Make the Call
__Blank_____ can activate a medical emergency team (MET) call when concerned. In fact even family members can.
What is Anyone?
An evidence based practice shown to decrease falls, pressure injuries, call lights and enhance patient safety and the patient experience.
What is Intentional Rounding?
When an intervention is provided for patient pain the reassessment should occur no later than this time frame, however route of medication should be considered and reassessment completed earlier if IV or IM.
What is within 1 hour?
When contacted by heart central we have 4 minutes to correct this matter or a MET team is activated for patient safety and only CCO can cancel MET teams.
What is a lead off?
Bedside handoff is the first safety and intentional round of your shift and should occur at this location.
What is at the patient's bedside?
The emergency number to activate for MET teams, fall team stats and codes. This allows us a direct line to the operator rather than waiting in a que that can cause delay.
What is 444?
Pain, Position, Personal belongings, and Potty are part of intentional rounding and should be assessed hourly on day shift and every 2 hours between 2200 and 0600. These items assessed are commonly known as...
What are the 4 P's?
These are all documented elements for what: RR, pain level, pain scale, location, relief acceptable, and LOC.
What is a pain reassessment?
When virtual patient observation is in place this should always be open at all times.
What is the patient's door?
This should be checked q-shift as part of your 12 hour chart check and passed in report if it requires follow up.
What is signed patient belongings?
Being worried about the pt condition and wanting additional clinical opinion, acute change in HR from baseline, acute change in systolic BP from baseline, acute change in RR from baseline, acute change in oxygen saturation, acute change in LOC, urine output less than 50mL in 4 hours or signs and symptoms of stroke are criteria to call this.
What is a MET team.
Safety alarm devices are activated at night on all patients regardless of risk status between these hours.
What is 2200 to 0600?
If a patient is alert and oriented and does not want family or emergency contact notified of an event such should be documented here.
What is a clinical note?
You are about to insert a foley catheter however the patient has virtual patient observation in place. You should do this to get the attention of the attendant and move the camera towards the door for patient privacy and so they know when you leave to turn the camera back onto the patient.
What is wave to the camera?
In efforts to ease documentation and support q2 hour assessments these checks may be more frequent initially to get them on a whole hour.
What is q2 hour restraint charting?
Vitals are recorded every 30 minutes for 2 hours and then every hour for 2 hours if a patient remains on the unit and does not transfer to a higher level of care.
What is post-met call assessment and observation monitoring?
This should be done qshift utilizing the order log history report.
What is a 12-hour chart check?
Your patient's EKG machine interpretation is noting "abnormal". Per policy you notify the provider with the expectation of receiving a call back within 30 minutes and document page and time of call back within this area of Epic.
What is the Provider Notification section?
We enter events into this area for review and the support of our leaders, quality team and risk managers in efforts to promote safety and quality.
What is the SafeLee Portal?
This attestation should be completed during bedside handoff before you leave your shift.
What is the 12-hour chart check attestation.
If a patient is experiencing a life-threatening dysrhythmia such as v-tach or v-fib but is alert and oriented; if the patient has a partial airway obstruction; experiencing anaphylaxis; undergoing an acute MI we activate this emergency response by dialing 444.
What is a code blue?
In the event of a patient fall a post fall team stat is initiated, post fall assessment and orthostatics completed, and leader on call notified so this can occur once patient is stabilized.
What is a post-fall debrief?
Documentation guides exists and should be completed and provided to the charge nurse leader before the end of shift for review and cover METs, Falls, Codes, and Restraints. These guides can be found here.
What is the documentation guide binder at the main station?
Orders for virtual patient observation should be assessed and renewed by the primary nurse this often and placed in Epic. The charge nurse should be updated and this also passed on during handoff report.
What is every 12 hours?
When a patient is transferred to another level of care it is best to review and document here.
What is the Transfer Navigator?