Pediatric Emergencies and Resuscitation. Color Coding Kids to optimize patient safety

Size: px
Start display at page:

Download "Pediatric Emergencies and Resuscitation. Color Coding Kids to optimize patient safety"

Transcription

1 Pediatric Emergencies and Resuscitation Color Coding Kids to optimize patient safety

2 Susan Hohenhaus, RN Project Manager Duke University Medical Center Department of Pediatric Emergency Medicine EMSC Enhancing Pediatric Patient Safety Grant Karen Frush, MD, PI

3 Objective... To teach emergency care providers the importance of standardization in pediatric resuscitation and to identify systems that can enhance pediatric patient safety using color as a common language

4 A Day in the Life Six month old admitted for evaluation of new onset seizures ED has run labs and started # 22 gauge IV with maintenance fluids, has been stable; no seizures noted in ED During admission nursing assessment, child begins to seize; respirations decrease; blue around lips

5 Panic is contagious Someone get me some help His mom doesn t know how much he weighs What s the weight on the ER record? They re sending it back up to us now. How much does a 6 month old weigh? I think it s age in years times 6 plus 12 or is it age in years times 12 plus 6? I think he looks about pounds

6 His IV just pulled out of his hand! What size catheter should I use? His color looks terrible Where s the ambu bag? What size mask?

7 Get me out of here! How much lorazepam? 0.1 ml/kg equals dose in mls....or was it 0.01 ml/kg dose in mls?...or was it 0.1 mg/kg dose in mgs? someone bring me the code sheets I m looking for the book can t you print out a resus sheet I need the weight

8 There s got to be an easier way! Dr. Jim Broselow: tape development in early 1980 s. Color-code ranges Showed a direct correlation between weight and length in the pediatric population

9 Pediatric Patient Safety Issues Institute of Medicine Report 12/99 To Err is Human : est. 44,000-98,000 people die each year as a result of medical errors 50% reduction within 5 years Interest in error reduction for pediatric patients regarding medication and equipment

10 Lesar,, TS. Arch Pediatr Adolesc Med 1998 Apr;152(4):340-4 Medication error rate in tertiary care teaching hospital Greatest areas: Peds; ; ED Errors in decimal point placement, mathematical calculation, or expression of dosage regimen accounted for 59.5% of dosage errors.

11 Kaushal,, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA April 2001 Children s Hospital 5.7% of orders had medication errors Most potential Adverse Drug Events occurred at the stage of drug ordering (79%) and involved incorrect dosing (34%); (intravenous medications 54%).

12 Resuscitation for Dummies? Use of the Tape actually elevates critical thinking Reduces cognitive load Allows Focus To Be On: Assessment Prioritization Intervention Feedback

13 Color Coding as Error Prevention Eliminates Memorization Eliminates Mathematics Promotes Standardization Provides Redundancy and Universality

14 Goals of Duke EPPS project: through preparation, organization and standardization Decreased Pediatric Emergency Care Errors Increased efficiency in treating kids Decreased Clinician Anxiety Nursing most vulnerable Nurses are safety net for system No safety net for nurses

15 Resuscitation Scenario should go Measure Child and Assign Color Zone Child measures in Broselow red I need the red Ambu mask Give him a red dose of Midazolam like this:

16 Standardize by Color Organize generally Identify Individually

17 Build systems to enhance

18 The Primary Alphabet Airway Breathing Circulation Disability Exposure C-Spine Delay color becomes a vital sign Color

19 The Correct Use of the Tape Place Showing Color Side for Care

20 Red arrow at the top of the head

21 Place on flat surface next to supine child hand running along the length of the tape from head to patient s heel.

22 Hand on tape adjacent to patient s heel identifying patients weight and color zone.

23 This child measures Broselow Green

24 All Resuscitation Efforts are now referred to by color zone Broselow Blue equipment Broselow Blue Dose of Medication Broselow Blue Protocol

25 Thanks to all from your North Carolina EMS for Children Colleagues

New Pediatric Regulations

New Pediatric Regulations New Pediatric Regulations New York State Department of Health The "Hospital Pediatric Care" regulations encompass an array of updates to the state hospital code, including changes in surgical, anesthesia,

More information

Submission Form Deadline: November 9, 2015

Submission Form Deadline: November 9, 2015 Submission Form Deadline: November 9, 2015 Organization: Sinai Hospital Contact Person: Pat Moloney-Harmon, MS, RN, CCNS, FAAN Title: Clinical Outcomes Specialist, Children s Services Address: 2401 W.

