Committee Credentialing and Create a Website and Video Dr. Bream stated that after speaking with the Safety Council, he is not sure who is supposed to give him the green light as a next step to build a website and create a video. Ms. Barbara Martin, speaking for the Vascular Access Committee and the Institutional Critical Care Committee gave Dr. Bream the green light. Dr. Bream felt this was his sense of it as well and he will move forward. Dr. Rajnish Gupta 4. Update: Patient with Hematoma related to Epidural Placement: Coagulation Protocol Progress Report Dr. Gupta stated that his group has been trying to figure out an effective tool for rare events to get people s attention. There is an MRI epidural hematoma protocol in Wiz order that directs the MRI suite, radiology, and the ordering physician what to do with regards to the MRI. He is trying a different model which would put everything you need to know, who to call, etc. on one piece of paper. The new form has not gone live yet. The problem is for people to know where to find the form. He has also created a website for residents and staff explaining how to use the protocol. Dr. Gupta plans to continue to improve on this. No further action is needed by this committee. 5
6 Susie Leming-Lee for Devin Carr 5. Update: Packing of Surgical Wound Not Being Removed: Prevention a) Create Method to Address Nursing Handoff Process Regarding Packing of Patient s Wound b) Create a Learning Module after Surgical Wound Packing Issue is Resolved IV. NEXT STEPS Dr. Jeff Dattilo A. Summary of Today s Meeting Activities, Next Steps & Evaluation. Dr. Dattilo summarized the meeting discussion and plan of action for all agenda items discussed. Members not present will have items deferred until next meeting on December 15 th. The meeting was adjourned. Next Meeting Date: Tuesday December 15 th 2009 Recorder: Mary Kay Matthys Start : 6:30 a.m. End : 7:30 a.m. Location: Blalock Conference Room, 5245 MCN Signature Line:, Chairperson/Leader of Meeting/Improvement Initiative 6
Meeting Minutes For Surgical Site Infection Prevention Collaborative
Meeting Minutes For Surgical Site Infection Prevention Collaborative Meeting Date: Time: Tuesday, January 6 th 2009 3:00 P.M. to 4:00 P.M. Leaders: Attendance: Stephanie Randa and Dr. Addison May Vicki
More informationPerioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and
Perioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and training of team members in an effort to deliver safe, competent
More informationWelcome to Scott & White Memorial Hospital. Perioperative Services
Welcome to Scott & White Memorial Hospital Perioperative Services What is a Perioperative Nurse? A perioperative nurse is a nurse who provides patient care, manages, teaches, and studies the care of patients
More informationWelcome to Baylor Scott & White Hillcrest. A Perioperative Services Orientation
Welcome to Baylor Scott & White Hillcrest A Perioperative Services Orientation What does "Perioperative" mean? When a patient is cared for in the Perioperative setting, they receive care preoperatively,
More informationStudent Protocol for the Operating Room. Authored by: Vangie Dennis, RN, BSN, CNOR, CMLSO
Student Protocol for the Operating Room Authored by: Vangie Dennis, RN, BSN, CNOR, CMLSO Objectives After completing this Computer-Based Learning (CBL) module, you should be able to: Describe the basics
More informationNorth York General Hospital Policy Manual
TITLE: ASEPTIC TECHNIQUE (NON-OPERATING ROOM) CROSS REFERENCE: ORIGINATOR: Manager, IPAC APPROVED BY: Medical Advisory Committee ORIGINAL DATE APPROVED: Dec. 13, 2011 Operations Committee ORIGINAL DATE
More informationCHALLENGES TO IMPROVE PATIENT SAFETY IN THE OPERATING ROOM
CHALLENGES TO IMPROVE PATIENT SAFETY IN THE OPERATING ROOM Rouba Rassi El-Khoury, Pharm.D, M.Sc, MBA HM Quality Director, Hôtel-Dieu de France University Medical center President of the LSQSH The 9th Congress
More informationSurgery Road Map. General practices. Road map sections
Surgery Road Map MHA s road maps provide hospitals and health systems with evidence-based recommendations and standards for the development of topic-specific prevention and quality improvement programs,
More informationScrubbing down on Surgical Site Infections: Decreasing the incidence of surgical site infections in children
Scrubbing down on Surgical Site Infections: Decreasing the incidence of surgical site infections in children Tiffany Trenda, DO PGY2, Jessie Allen, DO PGY2, Elizabeth Mack, MD MS, Chris Hydorn, MD, Lori
More informationOnline Education Modules & Courses Facility Order Form
