Core Measures
Sepsis: Abx time frame and important rule
<60 mins from triage time
Blood cultures before scanning and admin
How do I pull up Policy?
Policy stat through Intranet
D/C LOS for ESI 4&5 goal: how can I support this?
80 mins;
Anticipate discharge needs
Reassess & document promptly
Remove barriers early
What is CUSS?
C- I am concerned
U- I am uncomfortable
S- This is a safety Issue
S- we need to Solve this together
TRANSPORTING A CRITICAL PT
FULL MONITORING OF VS
YOU THE RN - NEED HELP SPEAK UP
RT - IF APPLICABLE
FULL 02 TANK
02 DELIVERY
AMBU BAG
EXTRA MEDICATIONS (CRITICAL GTTS LIKE VASOPRESSORS)
Stroke: BP parameters for TNK, maintenance may require what medication
<185/110, pt may need continuous niCardipine gtt
How do I pull up a reference for a skill?
Dynamic Health in External links
1st Med order to admin metric; how can I support this
<20min
Watch for new orders
Give meds promptly
Escalate delays/barriers
AIDET?
A- Acknowledge
I- Introduce
D- Duration
E- Explanation
IF YOU MESS?
RE-ASSESS
DOCUMENT
ESCALATE
ETC
STEMI: Pt must get this within 10 mins of arrival and placed on what ?
EKG, cardiac monitoring including Lifepak
Time Edit sheets: When should I submit
Submit in real time- day off to prevent issues with pay and time edits
Patient Experience metric; how can I support this
Patient Experience >55%
AIDET + bedside updates
Use the whiteboard
Set expectations
Keep patients informed — even when they’re waiting
What are items every ED room should have?
2x 02 delivery
2x suction set up
Thermometer
complete monitoring - cardiac leads, SPO2, BP
* Core temp , art line, end tidal
WHAT DO I DO WITHIN 30 MINS OF PT DEPARTURE?
FULL SET OF VS - YES TEMP INCLUDED
REVEIW LABS AND DIAGNOSTICS
DOCUMENT REASSESSMENT
BGL- Don't be the nurse that transported a pt that is hypoglycemic - very hyperglycemic
- hx of dm
- hypermetabolic states AKA Working hard to stay alive
- long stays in ED NPO
HARD STOP- DO NOT TAKE MY PT UNTIL _____ IS COMPLETED. THIS IS A SAFETY ISSUE
#1 rule Core measures
NURSE DRIVEN Know your signs and symptoms
Drug compatibility?
LexiDrug; External links
EKG Time metric
<5 mins of arrival and reported Chief complaint
What is the most important action you can take to prevent patient harm in the Emergency Department?
Speak up when you have a safety concern
THE BEST WAY TO SET EACH OF US UP FOR SUCCESS?
COMMUNICATION
CLOSED LOOP COMMUNICATION
RESPECT
24 HRS JOB- HELP EACHOTHER
PLUG THINGS IN
Checklist: are they important?
They are Mandatory! Help as a guide and aid in making sure you are not missing a step
Where can I access CBSO, GHR, Rewards etc
My path
Metrics are are a Quantitive value that represent our EDs what?
Patient safety
Timely care
Quality improvement
Team accountability
Non-negotiable standard for Hand-off?
BED SIDE SHIFT REPORT
- BASELINE PT AND TRENDS
AIDET- Manage each other up
I-trace
Oxygen demand
medication verification
neuro exam- LOC, Pupils, NIH
WHAT IS THE MOST IMPORTANT THING IN NURSING PER ALICCIA?
-OWNERSHIP
-ACCOUNTABILITY
-FOLLOW THROUGH
- RESPECT YOUR TEAM
-DESIRE TO KEEP LEARNING, GROWING, DEVELOPING