More information

A AIRWAY Open the Airway B BREATHING Deliver two (2) Breaths. Code Blue Policy. Indications for Calling A Code Blue

A AIRWAY Open the Airway B BREATHING Deliver two (2) Breaths. Code Blue Policy. Indications for Calling A Code Blue Code Blue Policy Code Blue is a term used to alert the Code Team and hospital staff of the significant deterioration in a patient s status (e.g. unresponsiveness, absence of blood pressure, status epilepticus)

More information

Office Preparedness for Pediatric Emergencies. Instructor Manual M S C

Office Preparedness for Pediatric Emergencies. Instructor Manual M S C Office Preparedness for Pediatric Emergencies Instructor Manual N C E M S C Office Preparedness for Pediatric Emergencies Instructor Manual Developed in collaboration with the North Carolina Office of

More information

Emergency Medical Services: More Than Just a Ride to the Hospital

Emergency Medical Services: More Than Just a Ride to the Hospital Emergency Medical Services: More Than Just a Ride to the Hospital Manish I. Shah, MD, MS Prehospital Domain Lead EMS for Children Innovation and Improvement Center Associate Professor Department of Pediatrics

More information

COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE)

COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) Ahmed Albarrak 301 Medical Informatics albarrak@ksu.edu.sa 1 Outline Definition and context Why CPOE? Advantages of CPOE Disadvantages of CPOE Outcome measures

More information

Human Factors Engineering

Human Factors Engineering Excerpted from The Safety Playbook, by John Byrnes, MD, and Susan Teman, RN (Health Administration Press, 2017) CHAPTER 19 Human Factors Engineering In its simplest form, human factors engineering is the

More information

Just Culture Toolkit Scenarios

Just Culture Toolkit Scenarios Just Culture Toolkit Scenarios In order to promote a just culture where staff is comfortable in reporting errors or near misses, healthcare organizations must adopt a disciplinary system theory approach.

More information

EMSC s Pediatric Readiness: Improving the Lives of All Children

EMSC s Pediatric Readiness: Improving the Lives of All Children EMSC s Pediatric Readiness: Improving the Lives of All Children Elizabeth A. Edgerton, MD, MPH, FAAP Director, Division of Child, Adolescent and Family Health Maternal Child Health Bureau Health Resources

More information

EMS at an MCI. Jeff Regis, EMT-P Southern Maine EMS

EMS at an MCI. Jeff Regis, EMT-P Southern Maine EMS EMS at an MCI Jeff Regis, EMT-P Southern Maine EMS qa@smems.org www.smems.org Today s Schedule EMS Function in ICS EMS at an MCI SMART Tag System Multiple or Mass Casualty Multiple-one more patient than

More information

Assessment and Reassessment of Patients

Assessment and Reassessment of Patients Approved by: Assessment and Reassessment of Patients Senior Director, Operations, Emergency, Medicine, Critical Care & Respiratory - GNCH Senior Director, Operations, Emergency, Medicine, Critical Care

More information

Medical Emergency Preparedness in Primary Care. Eman Sharaf, MD, Arab Board FM, Clinical Fellowship Emergency*

Medical Emergency Preparedness in Primary Care. Eman Sharaf, MD, Arab Board FM, Clinical Fellowship Emergency* 1 Bahrain Medical Bulletin, Vol. 32, No. 3, September 2010 Family Physician Corner Medical Emergency Preparedness in Primary Care Eman Sharaf, MD, Arab Board FM, Clinical Fellowship Emergency* Since the

More information

100 Dosage Calculation Practice Problems

100 Dosage Calculation Practice Problems 100 Free PDF ebook Download: 100 Download or Read Online ebook 100 dosage calculation practice problems in PDF Format From The Best User Guide Database SUBJECT: Standardized Proficiency. Responsibility

More information

PN Program Curriculum

PN Program Curriculum PN Program Curriculum Title Description Semester 1 Perquisites 13 BIOH 104 Basic Human 3 Biology BIOH 105 Basic Human 1 Biology Lab Psych Introduction to 3 100S Psychology M 120 Mathematics with 3 Health

More information

ARTICLE. problem have evaluated the performance of clinicians on standardized tests of calculation skills. 3-6 The clinical significance of adverse

ARTICLE. problem have evaluated the performance of clinicians on standardized tests of calculation skills. 3-6 The clinical significance of adverse Errors in the Use of Medication Dosage Equations Timothy S. Lesar, PharmD ARTICLE Background: Calculation errors in prescribing are a wellrecognized problem; however, no systematic studies of actual errors

More information

Time-Critical Transfer of the Sick or Injured Child (<16 years)

Time-Critical Transfer of the Sick or Injured Child (<16 years) LRI Emergency Department Standard Operating Procedure for: Time-Critical Transfer of the Sick or Injured Child (

More information

BASIC Designated Level

BASIC Designated Level County Date of Survey BASIC Designated Level Type of Survey Name of Facility Hospital License # Address Telephone ( ) Manager / Director Fax ( ) License / Certificate # # of Bays Surveyor s Signature Date

More information

APPROVAL DATE May 2015

APPROVAL DATE May 2015 APPROVAL DATE May 2015 MANUAL: Standardized Procedure SECTION: Pediatric CHET TRACKING # SP 3-02 TITLE: EMERGENCY MEDICATION ADMINISTRATION GUIDELINE POLICY PROCEDURE STANDARD OF CARE STANDARDIZED PROCEDURE

