TOA
Medication reconciliation as a strategic priority
Medication reconciliations at care transitions
Safe surgery Checklist
100

What is SBAR for 

What does is stand for

Organizing a TOA 

S-situations 

B- background

A- Assessment 

R- Recommendation 

100

BPMH what is it?

What is it for ?

Best possible medication history

Identification and documentation of patient’s current home medication regimen.

100

Who determines which medication should be continued or discontinued for patient at SJGH  

MRP

100

What are the 3 distinct phases of the safe surgery checklist.

Briefing

Time out

Debriefing

200

Who should be giving TOA 

The nurse who assessed and provided care throughout the shift.

200

What is the medication reconciliation process?

Process where health care staff work together to obtain accurate medications to patients as well as make sure the patients understand the medication information.

200

In an event of a medication discrepancy what should you do?

Contact a physician. The Most responsible prescriber should be in charge of resolving this medication discrepancy.

200

Explain every phase

briefing: the period before induction of anesthesia

time out phase: the period after induction and before surgical incision 

debriefing phase: The period during or immediately after wound closure but before the patient is transferred from the OR

300

What does TOA involve at SJGH

Communicating pertinent details that the receiving nurse needs to know to provide safe patient care.

300

To obtain BPMH, how many sources is used. Name them

2 sources

Patient and or family

Pill bottle, medication list, blister pack

300

Who is responsible to obtain the BPMH

Nurses

300
  • True or false

A laminated copy of the checklist is available outside of each operating room

false



In the operating room 

400

TOA means

Transfer of accountability

400

When is BPMH required during a pt journey at SJGH

  • Within 24 hours post admission
  • During or prior to diabetes education ambulatory clinic
  • Pre op or day of surgery
400

Where does SJGH staff find a step-by-step process to BPMH

Intranet/ Staff/ Medication Expanse/ Expanse Tipsheets/ BPMH.

400

Who is responsible to dictate in the patient’s operative note the surgical safety checklist.

The surgeon 

500

When SJGH nurse handoff for a break they have to include… Name 3

-Length of absence

-expected location during absence

-patient SBAR report including ( iso, patient safety info, expected treatments)

500

Name 5 out of 10 practical tips to obtain an accurate BPMH

  • Be proactive
  • Prompt questions about non-prescription categories
  • Prompt question about unique dosage forms
  • Dont assume pt are taking medications according to prescription vials
  • Use openended questions
  • Use medical conditions as trigger
  • Consider pt adherence with prescribed regimens
  • Verify accuracy
  • Obtain community pharmacy contact informatio
  • Use a BPMH trigger sheet
500
  • True or false
  • The patient is an active participant in the briefing process

TRUE

500

Who is responsible to dictate in the patient’s operative note the surgical safety checklist.

The team confirms pt identity

The circulating nurse will document that an emergency checklist was performed on operative notes.

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