STAFFING
Nurses and CNAs should call out for the next shift by this time.
You are concerned about a patient. The providers aren't listening to you (the charge RN) or the covering RN. Who do you call?
Who is the clinical coordinator?
The correct response to a family request after hours to spend the night with a patient.
What is: "Requests cannot be honored after visiting hours are over?"
When your nurse tells you the bed scale in room 1033 isn't working, this is your first step to addressing the problem.
What is: utilize the QR code?
A nurse or CNA is unhappy with their assignment. This is what you do:
What is: review the acuity assignment tool with the employee and explain the rationale for the arrangement?
When a nurse/CNA calls out after 4am/pm for the next shift, the charge nurse will direct them to call this person.
Who is the NM?
When a patient's trach comes out unexpectedly, first assess the patient then make this call.
What is: airway rapid response?
You overhear a visitor fighting with the patient in room 1036. This is the best next step.
What is: Call security?
(662-COPS)
This is what you should do first when a nurse tells you that the bed alarm in room 1034 isn't working.
What is: call EVS and immediately move the patient to a new bed?
Unit tipsheets are found here.
What is the 10 Campus/9 City EMU Microsoft Teams page?
This is when the charge nurse sends a message via Remind advertising bonus.
What is when you're down 1 or more nurses?
A patient fell in the bathroom. The primary RN called a staff assist. The team assisted the patient back to bed, provider was made aware and no STAT HCT was needed. This is what you do next as charge.
What is lead the post-fall huddle (utilize QR code/sheet)?
A rapid response is called for a family member. This is the person who can check the individual's blood glucose.
Who is the rapid response nurse?
This is the department to call when a patient admitted after hours is found to have bed bugs.
What is Environmental Services?
This strategy is useful when a breakdown in communication ocurrs with a provider.
What is the CUS method?
The charge nurse finds an employee sleeping at work. After waking the person up, this is the next thing that should be done.
What is report incident to Nurse Manager?
When a patient is being moved to a higher level of care, these people must accompany the patient upon transfer.
Who are the covering RN and provider?
This department is available to spend time talking to patients who utilize the call bell frequently "just to chat."
Who are pastoral care (or ambassadors)?
Call this department when major unit-based equipment breaks. (example: Dynamap)
Who is clinical engineering?
You have a patient fall during the shift; this is the most important thing to remind the covering provider that isn't nursing related.
What is remind provider to call patient's family?
The charge nurse witnesses two employees arguing and fighting on the unit. This is what the charge nurse should do after first separating the employees:
What is: call leadership immediately?
(next - call admin)
When a CNA alerts you that a patient is covered in blood because he pulled out his central line, this is what you would do.
What is: Hold pressure?
(and call provider)
This department can help with patients or family members who have concerns regarding their care.
Who is Patient-Guest Relations?
When the Nihon Kohden system goes down, you should do these 5 things:
1. What is: call the nursing administrator
2. What is: call the clinical coordinator
3. What is: call patient covering providers
4. What is: notify your nurses
5. What is: put the patients on propacks
When a nurse reports that they were stuck by a needle. This is what you tell them to do.
(Day shift)
What is: alert leadership and send to Occupational Medicine
(Night shift)
What is: send the person to the Emergency Department, notify leadership in the morning?