PreOp
These must be documented on every patient, so we have a baseline prior to surgery
What is vital signs?
This score must be a 9 or greater or return to pre-surgical baseline prior to leaving Phase I.
What is Aldrete?
These types of procedures can drive themselves home.
What is spinal?
This is how long your patient should remain in Phase II after administration of a narcotic.
What is 30 minutes?
Per TJC, this patient specified value must be documented in PreOp to plan for care postoperatively
What is a pain goal?
This vital sign needs to be documented on admission and immediately prior to discharge from Phase I.
What is temperature?
These must be documented within 15 minutes of being discharged home.
What are vital signs?
This was created to aid in nursing documentation of Nozin, SCDs, and discharge teaching specific for SDD.
What is a same day joint discharge note?
This is how long a patient needs to remain in PACU after receiving 0.2mg IV dilaudid.
What is 30 minutes?
These ERAS protocols should be performed and documented on a patient scheduled for a spine surgery.
What are nozin, warming gown, and CHG/Theraworx?
What are vital signs including temperature, focused assessment including surgical site, PIV, I&O's?
This 8-level score must be documented on every patient prior to discharge.
What is the JHH Mobility score?
This is how often a joint patient's neurovascular assessment should be completed.
What is in PreOp, on admit to PACU, q15 x3, then every hour until Phase I discharge criteria is met? Again, in Phase II, if outpatient
This is how long patients must stay in Phase I/Phase II prior to discharge.
What is minimum 30 minutes?
These 5 things should be documented by the RN performing the LPN assessment
What is physical assessment, IV, present on arrival, education assessment, and care plan?
This is documented when you contact a provider.
What is provider notification?
This is where you can add patient specific printed materials.
What is education?
Click on education in navigator, education at the top, then to the right is patient materials.
What is CHG and Nozin?
Your patient received IV antihypertensive medication. This is how long they must remain in Phase I.
What is 30 minutes prior to transfer to Phase II or inpatient?
These assessment elements must be documented in PreOp if a patient is undergoing a CEA
What is a neuro assessment including LOC and orientation, strength in all extremities, any numbness/tingling, pulses in all extremities, any alterations to voice, any baseline abnormalities to face?
These need to be documented on and discontinued prior to discharge.
What is LDA and incisions?
Your patient received Narcan for opioid-induced pruritis. This is how long they need to be monitored in Phase I.
What is no minimum time? Two hours only applies to Narcan for opioid reversal.