More information

Considerations for Sterile Compounding of Parenteral Products for Pediatric Use: Part 2 PharMEDium Lunch and Learn Series LUNCH AND LEARN

Considerations for Sterile Compounding of Parenteral Products for Pediatric Use: Part 2 PharMEDium Lunch and Learn Series LUNCH AND LEARN LUNCH AND LEARN Considerations for Sterile Compounding of Parenteral Products for Pediatric Use: Part 2 November 10, 2017 Featured Speaker: Kirsten H. Ohler, PharmD, BCPS, BCPPS Neonatal / Pediatric Clinical

More information

MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER

MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER KINGSTON GENERAL HOSPITAL MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER LEARNING GUIDE FOR REGISTERED NURSES AND REGISTERED PRACTICAL NURSES Prepared by: Nursing Education Date: 2001 November Revised:

More information

Making the Stars Align When Time Matters: Leveraging Actionable Data to Combat Sepsis

Making the Stars Align When Time Matters: Leveraging Actionable Data to Combat Sepsis Making the Stars Align When Time Matters: Leveraging Actionable Data to Combat Sepsis Licking Memorial Health Systems Patient Impact Where did we begin? EDUCATION EDUCATION EDUCATION EDUCATION EDUCATION

More information

Medication Math Homework Part 1. Part A. Convert the following patient weights from pounds to kilograms lbs lbs. 6.

Medication Math Homework Part 1. Part A. Convert the following patient weights from pounds to kilograms lbs lbs. 6. Medication Math Homework Part 1 Part A. Convert the following patient weights from pounds to kilograms 1. 22 lbs 4. 150 lbs 7. 250 lbs 2. 80 lbs 5. 180 lbs 8. 300 lbs 3. 100 6. 200 lbs 9. 35 lbs Part B.

More information

Minimum equipment and drug lists for cardiopulmonary resuscitation. Mental health Inpatient care

Minimum equipment and drug lists for cardiopulmonary resuscitation. Mental health Inpatient care Minimum equipment and drug lists for cardiopulmonary resuscitation Mental health Inpatient care Resuscitation Council (UK) 5th Floor Tavistock House North Tavistock Square London WC1H 9HR Published by

More information

Description of Essential Criteria for PREPARED Emergency Department

Description of Essential Criteria for PREPARED Emergency Department Description of Essential Criteria for PREPARED Emergency Department Access to optimal emergency care for children is affected by the lack of availability of equipment, appropriately trained staff to care

More information

Simulation Design Template. Location for Reflection:

Simulation Design Template. Location for Reflection: Simulation Design Template Date: Discipline: Expected Simulation Run Time: Location: Admission Date: Today s Date: Brief Description of Client Name: Gender: Age: Race: File Name: Student Level: Guided

More information

Why a focus on growth measurement?

Why a focus on growth measurement? Childhood Growth Measurement January 2012 Why a focus on growth measurement? accurate and reliable measurements are fundamental to growth monitoring if measurements are in error, then the foundation of

More information

MONTANA STATE UNIVERSITY-BOZEMAN COLLEGE OF NURSING. Policy A-19 ABILITIES REQUIRED FOR SUCCESS IN THE BSN DEGREE PROGRAM

MONTANA STATE UNIVERSITY-BOZEMAN COLLEGE OF NURSING. Policy A-19 ABILITIES REQUIRED FOR SUCCESS IN THE BSN DEGREE PROGRAM MONTANA STATE UNIVERSITY-BOZEMAN COLLEGE OF NURSING Policy A-19 TITLE: POLICY: RATIONALE: PROCEDURE: ABILITIES REQUIRED FOR SUCCESS IN THE BSN DEGREE PROGRAM All nursing students must have the ability

More information

Simulation Design Template

Simulation Design Template Simulation Design Template Date: May 7/8, 2008 File Name: Discipline: RN, Charge nurse, medical radiology, pharmacy tech, social work, medicine (whatever is available at the institution) Student Level:

More information

Leapfrog Group Report on CPOE Evaluation Tool Results June 2008 to January 2010

Leapfrog Group Report on CPOE Evaluation Tool Results June 2008 to January 2010 Leapfrog Group Report on CPOE Evaluation Tool Results June 2008 to January 2010 Executive Summary Using The Leapfrog Group s web based simulation tool, 214 hospitals tested their computerized physician

More information

Indications for Calling A Code Blue or Pediatric Medical Emergency

Indications for Calling A Code Blue or Pediatric Medical Emergency Code Blue/Pediatric Medical Emergency Code Blue is a term used to alert the Code Team and hospital staff of the significant deterioration in an individual s status (e.g. unresponsiveness, absence of blood

More information

PGY1: Pediatric Infectious Diseases Riley Hospital for Children Indiana University Health

PGY1: Pediatric Infectious Diseases Riley Hospital for Children Indiana University Health PGY1: Pediatric Infectious Diseases Riley Hospital for Children Indiana University Health Preceptors Kristen Nichols, PharmD, BCPS (AQ-ID) Office: 948-4239/Pager: 312-4298/Cell: 8120457-3960 General Description

