Pain
Pain score of 1-3
What is mild?
CHG full body wipes & Bilateral Povidone Nasal Swabs
What are day of procedure preps?
Documentation for disposition of patient belongings
What is the Valuables/Belongings AdHoc?
Recorded on admission, discharge, and every 15 minutes until normothermic
What is temperature?
Home medications prescribed for after surgery must include this information
What is the next dose due, date and time?
A score of 5 or greater in this assessment means the patient likely has Sleep Apnea
What is STOP-BANG?
All surgery patients are considered this
What is a Fall Risk?
A Colon Resection is a procedure included in this Bundle
What is the Colon Bundle?
Positioning/repositioning, ice, guided imagery
What are non-pharmacologic interventions used to treat pain?
Total Joint Class or Booklet
What are types of education the patient may receive pre-op?
Handoff communication when patient transfers from PreOp to OR
What is Periop Safety Departure?
Assessment completed with all Vital Signs
What is Pain Assessment?
Required for all patients at time of discharge, if patient is transferring between phases or to Nursing unit
What is Handoff Communication?
Order set that must be initiated for patients with Sleep Apnea
What are the Sleep Apnea Standing Orders?
Color of sticker placed on armband that signifies Fall Risk
What is yellow?
Blanket used in all perioperative phases to ensure patients are normothermic
What is a Forced Air Warming blanket (Mistral Air)?
Screening for pain on admission
What is the initial pain assessment?
Extremity assessments performed bilaterally
What are Neurovascular & Neuromuscular?
Baseline scale documented prior to Carotid Endarterectomy
What is the NIH Stroke Scale?
Score used to determine if a patient is ready for discharge
What is the Aldrete score?
Must be discontinued when a patient is transferred to Phase II
What are the Phase I Anesthesia orders?
Length of time that an OSA patient must stay in PACU and Phase II before discharge home
What is 2 hours?
Safety measures for beds or stretchers
What are low position, wheels locked, side rails up?
A Spinal Fusion is included in this Bundle
What is the Ortho Bundle?
Sedation scale for sedation assessment in PACU
What is Pasero?
Tool used to guide documentation for Total Joints
Time Out for PNBs must be documented in this band
Handoff from Anesthesia must include this Red Rule
What is Line Reconciliation?
Name 3 things that must be included as part of the discharge documentation for education
What are home caregiver present, additional learners present, barriers to learning, teaching method?
These measurements are included in the OSA score
What are BMI and Neck Circumference?
Safety equipment used when ambulating a patient
What is a gait belt?
POC testing done on all Bundle patients in PreOp
What is Blood Glucose?
Order initiated when a patient requests a lower strength pain medication
Paper form that includes items to be documented for every Total Joint and is a part of the patient's permanent medical record
What is the Nursing Clinical Pathway?
Pulses are assessed on these types of surgical patients in PreOp
What are patients having vascular or orthopedic surgeries?
The surgeon must complete this documentation before a patient is discharged from PACU
What is the Surgery Op-Note?
Anesthesia note that must be documented before a patient is discharged home from Phase II
What is the Post Anesthesia Evaluation?
Monitoring required for OSA patients post-op
What is continuous pulse oximetery?
Item documented as within reach in PreOp and Phase II
What is the Call Light?
Bundles are Evidence-Based Practice measures used to prevent __________.
What are Surgical Site Infections?