Online Education Modules & Courses Facility Order Form FACILITY INFORMATION Facility Name: Business Address 1: Business Address 2: City: State/Province: Postal Code: Country: Phone: Health Care System:
More informationOnline Education Modules & Courses Facility Order Form
FACILITY INFORMATION Facility Name: Business Address 1: Business Address 2: City: State/Province: Postal Code: Country: Phone: Health Care System: ADMINISTRATOR/CONTACT INFORMATION First Name: Last Name:
More informationOPERATING ROOM ORIENTATION
OPERATING ROOM ORIENTATION Goals & Objectives Discuss the principles of aseptic technique Demonstrate surgical scrub, gowning, and gloving Identify hazards in the surgical setting Identify the role of
More informationPatient Care. and. Transportation Standards
Patient Care and Transportation Standards Version 2.1 Comes into force July 18, 2016 Emergency Health Services Branch Ministry of Health and Long-Term Care Patient Care Definitions Non-urgent means a request
More informationNURSE PRACTITIONER (NP) CLINICAL PRIVILEGES ORTHOPEDIC SURGERY
Name: Page 1 Initial Appointment (initial privileges) Reappointment (renewal of privileges) All new applicants must meet the following requirements as approved by the governing body effective: / /. Applicant:
More informationTrauma Center Pre-Review Questionnaire Notes Title 22
This Pre-Review Questionnaire is designed to accompany the spread sheet appropriate for the Trauma Center being reviewed For use with review of Level III Trauma Center with American College of Surgeons'
More informationBeth Israel Deaconess Medical Center Perioperative Services Manual. Guidelines for Perioperative Handoffs from OR to receiving units.
Beth Israel Deaconess Medical Center Perioperative Services Manual Title: Guidelines for Perioperative Handoffs from OR to receiving units. Policy #: PSM 100-102A Purpose: This guideline provides a standard
More informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD Date of meeting: 25 July 2012 Title / Subject: Vascular Services at UHMBFT; the Impact of Centralising Inpatient and Emergency Vascular
More information2014 Annual Continuing Education Module. Contents
This self-directed learning module contains information you are expected to know to protect yourself, our patients, and our guests. Content Experts: Infection Prevention Target Audience: All Teammates
More informationStudent Protocol for the Operating Room. Vangie Dennis, RN, CNOR, CMLSO
Student Protocol for the Operating Room Vangie Dennis, RN, CNOR, CMLSO Objectives To observe and gain an understanding of the patient s surgical process experience. To have an understanding of the surgical
More informationOregon Health & Science University Department of Surgery Standard Precautions Policy
Standard Precautions Policy 1. Policy Standard Precautions are to be followed by all employees for all patients within and entering the OHSU system. Standard Precautions are designed to reduce the risk
More informationOR staffing supports the provision of safe perioperative patient care and promotes a safe perioperative environment
ACCREDITATION STANDA RDS INTRAOPERATIVE CARE OR staffing supports the provision of safe perioperative patient care and promotes a safe perioperative environment A minimum of two perioperative nurses are
More informationEMS Safety Test Handout
1. Why is body substance isolation important? Page 1 of 5 It is a requirement of OSHA. It demonstrates a professional attitude. It prevents the patient from obtaining an infection. It reduces the risk
More informationInfection Control Policy and Procedure Manual. Post-Anesthesia Care Unit (Recovery Room) Page 1 of 6
(Recovery Room) Page 1 of 6 Purpose: The purpose of this policy is to establish infection prevention guidelines to prevent or minimize transmission of infections in the. Policy: All personnel will adhere
More informationPersonal Protective Equipment Donning & Doffing
The following questions were brought forward at SASWH s instructor level training held in November and December 2014. Responses have been provided by the Ministry of Health. Abbreviations used in this
More informationSelf-Instructional Packet (SIP)
Self-Instructional Packet (SIP) Advanced Infection Prevention and Control Training Module 4 Transmission Based Precautions February 11, 2013 Page 1 Learning Objectives Module One Introduction to Infection
More informationISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 CONTACT PRECAUTIONS... 4 DROPLET PRECAUTIONS... 6 ISOLATION PROCEDURES... 7
ISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 BARRIERS INDICATED IN STANDARD PRECAUTIONS... 2 PERSONAL PROTECTIVE EQUIPMENT... 3 CONTACT PRECAUTIONS... 4 RESIDENT PLACEMENT... 4 RESIDENT TRANSPORT...
More informationFULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION
FULTON COUNTY MEDICAL CENTER POSITION DESCRIPTION POSITION TITLE: REPORTS TO: OPERATING ROOM SURGICAL TECHNICIAN SURGICAL SERVICES RN II or O.R. CIRCULATING NURSE DATE: AUGUST 2004 I. POSITION SUMMARY:
More informationPart 4. Change Concepts for Improving Adult Cardiac Surgery. In this section, you will learn a group. of change concepts that can be applied in
Change Concepts for Improving Adult Cardiac Surgery Part 4 In this section, you will learn a group of change concepts that can be applied in different ways throughout the system of adult cardiac surgery.
More informationReference: AORN Standards 2001 Recommended Practice for Surgical Attire pp
EVERYTHING we are going to talk about today is ultimately based on what will provide the patient with the best care possible. All of the work place practices and rules we will review are designed to result
More informationWELCOME TO THE PEDIATRIC SURGERY SERVICE
We re happy to welcome you to the Pediatric Surgery team. If you haven t done much pediatrics, sick children can be a bit intimidating but you will quickly discover a few things: it s easy to recognize
More informationSharps Injury Prevention in the Intraoperative Setting
Sharps Injury Prevention in the Intraoperative Setting Describe recommended safe practices for cleaning instrumentation. Objectives Describe methods to reduce sharps injury to the health care team. Describe
More informationA Comprehensive Review of Musculoskeletal MRI
Directly Provided by The Duke University School of Medicine Sponsored by the Department of Radiology A Comprehensive Review of Musculoskeletal MRI October 3 6, 2016 The Fairmont Sonoma Mission Inn & Spa
More informationTHE INFECTION CONTROL STAFF
INFECTION CONTROL THE INFECTION CONTROL STAFF INTEGRIS BAPTIST V. Ramgopal, M.D., Hospital Epidemiologist Gwen Harington, RN, BSN, CIC, Infection Control Specialist Kathy Knecht, RN, Surveillance Coordinator
More informationPerioperative Services
Welcome to Baylor Scott & White Memorial Hospital Perioperative Services What is a Perioperative Nurse? A perioperative nurse is a nurse who provides patient care, manages, teaches, and studies the care
More informationAdverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN
Adverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN Fairview Health Services 6 hospitals, ranging from rural
More informationSAMPLE Bariatric Surgery Program Survey for Facilities and Surgeons
I. Facility Section (to be completed by the facility s risk and/or quality department) Facility Name: Address: Date: Contact Person: Directions Please check the appropriate yes or no answer boxes where
More informationPERIOPERATIVE SERVICES SURGICAL TECHNOLOGIST CLINICAL LADDER Interview Questions for Level 3 ST Candidates
CANDIDATE NAME: SERVICE LINE: APPLYING FOR: ST Interview questions are based on the Pillar Goals of the Clinical Enterprise. These goals are represented below. Pillars Goal We nurture a caring, culturally
More informationInfection Control Manual. Table of Contents
This policy has been adopted by UNC Health Care for its use in infection control. It is provided to you as information only. Infection Control Manual Policy Name Patients with Cystic Fibrosis Policy Number
More informationEAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY
EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Office of Prospective Health Infection Control Plan Date Originated: August 26, 2003 Date Reviewed: 10/22/03; 9/04/07; 03/09/10; 9/01/15; Date Approved:
More informationFEATURE. Back to. A Fresh Look at Asepsis BASICS. Alecia Cooper, RN, BS, MBA, CNOR 14 THE OR CONNECTION
FEATURE Back to A Fresh Look at Asepsis BASICS Alecia Cooper, RN, BS, MBA, CNOR 14 THE OR CONNECTION PATIENT SAFETY A Back to Basics series should start with the principles of asepsis. What does asepsis