More information

Pharmaceutical Services Report to Joint Conference Committee September 2010

Pharmaceutical Services Report to Joint Conference Committee September 2010 Pharmaceutical Services Report to Joint Conference Committee September 21 Background: Pharmaceutical Services staffing has increased by 31 FTE from 26 due to program changes and to comply with regulatory

More information

Agenda Information Item Memo

Agenda Information Item Memo Agenda Information Item Memo April 20, 2018 TO: FROM: Board of Trustees Ishwari Venkataraman/ VP Strategy and Business Planning Donna Carey/ Interim Chair, Department of Pediatrics SUBJECT: Agenda Item:

More information

Please provide us with the following information, in case we need to contact you to clarify any of your responses: Name: Title/Position: Phone number:

Please provide us with the following information, in case we need to contact you to clarify any of your responses: Name: Title/Position: Phone number: Please provide us with the following information, in case we need to contact you to clarify any of your responses: Name: Title/Position: Phone number: Email: These first few questions will tell us about

More information

Simulation Design Template. Date: May 7, 2008 File Name: Group 4

Simulation Design Template. Date: May 7, 2008 File Name: Group 4 Simulation Design Template Date: May 7, 2008 File Name: Group 4 Discipline: Nursing, medicine, radiology, EMT, possible consultant (specialist ie neurosurgeon via conference call), possible social work/pastoral

More information

Hospital Codes. North York General Hospital Student Orientation revised Sept 2013

Hospital Codes. North York General Hospital Student Orientation revised Sept 2013 Hospital Codes North York General Hospital Student Orientation revised Sept 2013 Attention Attention Code Now what?? Refer to the Code Manual or Intranet Code RED Code WHITE Code PURPLE Code BLACK Code

More information

Using the Just Culture Method. Stacey Thomas, BSN, RNC Risk Analyst

Using the Just Culture Method. Stacey Thomas, BSN, RNC Risk Analyst Using the Just Culture Method Stacey Thomas, BSN, RNC Risk Analyst Just Culture A system of Shared Accountability Everyone in the organization is responsible for maintaining a safe and reliable system

More information

University of Mississippi Medical Center University of Mississippi Health Care. Pharmacy and Therapeutics Committee Medication Use Evaluation

University of Mississippi Medical Center University of Mississippi Health Care. Pharmacy and Therapeutics Committee Medication Use Evaluation University of Mississippi Medical Center University of Mississippi Health Care Pharmacy and Therapeutics Committee Medication Use Evaluation TJC Standards for Medication Management March 2012 Purpose The

More information

ADC ED/TRAUMA POLICY AND PROCEDURE Policy 221. I. Title Trauma team Activation Protocol/Roles & Responsibilities of the Trauma Team

ADC ED/TRAUMA POLICY AND PROCEDURE Policy 221. I. Title Trauma team Activation Protocol/Roles & Responsibilities of the Trauma Team Section: ADC Trauma ADC ED/TRAUMA POLICY AND PROCEDURE Policy 221 Subject: Trauma Team Activation Protocol/Roles & Responsibilities of the Trauma Team Trauma Coordinator UTMB respects the diverse culture

More information

WHAT are medication errors?

WHAT are medication errors? Healthcare Case Study: Errors Cause Mapping Problem Solving Incident Investigation Root Cause Analysis Errors Angela Griffith, P.E. webinars@thinkreliability.com www.thinkreliability.com Office 281-412-7766

More information

Are you prepared for this? Preparedness. Plan for Today. Ready? Case 1 Capable? Case 2. Personal reflections

Are you prepared for this? Preparedness. Plan for Today. Ready? Case 1 Capable? Case 2. Personal reflections Preparedness Are you prepared for this? Personal reflections The Children's Mercy Hospital 2015 2 Emergency Pediatric Office Preparedness: Ready or Not? Chris Kennedy, MD Professor of Pediatrics, UMKC

More information

Department of Health and Wellness Emergency Care Standards April 2014

Department of Health and Wellness Emergency Care Standards April 2014 Background In September 2009, the Nova Scotia government appointed Dr. John Ross as its provincial advisor on emergency care. Dr Ross s report, The Patient Journey Through Emergency Care in Nova Scotia

More information

Level 4 Trauma Hospital Criteria

Level 4 Trauma Hospital Criteria Level 4 Trauma Hospital Criteria Hospital Commitment The board of directors, administration, and medical, nursing and ancillary staff shall make a commitment to providing trauma care commensurate to the

More information

Reconstitution Nursing Dosage Calculation Practice Problems

Reconstitution Nursing Dosage Calculation Practice Problems Reconstitution Practice Problems Free PDF ebook Download: Reconstitution Download or Read Online ebook reconstitution nursing dosage calculation practice problems in PDF Format From The Best User Guide

More information

Simulation Implementation 2017

Simulation Implementation 2017 Simulation Implementation Objectives Examine current malpractice claims data Discuss the benefits and objectives of simulation training Review key considerations for planning a simulation training, including

