TOAI
What are some of the key pieces of information that should be transferred during care transitions?
Full name, MRN, Clinical status, safety concerns/risk factors, action items, allergies, code status, etc
When should PPID be performed?
How do are patients assessed for falls risk in your area?
In-patient: Morse on admission, after fall and with change in status.
Out-patient: screening questions, interview during initial assessment
What are some of the ways you prevent the spread of infections in your area?
What typically happens after a safety incident occurs in your area?
Stabilize patient, submit incident report, post-fall assessment/navigator (if applicable), share at huddle, inform manager, debrief, manager loopback.
Which standard tool does UHN use to support TOAI?
IPASS
What two person-specific identifiers are used for PPID in your area?
In-patient: MRN, full name
Out-patient: MRN OR patient's full name OR DOB
How are patients assessed for risk of pressure injury on an in-patient unit?
Braden scale on admission, weekly, and with change in status.
What are the 4 moments of hand hygiene?
1. Before contact with patient/patient environment.
2. Before aseptic procedures.
3. After contact with bodily fluids/secretions.
4. After contact with patient/patient environment.
If there is a disagreement or uncertainty regarding the plan of care between team members or between team members and patient/family/SDM, what are some steps you would take?
Talk to team, refer to SW, include manager, refer to bioethics (patient education pamphlet), look at bioethics intranet site for materials/frameworks.
Where can you find TOAI for your profession documented in Epic?
Profession specific - nursing TOA tab, Allied Health IPASS tool, progress notes, etc
What does your team do to reduce the risk of pressure injuries in your area?
What are the two methods of hand hygiene and when would you use each method?
Hand sanitizer - recommended method
Soap and water - when hands are visibly soiled
What can you do to protect PHI?
Locked filing cabinets, restricted access spaces, limiting patient chart access to "need to know" basis, use of passwords, encryption, audits, timed sign-off on computers and applications.
How do we ensure patients and families have been given the information needed at care transitions?
Use of teachback, patient experience survey, documentation of discussions, After Visit Summary (AVS), reasonable effort to include families (when patient consents)
How do you involve patients and families in PPID?
Explaining importance of PPID, PPID posters, PPID patient education pamphlets.
How are team members made aware if a patient is at high risk of falls?
Epic banner, Yellow "notes to clinical staff" box, PT/OT summary boxes, bed alarm signs, safety huddles, rounds discussions, TOAI
How do you know equipment has been appropriately cleaned before using?
Area specific - separate areas for "clean" and "dirty", signs to identify "clean" and "dirty", standardized processes in each area that all staff are aware of
What do you do if a patient voices a complaint?
Provide support, listen and resolve, provide manager information, refer to patient relations (provide patient education pamphlet).
What does IPASS stand for?
I - Illness Severity, P - Patient Summary, A - Action Items, S - Situational Awareness, S - Synthesis
True or false: Barcode scanning can be used as one of the two unique identifiers during PPID.
False. Barcode scanning is in ADDITION to the two-identifier PPID system, not a replacement.
How do you involve patients and families in falls prevention and pressure injury prevention?
Education with teach back, patient education pamphlets, universal falls precautions posters, therapeutic falls.
How do you know what PPE to wear when providing patient care?
Epic, signage outside patient rooms, point-of-care risk assessment, TOAI
How do you know patients are a priority at UHN?
Patient declaration of values, engaging with patient partners