More informationCHAPTER 3 OBSTETRIC AREAS. Obstetric Areas
Obstetric Areas Obstetrical patients will include those who are currently pregnant, or those who delivered or aborted in the previous 6 weeks. Patients with ectopic pregnancies or any pre-abortive process
More informationPlease bring with you
Getting ready for your Vascular Angioplasty The secretary from Vascular Surgery will call you to let you know the date and time of your Pre-op Clinic appointment at the West End Clinic (690 Main Street
More informationInfection Control Readiness Checklist
INFECTION CONTROL ASSOCIATION (SINGAPORE) Infection Control Readiness Checklist Ebola Virus Disease 11/09/2014 A Administrative/Operational support 1 Infection Prevention and Control (IPC) is represented
More informationACG GI Practice Toolbox. Developing an Infection Control Plan for Your Office
ACG GI Practice Toolbox Developing an Infection Control Plan for Your Office AUTHOR: Louis J. Wilson, MD, FACG, Wichita Falls Gastroenterology Associates, Wichita Falls, Texas INTRODUCTION: Preventing
More informationThese incidents, reported by the Pennsylvania Patient Safety Authority, are
Patient safety Taking steps to protect patients from specimen-handling errors An OR specimen was transported to the laboratory. The lab called to say there was no specimen in the container. The specimen
More informationLocation, Location, Location: Managing Outbreaks in Ambulatory Care Settings
Location, Location, Location: Managing Outbreaks in Ambulatory Care Settings Danielle Suminski BSN, RN Emerging Diseases Coordinator Department of Infection Prevention The MetroHealth System Financial
More informationPPE Policy: Appendix I Clinical PPE Selection Certification
PURPOSE The following list of procedures is meant to be the basis for a department/patient care units orientation concerning the use of personal protective equipment. However, it is not meant to be all
More informationENHANCE HEALTHCARE CONSULTING E. COUNTRY CLUB DRIVE, SUITE 2810 AVENTURA, FL
In today s healthcare environment, anesthesia groups have many issues to deal with, including ACO s, pressure on reimbursement, quality tracking, the surgical home, and pressure on hospital subsidies.
More informationVUMC Advanced Practice
VUMC Advanced Practice New Staff Orientation New Staff Orientation is Vanderbilt's way of welcoming you to a thriving cultural center that embraces and celebrates diverse talents and contributions. Designed
More informationSTANDARDIZED PROCEDURE CENTRAL LINE PLACEMENT and TEMPORARY NONTUNNELLED CENTRAL VENOUS DIALYSIS CATHETER INSERTION (Adult, Peds)
I. Definition: This protocol covers the task of central (venous) catheter placement and temporary nontunnelled central venous dialysis catheters by the Advanced Health Practitioner. The purpose of this
More informationReducing Infections and Improving Engagement St. Luke's Nephrology Associates. Contact Information: Robert Gayner, M.D., FASN
BEST PRACTICES Vascular Access and CLABSI Reduction Reducing Infections and Improving Engagement St. Luke's Nephrology Associates Contact Information: Robert Gayner, M.D., FASN St. Luke's Nephrology Associates
More informationDepartment of Veterans Affairs VHA Directive Washington, DC March 5, 2016 PREVENTION OF RETAINED SURGICAL ITEMS
Department of Veterans Affairs VHA Directive 1103 Veterans Health Administration Transmittal Sheet Washington, DC 20420 March 5, 2016 PREVENTION OF RETAINED SURGICAL ITEMS 1. REASON FOR ISSUE: This Veterans
More informationDental Hygiene Quality Assurance Manual and Protocol Portland Campus 716 Stevens Avenue Portland, Maine (207)
Dental Hygiene Quality Assurance Manual and Protocol 2017-2018 Portland Campus 716 Stevens Avenue Portland, Maine 04103 (207)-221-4900 UNE/Dental Hygiene Quality Assurance Manual and Protocol The UNE Dental
More informationInfection Prevention & Control Orientation for Housestaff Welcome to Shands at UF!