More information

SPECIAL MEMORANDUM. All Fresno/Kings/Madera/Tulare EMS Providers, Hospitals, First Responder Agencies, and Interested Parties

SPECIAL MEMORANDUM. All Fresno/Kings/Madera/Tulare EMS Providers, Hospitals, First Responder Agencies, and Interested Parties Central California Emergency Medical Services Agency A Division of Fresno County Department of Public Health SPECIAL MEMORANDUM FILE #: F/K/M/T #05-2018 TO: FROM: All Fresno/Kings/Madera/Tulare EMS Providers,

More information

Policy for the Administration of the First Dose of an Intravenous Antibiotic to Adult and Paediatric Patients by Nurses

Policy for the Administration of the First Dose of an Intravenous Antibiotic to Adult and Paediatric Patients by Nurses Policy for the Administration of the First Dose of an Intravenous Antibiotic to Adult and Paediatric Patients by Nurses September 2009 Policy Title: Policy for the Administration of the First Dose of an

More information

TRANSITIONS OF CARE: HOSPITAL HANDOFFS. Intern Orientation

TRANSITIONS OF CARE: HOSPITAL HANDOFFS. Intern Orientation TRANSITIONS OF CARE: HOSPITAL HANDOFFS Intern Orientation Avoiding the Overnight Handover Fumble Objectives After today, you will be able to: Understand the importance of communication around care transitions

More information

Guidelines for Student Placements The Hospital for Sick Children

Guidelines for Student Placements The Hospital for Sick Children Guidelines for Student Placements The Hospital for Sick Children The Following are guidelines that students and faculty need to follow in order to request a placement at the Hospital for Sick Children

More information

the victorian paediatric emergency transport service pets

the victorian paediatric emergency transport service pets the victorian paediatric emergency transport service pets The Victorian Paediatric Emergency Transport Service The Victorian Paediatric Emergency Transport Service (PETS) is based at the Paediatric Intensive

More information

Managing Pharmaceuticals to Reduce Medication Errors August 26, 2003

Managing Pharmaceuticals to Reduce Medication Errors August 26, 2003 Managing Pharmaceuticals to Reduce Medication Errors August 26, 2003 Susan M. Proulx, Pharm.D. President, Med-E.R.R.S. Subsidiary of ISMP (www.med-errs.com) Mission of ISMP Translate errors into education

More information

Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center

Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center Early Response Teams Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center OBJECTIVES Provide an overview of an Early

More information

Ruchika D. Husa, MD, MS

Ruchika D. Husa, MD, MS Early Response Teams Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division i i of Cardiovascular Medicine i The Ohio State University Wexner Medical Center OBJECTIVES Provide an overview of

More information

Overview. Diane Cousins, R.Ph U.S. Pharmacopeia. 1 Pharmacy Labeling with Color

Overview. Diane Cousins, R.Ph U.S. Pharmacopeia. 1 Pharmacy Labeling with Color As more medications are approved and become available to Americans, the opportunity for potentially dangerous or even deadly errors due to drug mix-ups from look alike or sound alike names becomes increasingly

More information

RECTAL DIAZEPAM MEDICATION ORDERS IN SCHOOL PURPOSE, INFORMATION, GUIDELINES AND SAMPLE PROCEDURE

RECTAL DIAZEPAM MEDICATION ORDERS IN SCHOOL PURPOSE, INFORMATION, GUIDELINES AND SAMPLE PROCEDURE RECTAL DIAZEPAM MEDICATION ORDERS IN SCHOOL PURPOSE, INFORMATION, GUIDELINES AND SAMPLE PROCEDURE PURPOSE: To ensure student safety when recta! diazepam (RD) is administered in the educational setting.

More information

A Year s Progress Toward ED Pediatric Readiness in Kentucky

A Year s Progress Toward ED Pediatric Readiness in Kentucky A Year s Progress Toward ED Pediatric Readiness in Kentucky Mark J. McDonald, M.D. Medical Director Norton Children s Hospital Associate Professor, U of L SOM Department of Pediatrics Division of Critical

More information

GENERAL MEDICATION PROCEDURES

GENERAL MEDICATION PROCEDURES GENERAL MEDICATION PROCEDURES In situations where services will be provided in the person s own home or with their family, guardian / responsible party, medication storage, ordering and receiving medications

More information

Emergencies in Medically Complex Children: Tip & Tools

Emergencies in Medically Complex Children: Tip & Tools Emergencies in Medically Complex Children: Tip & Tools ANGIE CUNNINGHAM, BSN, RN, CCRN-K, C-NPT TRANSPORT OUTREACH AND EMS RELATIONS COORDINATOR CHILDREN S MERCY CRITICAL CARE TRANSPORT KANSAS CITY, MO

More information

PROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY

PROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY CLINICAL PRACTICE POLICY PAGE: 1 OF 6 PURPOSE: These policies will allow clinicians to provide their patients with the benefits of procedural sedation and analgesia while minimizing the associated risks.

