Equipment
Describe two different ways toilets can be mounted to accomodate 1000 lbs. and which are available on your unit.
1. Floor Mounted
2. Supported with a toilet support
Name the methodology used for our quality projects
DMAIC
Describe the symptoms of an anastomotic leak
Tachycardia, fever, nausea, vomiting, pain, and leukocytosis
what is the frequency the MBS Committee meets
Quarterly
Name the handout used to educate patients on center's volume specific to each procedure, the expected outcomes, risks, benefits and alternatives to each procedure.
Procedures at a Glance
Describe the process for ordering weight appropriate furniture that is not available onsite
1. Order on the procedure booking sheet
2. Ask the unit clerk to initiate an order with the rental company
Name two of the bariatric quality projects that have been initiated
Describe the protocol that is followed when a patient with a history of bariatric surgery presents to the ED.
Name 4 bariatric surgeons in our facility AND which one is the MBS Director
Drs. GF, AUE, AA, FC
Dr GF
Name the two designated Bariatric Units
1. PACU
2. 4800
Where can I find the weight capacity of the equipment in our facility (be specific)
What is Ellucid>Bariatric Policy & Procedure Manual>Facilities, Equipment and Furniture Resources>
Name 3 reasons a patient would be excluded from having bariatric surgery.
Describe the symptoms that would raise concern for BOTH:
1. DVT
2. PE
1. DVT=Pain, swelling, tenderness, discoloration, or redness, warm skin
2. PE=SOB, CP, tachycardia, anxiety, hypoxia, or fever
What does the role of the MBSCR (metabolic and bariatric clinical reviewer) AND name one of our MBSCRs
Abstracts and enters all bariatric data into the MBSAQIP data registry.
DP or BK
Name 3 required bariatric education modules in Focus.
1. Sensitivity Training
2. Patient Transfer and Mobilization
3. Signs and Symptoms of Postoperative Complications.
What is the maximum weight of a patient who can have bariatric surgery at our facility?
500 lbs
Describe two ways your team works together to care for bariatric patients
MBS Committee Meetings: Held Quarterly
Departmental Rounds
Shift Huddles
Bariatric Inservicing to Departments
Bariatric Equipment Rounds
Standard Progress Notes
Standard Orders
Support groups
There are 5 reasons in the standard order sets to call the surgeon. Name 3.
Describe the purpose of the MBS Committee
a confidential setting for sharing best practices, responding to adverse events and fostering a culture to improve patient care
Name 3 bariatric pathways
1. Preoperative
2. Perioperative/Intraoperative
3. Postoperative
A patient is about to sit in a chair that cannot accommodate their weight. What do you say to them?
Let me get you a more comfortable chair (or something similiar)
What is the SAR and what happens if our site is found to be a high outlier in a particular category of the SAR
1. Semiannual Risk-Adjusted Report
2. High outliers must develop a QI initiative to address the high outlier status.
A patient presents to the ED with intermittent abdominal pain. What could be the reason for this? Name one test would you order to help diagnose the problem?
Internal Hernia
Bowel Obstruction
Appendicitis
... and many more!
Testing: Labs, CTAP,
Name 3 standard agenda items in the MBS Committee Meeting
Procedure Volumes, Adverse Event Review, Pathway Review, Quality Projects, Compliance with MBSAQIP Standards, Research Update
Describe the education the patient receives before, during or after surgery.