Infection Prevention & Control Orientation for Housestaff 2011 Welcome to Shands at UF! Hot Topics: Prevention Initiatives National Patient Safety Goal 07: Prevent Healthcare Associated Infections Prevent
More informationSafety Meeting. Meeting Leader Instructions. Safety, Teamwork & Our Customer s 1 st Choice
Meeting Leader Instructions These meetings are more than safety meetings. While they address safety as a top priority, these meetings are also an opportunity for you to interact with your team; a chance
More informationVisitor Guide to the OR
Visitor Guide to the OR Welcome Welcome to the VUH operating room for your observational experience. Be sure you have completed the Vanderbilt Observational Experience approval process in preparation for
More informationPRODUCT CATALOG
PRODUCT CATALOG 2017 A. ISOSIGN B. ISOPLUS C. ISOCOMPLETE D. ISOLATION PRECAUTION SIGNS 8.5 x 11 E. ISO - ACCESSORY SIGN F. ISOSIGN 6.0 G. BLACK SIGN BACK OPTION A. IsoSign is the base signage solution,
More informationNHS. Challenges and improvements in diagnostic services across seven days. Improving Quality
NHS Improving Quality NHS Improving Quality working in partnership with NHS England Challenges and improvements in diagnostic services across seven days 2 Foreword Across the country, hospitals and primary
More informationQUESTIONS PERTINENT TO PRODUCT SELECTION:
QUESTIONS PERTINENT TO PRODUCT SELECTION: Impact on patient outcomes Impact on patient/staff safety Economic considerations Use the following pages to help facilitate discussion with vendors, write your
More informationBurn Intensive Care Unit
Purpose The burn wound is especially susceptible to microbial invasion because of loss of the protective integument and the presence of devitalized tissue. Reduction of the risk of infection is of utmost
More informationTRAUMA CENTER REQUIREMENTS
California Trauma Center Level III Criteria California Code of Regulations,, Chapter 7 - Trauma Care System with American College of Surgeons (Green Book) references; includes FAQ clarifications TRAUMA
More informationCystic Fibrosis Foundation Recommendations
Hospital Epidemiology and Infection Control Department Presenters: Sandra Kistler, RN, PHN, MSN, ICP Cystic Fibrosis Foundation Recommendations Contact Precautions for ALL patients with Cystic Fibrosis
More informationIP = Inpatient OP = Outpatient Standard Location YES No. HED: Admission History tab or paper record Admission /History/ Discharge form
Tracer Record Review - ECT-Periop Only 9-30-2016 Data Definition Tool The Tracer Packet is to be completed in each Periop area by the manager or designee on a monthly basis. It is suggested that the manager
More informationAssisting with the Bedside (Percutaneous) Removal of Chronic Peritoneal Dialysis Catheters
Assisting with the Bedside (Percutaneous) Removal of Chronic Peritoneal Dialysis Catheters ORIGIN DATE: APRIL 27, 2009 REVISED DATE: NOVEMBER 2013 This procedure is posted on the BC Provincial Renal Agency
More informationWe provide healthcare to people from many different cultural and language groups, serving residents of Manitoba, Northwestern Ontario and Nunavut.
Welcome to Health Sciences Centre Winnipeg At Health Sciences Centre Winnipeg (HSC) you will be working with a team of dedicated professionals committed to our vision of "Patients First". Our culture is
More informationSTANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017
Page 1 of 8 Policy Applies to: All Mercy Staff, Credentialed Specialists, Allied Health Professionals, students, patients, visitors and contractors will be supported to meet policy requirements Related
More informationObserving in the Operating Room (O.R.)
Observing in the Operating Room (O.R.) Soooo, you're observing in the Operating Room (O.R.)... There are many reasons a patient will end up in the OR...some could be They need their gallbladder or appendix
More information[] PERSONAL PROTECTIVE EQUIPMENT Vol. 13, No. 8 August 2009
Back to Basics: The PPE Primer Control Implications ICT presents a review of the basics of personal protective equipment (PPE). The Occupational Safety and Health Administration (OSHA) defines PPE as specialized
More informationInfection Control (ICE )
Infection Control (ICE ) Exam Outline and Suggested References State Regulations Each state s dental board implements regulations and establishes rules for delegating legally allowable duties to dental
More informationNA REVIEWED/REVISED: DATE TO BE REVIEWED: 01/31/2016 EMERGENCY MEDICAL SERVICES
POLICY NO: 545 DATE ISSUED: 10/14/2014 DATE NA REVIEWED/REVISED: DATE TO BE REVIEWED: 01/31/2016 EMERGENCY MEDICAL SERVICES Purpose: The purpose of this policy is to state the minimum standards for infection
More informationPrinciples In developing these recommendations the Consensus Panel first established the following principles for anesthesia outcomes capture:
Outcomes of Anesthesia: Core Measures The following Core Measures are the consensus recommendations of the Anesthesia Quality Institute (AQI) and the Multicenter Perioperative Outcomes Group (MPOG). They
More informationInfection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures
Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures Facility name:... Completed by:... Date:... A. Written infection prevention policies and procedures specific
More informationHaving a Vena Cava Filter
Having a Vena Cava Filter Department of Radiology Information for Patients i Radiology Leaflet No. 30 Contents Page number Introduction 3 Referral and consent 3 Why do I need a vena cava filter inserted?