More information

Policies and Procedures. Number: 1243

Policies and Procedures. Number: 1243 Policies and Procedures Title: ANAPHYLAXIS - INITIAL MANAGEMENT RNSP: RN Clinical Protocol: Health Condition in an Emergency Number: 1243 Authorization: [X] SHR Nursing Practice Committee Source: Nursing

More information

Some Practical Tips on Being a Senior Pediatric Resident at McMaster

Some Practical Tips on Being a Senior Pediatric Resident at McMaster Some Practical Tips on Being a Senior Pediatric Resident at McMaster This document is meant to provide practical information to help Junior pediatric residents transition to the Senior pediatric resident

More information

12/11/12 GUIDELINES FOR PEDIATRIC PREPAREDNESS. Na#onal Pediatric Readiness Project Institute of Medicine Report on EMS for Children

12/11/12 GUIDELINES FOR PEDIATRIC PREPAREDNESS. Na#onal Pediatric Readiness Project Institute of Medicine Report on EMS for Children Na#onal Pediatric Readiness Project A Na%onal Assessment of Emergency Department Readiness for Children Katherine Remick, MD Visiting Assistant Professor in Medicine David Geffen School of Medicine at

More information

Karen M. Mathias, MSN, RN, APRN-BC Director Barbara J. Peterson, RN Simulation Specialist

Karen M. Mathias, MSN, RN, APRN-BC Director Barbara J. Peterson, RN Simulation Specialist On the Rural Roads with Pediatric Simulation Training Karen M. Mathias, MSN, RN, APRN-BC Director Barbara J. Peterson, RN Simulation Specialist Objectives Identify key patient safety issues that make simulation

More information

Interactive Trauma: Beyond the Moment of Impact

Interactive Trauma: Beyond the Moment of Impact , About the Speaker MSN, RN, CEN, CPEN, TCRN Bill is a dynamic and energetic speaker whose unique style not only provides insight to his audience but also to creates an engaging and fun atmosphere for

More information

SafetyFirst Alert. Improving Prescription/Order Writing. Illegible handwriting

SafetyFirst Alert. Improving Prescription/Order Writing. Illegible handwriting SafetyFirst Alert Massachusetts Coalition for the Prevention of Medical Errors January 2000 This issue of Safety First Alert is a publication of the Massachusetts Coalition for the Prevention of Medical

More information

Minimizing Prescription Writing Errors: Computerized Prescription Order Entry

Minimizing Prescription Writing Errors: Computerized Prescription Order Entry Minimizing Prescription Writing Errors: Computerized Prescription Order Entry Benjamin H. Lee, M.D., M.P.H. Johns Hopkins Medical Institutions Baltimore, Maryland I. Background Iatrogenic errors producing

More information

North York General Hospital Policy Manual

North York General Hospital Policy Manual ORIGINATOR: Code Blue/Pink Committee APPROVED By: Operations Committee Medical Advisory Committee ORIGINAL DATE APPROVED: September, 1999 DATE REVIEWED: April, 2012 DATE OF IMPLEMENTATION: June 29, 2012

More information

Candidate Guidelines Therapeutic Decision Making Examination

Candidate Guidelines Therapeutic Decision Making Examination Candidate Guidelines Therapeutic Decision Making Examination What is the Therapeutics Decision Making (TDM) Examination? Therapeutics is defined as the application of knowledge in the pharmacological and

More information

How BPOC Reduces Bedside Medication Errors White Paper

How BPOC Reduces Bedside Medication Errors White Paper How BPOC Reduces Bedside Medication Errors White Paper July 2008 Brad Blackwell, M.S., R.Ph. Eloise Keeler, R.N., B.S.N. Abstract Medication errors are a significant source of harm to patients in U.S hospitals,

More information

Introduction of EPMA in paediatric practice in UK:

Introduction of EPMA in paediatric practice in UK: Introduction of EPMA in paediatric practice in UK: REALISING THE CLINICAL BENEFITS AND ENGAGING CLINICAL STAFF Stephen Marks Consultant Paediatric Nephrologist and EPMA lead Great Ormond Street Hospital

More information

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: NURSING AND PHARMACY GUIDELINES FOR THE ADMINISTRATION OF IV TREPROSTINIL (REMODULIN ) Job Title of Reviewer: Director, Pharmacy POLICY

More information

Wyoming STATE BOARD OF NURSING

Wyoming STATE BOARD OF NURSING David D. Freudenthal Governor Wyoming STATE BOARD OF NURSING Mary Kay Goetter, PhD, RNC, NEA-BC Executive Director 1810 Pioneer Avenue Cheyenne, Wyoming 82002 Phone: 307-777-7601 FAX: 307-777-3519 http://nursing.state.wy.us

More information

2 Palliative Care Communication

2 Palliative Care Communication 2 Palliative Care Communication Issues Joshua Hauser Abstract Difficult conversations for patients and families can be challenging for physicians and other healthcare providers as well. Optimal preparation

More information

Kate Beaumont. Strategy Advisor, NPSA Head of Clinical Interventions, National Patient Safety Campaign.