More informationPlacement Location Application Form. Diploma in Veterinary Nursing (DipVN)
Placement Location Application Form Diploma in Veterinary Nursing (DipVN) Veterinary Nursing Small Animal 1. Location 1.1 Name of practice 1.2 Address Including postcode 1.3 Telephone number 1.4 Fax number
More informationPrevention of Orthopaedic Surgical Site Infections in the Perioperative Setting. Disclosures. Objectives
Prevention of Orthopaedic Surgical Site Infections in the Perioperative Setting Mary Atkinson Smith, DNP, FNP-BC, ONP-C, RNFA, CNOR & W. Todd Smith, MD, FAAOS Disclosures We hereby certify that, to the
More informationMission. Directions. Objectives
Incident Response Guide: Infectious Disease Mission To effectively and efficiently identify, triage, isolate, treat, and track a surge of potentially infectious patients and staff, and to manage the uninjured,
More informationPersonal Hygiene & Protective Equipment. NEO111 M. Jorgenson, RN BSN
Personal Hygiene & Protective Equipment NEO111 M. Jorgenson, RN BSN Hand Hygiene the single most effective way to help prevent the spread of infections agents. (CDC, 2002.) Consistency & Compliancy 50%
More informationPurpose/goal. Statementt. Objectives After. Requirements. Sponsorship. reading this. 2. Read and. review the. completion. This activity was.
INSTRUCTIONS & DISCLOSURE STATEMENT Course 10: Perform Sponge, Sharp, and Instrument Counts Purpose/goal Statementt The purpose of this chapter is to describe the perioperative nurse s role in preventing
More informationDepartment Policy. Code: D: MM Entity: Fairview Pharmacy Services. Department: Fairview Home Infusion. Manual: Policy and Procedure Manual
Department Policy Code: D: MM-5615 Entity: Fairview Pharmacy Services Department: Fairview Home Infusion Manual: Policy and Procedure Manual Category: Home Infusion Subject: Chemotherapy Purpose: Ensure
More informationLeadership Forum: Promoting a Culture of Safety
Leadership Forum: Promoting a Culture of Safety Dates: 5/10, 5/13 and 5/14 (Note: All sessions at the InterContinental Hotel) Times: 4-hour sessions (Note: Participants only attend 1 session) o Morning
More informationRoutine Practices. Infection Prevention and Control
Routine Practices Infection Prevention and Control Routine Practices Elements of Routine Practices: Risk assessment + hand hygiene + personal protective equipment Environmental controls (patient placement,
More informationPOMA (Preoperative Medical Assessment ) F.A.Q.
POMA (Preoperative Medical Assessment ) F.A.Q. 1. What is POMA? POMA or Preoperative Medical Assessment is a hospital wide initiative that aims to promote and ensure and improve surgical safety and outcomes.
More informationInfection Control Manual. Table of Contents
This policy has been adopted by UNC Health Care for its use in infection control. It is provided to you as information only. Infection Control Manual Policy Name Patients with Cystic Fibrosis Policy Number
More informationGuidelines for the Management of C. difficile Infections in. Healthcare Settings. Saskatchewan Infection Prevention and Control Program November 2015
Guidelines for the Management of C. difficile Infections in Healthcare Settings Saskatchewan Infection Prevention and Control Program November 2015 Agenda What is C. difficile infection (CDI)? How do we
More informationJournal Club. Medical Education Interest Group. Format of Morbidity and Mortality Conference to Optimize Learning, Assessment and Patient Safety.