Kate Beaumont. Strategy Advisor, NPSA Head of Clinical Interventions, National Patient Safety Campaign. Why Safety Matters Kate Beaumont Strategy Advisor, NPSA Head of Clinical Interventions, National Patient Safety Campaign Catherine.beaumont@npsa.nhs.uk www.npsa.nhs.uk About the NPSA What we are: Arm s

More information

Common Course Outline for: NURS 1057 NURSING ASSISTANT

Common Course Outline for: NURS 1057 NURSING ASSISTANT Common Course Outline for: NURS 1057 NURSING ASSISTANT A. COURSE DESCRIPTION 1. Number of credits: 4 credits 2. Lecture hours per week: 1 hour 50 minutes per week. Lab hours per week: 3 hours 50 minutes.

More information

CLINIC EMERGENCY READINESS PROGRAM For Pediatrics

CLINIC EMERGENCY READINESS PROGRAM For Pediatrics CLINIC EMERGENCY READINESS PROGRAM For Pediatrics *Making Your Clinic Ready For a Pediatric Emergency* 2012 Version 2a F. Keith Battan MD FAAP Program director, CERP training Colorado Permanente Medical

More information

STANDARDIZED PROCEDURE ARTERIAL CATHETER INSERTION (Adult)

STANDARDIZED PROCEDURE ARTERIAL CATHETER INSERTION (Adult) I. Definition: This protocol covers the task of arterial line insertion by an Advanced Health Practitioner. The purpose of this standardized procedure is to allow the Advanced Health Practitioner to safely

More information

Course Title: Emergency Medical Responder 3 Course Number: Course Credit: 1. Course Description:

Course Title: Emergency Medical Responder 3 Course Number: Course Credit: 1. Course Description: Course Title: Emergency Medical Responder 3 Course Number: 8417171 Course Credit: 1 Course Description: This course prepares students to be employed as Emergency Medical Responders. Content includes, but

More information

HAWAII HEALTH SYSTEMS CORPORATION

HAWAII HEALTH SYSTEMS CORPORATION All Positions HE-13 6.822 Function and Location This position works in the respiratory therapy unit of a hospital and is responsible for supervising several respiratory therapy technicians in providing

More information

Improving the Emergency Care System for America s Children

Improving the Emergency Care System for America s Children Improving the Emergency Care System for America s Children National Association of State EMS Officials September 27, 2012 Elizabeth Edgerton, MD, MPH Branch Chief: EMSC and Injury & Violence Prevention

More information

Children with Medical Complexity: A Unique Population with Unique Needs

Children with Medical Complexity: A Unique Population with Unique Needs Children with Medical Complexity: A Unique Population with Unique Needs Nancy Murphy MD, Professor and Chief, Division of Pediatric PM&R, University of Utah School of Medicine Rishi Agrawal MD, MPH, Lurie

More information

ACUTE ISCHAEMIC STROKE (INPATIENT)

ACUTE ISCHAEMIC STROKE (INPATIENT) ACUTE ISCHAEMIC STROKE (INPATIENT) MODULE: ACUTE CARE TARGET: FY1 & FY2 TRAINEES AND FINAL YEAR MEDICAL STUDENTS BACKGROUND: Stroke is a major health problem in the UK accounting for approximately 11%

More information

MEDICINES CONTROL COUNCIL

MEDICINES CONTROL COUNCIL MEDICINES CONTROL COUNCIL EMERGENCY PROCEDURES FOR CLINICAL TRIAL SITES This document highlights the importance of having emergency standard operating procedures in place during the conduct of clinical

More information

HOW WE GOT HERE 1935: Social Security Act Private nursing homes

HOW WE GOT HERE 1935: Social Security Act Private nursing homes 1 LeadingAge Oklahoma Annual Conference March 8, 2017 CMS Revised Pharmacy Regulations: Lessons Learned from Phase 1, Guidance for Phase 2 William M. Vaughan RN, BSN Vice President, Education and Clinical

More information

electronic Medication Management (emm) Innovation and Systems Research

electronic Medication Management (emm) Innovation and Systems Research electronic Medication Management (emm) Innovation and Systems Research Presented by Stephen Kalyniuk Senior Project Manager 1 Australian Commission on Safety and Quality in Health Care (ACSQHC) Implementing

More information

Objective Competency Competency Measure To Do List

Objective Competency Competency Measure To Do List 2016 University of Washington School of Pharmacy Institutional IPPE Checklist Institutional IPPE Team Contact Info: Kelsey Brantner e-mail: ippe@uw.edu phone: 206-543-9427; Jennifer Danielson, PharmD e-mail:

More information

Introduction to the Parking Lot

Introduction to the Parking Lot Introduction to the Parking Lot In ARK Epic training sessions, The Parking Lot" is used to capture all questions for which your trainer may not have an immediate answer during session. Your ARK Epic Training

More information

4/26/2017. Emergency Department Pharmacist Interventions in a Small, Rural Hospital. Disclosure Statement. Learning Objectives

4/26/2017. Emergency Department Pharmacist Interventions in a Small, Rural Hospital. Disclosure Statement. Learning Objectives Emergency Department Pharmacist Interventions in a Small, Rural Hospital Chaundra Sewell, PharmD PGY1 Pharmacy Practice Resident Community Medical Center Missoula, MT Disclosure Statement This presenter

More information

Medical Simulation Orientation

Medical Simulation Orientation Medical Simulation Orientation Familiarization with IMSE s METI ECS Simulation Manikin Getting to know the Simulator Aims and Goals of Orientation To allow participants to familiarize themselves with the

More information

Symptom Relief Kit. Guidelines

Symptom Relief Kit. Guidelines Symptom Relief Kit Guidelines Hospice Palliative Care Teams for Central LHIN August 20, 2015 Hospice Palliative Care Teams for Central LHIN 1 Table of Contents 1. Definition... 3 2. Why Order a SRK?...

More information

Orientation Self-Study Guide Test

Orientation Self-Study Guide Test Orientation Self-Study Guide Test PRINT Last Name: PRINT First Name: Score: Date: Work Area/Shift: Employee #: 1. Which of the following tasks would be the most appropriate for a registered nurse (RN)

More information

GUILFORD COUNTY SCHOOLS JOB DESCRIPTION JOB TITLE: SCHOOL NURSE SCHOOL-BASED GENERAL STATEMENT OF JOB

GUILFORD COUNTY SCHOOLS JOB DESCRIPTION JOB TITLE: SCHOOL NURSE SCHOOL-BASED GENERAL STATEMENT OF JOB GUILFORD COUNTY SCHOOLS JOB DESCRIPTION JOB TITLE: SCHOOL NURSE SCHOOL-BASED GENERAL STATEMENT OF JOB Under general supervision, performs supervisory and emergency medical and administrative work providing

More information

Department of Emergency Medical Services

Department of Emergency Medical Services MIAMI DADE COLLEGE MEDICAL CENTER CAMPUS SCHOOL OF HEALTH SCIENCES Department of Emergency Medical Services CLINICAL COURSE OUTLINE EMS 1431 EMERGENCY MEDICAL TECHNICIAN BASIC 1 EMS 1431 EMERGENCY MEDCIAL

More information

TASCS 2017 Annual Conference 3/2/2017

TASCS 2017 Annual Conference 3/2/2017 Texas Ambulatory Surgery Center Society 2017 Annual Conference Emergency Protocols for Ambulatory Surgery Centers Laura Schneider, RN, CGRN, CASC Objectives 1. Evaluate the level of emergency preparedness

More information

RECOMMENDATION FOR CONSIDERATION

RECOMMENDATION FOR CONSIDERATION Board Meeting Date: June 15, 2016 RECOMMENDATION FOR CONSIDERATION Subject: Critical Care Transfer of Care Data Elements and Form VTR#: 0616-04 Committee/Task Force: Critical Care Transport Task Force

More information

Crew Resource Management for Trauma Resuscitation. Amy Krichten, MSN, RN, CEN PA Trauma Systems Foundation Director of Accreditation

Crew Resource Management for Trauma Resuscitation. Amy Krichten, MSN, RN, CEN PA Trauma Systems Foundation Director of Accreditation Crew Resource Management for Trauma Resuscitation Amy Krichten, MSN, RN, CEN PA Trauma Systems Foundation Director of Accreditation Learning Objectives 1. Review Impact of Errors Aviation Healthcare 2.

More information

4. If needed Add a home medication, right mouse click over a medication and Modify or Cancel/Dc medications that are inaccurate.

4. If needed Add a home medication, right mouse click over a medication and Modify or Cancel/Dc medications that are inaccurate. How to Admit a Patient 1. Please communicate to the ER Unit Secretary to Move the patient in the Cerner system to the Overflow Location. A bed request order needs to be initiated by the ED doctor. 4. If

More information

Health Management Information Systems

Health Management Information Systems Health Management Information Systems Computerized Provider Order Entry (CPOE) Computerized Provider Order Entry (CPOE) Learning Objectives 1. Describe the purpose, attributes and functions of CPOE 2.

More information

Improving Sign-Outs in Hospital Medicine

Improving Sign-Outs in Hospital Medicine Improving Sign-Outs in Hospital Medicine Arpana R. Vidyarthi, MD Assistant Professor of Medicine Division of Hospital Medicine Director of Quality, Division of Hospital Medicine Director, Patient Safety

More information

MEDICAL DIRECTIVE Advanced Life Support (ALS): Intraosseous (IO) Cannulation and Infusion

MEDICAL DIRECTIVE Advanced Life Support (ALS): Intraosseous (IO) Cannulation and Infusion Authorizing physician(s) LHO - Code Blue, Emergency Department & Critical Care Physicians LHB - Emergency Department and Critical Care Physicians LHPP - Emergency Department Physicians Authorized to who

More information