Journal Club Medical Education Interest Group Topic: Format of Morbidity and Mortality Conference to Optimize Learning, Assessment and Patient Safety. References: 1. Szostek JH, Wieland ML, Loertscher
More informationAppendix A.1 SURGICAL TECHNOLOGIST WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE
WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE A.1-1 WORK PROCESS SCHEDULE O*NET-SOC CODE: 29-2055.00 RAPIDS CODE: 1051CB This schedule is attached to and a part of these Standards for the above
More informationMEDICAL STAFF ORGANIZATION MANUAL
MEDICAL STAFF BYLAWS, POLICIES, AND RULES AND REGULATIONS OF SARASOTA MEMORIAL HOSPITAL MEDICAL STAFF ORGANIZATION MANUAL Adopted by the Medical Staff: April 16, 2009 Approved by the Board: April 20, 2009
More informationWHEREAS, Ebola Virus Disease (EVD) is a rare and potentially deadly disease caused
STATE OF NEW YORK : DEPARTMENT OF HEALTH --------------------------------------------------------------------------X IN THE MATTER OF THE PREVENTION AND CONTROL OF EBOLA VIRUS DISEASE ORDER FOR SUMMARY
More information2017 Kendall Smith Healthcare Exploration Scholarship Formerly called the Service League High School Summer Internship
Formerly called the Service League High School Summer Internship Purpose of the Program It s a summer only scholarship generously funded by the Service League of Advocate Lutheran General Hospital. The
More information1. Receives report from EMS and/or outlying facility. 5. Adheres to safety and universal precaution guidelines.
Trauma Nurse Specialist 1. Receives report from EMS and/or outlying facility. 2. Reports to trauma room and signs in. 3. Relays reports to trauma team members. 4. Assists with resuscitation readiness:
More informationInferior Vena Cava (IVC) Filter Placement
If you have any questions, ask your doctor or nurse. Filters may also be used. Inferior Vena Cava (IVC) Filter Placement An IVC filter is used to prevent blood clots from moving from the lower part of
More informationASEPTIC TECHNIQUE LEARNING PACKAGE
ASEPTIC TECHNIQUE LEARNING PACKAGE Staff Name:... Date:... Table of Contents What is Aseptic technique? 3 Core infection control components 3 Key parts 5 References 6 Aseptic technique questionnaire 7
More informationTORRANCE MEMORIAL MEDICAL STAFF
BYLAWS COMMITTEE: APPROVED WITH NO CHANGES 10/3/2017 Dates Approved: Medical Executive Committee 09/14/2010; 12/9/2014 PATIENT ATTRIBUTION PLAN: This Attribution Plan assures that all staff are able to
More informationThis policy applies to any hospital staff, within KKUH/KAUH, who has privileges to enter data into medical records.
King Khalid K University Hospital King Abdulaziz University Hospital Title: CLINICAL DOCUMENTATION Reviewed by: Date: Department: Unit: Policy Number: HWCPP - 005 Issue Date: DEC 2009 Prepared/Revised
More informationLANCASTER GENERAL HEALTH
Lori Abel RN, M.Ed. NO DISCLOSURES Penn Medicine Lancaster General Health LANCASTER GENERAL HEALTH Integrated Health System serving Lancaster Pennsylvania with a regional population ~1 million 631 licensed
More informationINFECTION CONTROL POLICY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT
Of, INFECTION CONTROL POLICY DEPARTMENT OF RADIOLOGY DATE: 03/01/01 REVISED: 7/15/09 STATEMENT GENERAL The Department of Radiology adheres to the Duke Infection Control policies and the DUMC Exposure Control
More informationHealthStream Ambulatory Regulatory Course Descriptions
This course covers three related aspects of medical care. All three are critical for the safety of patients. Avoiding Errors: Communication, Identification, and Verification These three critical issues
More informationBUILDING BLOCKS OF PRIMARY CARE ASSESSMENT FOR TRANSFORMING TEACHING PRACTICES (BBPCA-TTP)
BUILDING BLOCKS OF PRIMARY CARE ASSESSMENT FOR TRANSFORMING TEACHING PRACTICES (BBPCA-TTP) DIRECTIONS FOR COMPLETING THE SURVEY This survey is designed to assess the organizational change of a primary
More informationVERNON COLLEGE SYLLABUS. DIVISION: Allied Health and Human Services DATE:
VERNON COLLEGE SYLLABUS DIVISION: Allied Health and Human Services DATE: 2011-2012 CREDITS HRS: 4 HRS/WK LEC: 2 HRS/WK LAB: 6 LEC/LAB COMB: 8 I. VERNON COLLEGE GENERAL EDUCATION PHILOSOPHY STATEMENT General
More informationHealth Information Technology and Interdisciplinary Teamwork in the VA
Health Information Technology and Interdisciplinary Teamwork in the VA Joanne Spetz, Ph.D. University of California, San Francisco Ciaran Phibbs, Ph.D. VA Health Economics Resource Center October 2008
More information