ASPAN SOC & Benchmarks
Generally, Nurse/Patient Staffing in PACU
What is 1:2
Pre-Op, Anesthesia Provider and OR Circulator share accountability
What is Prior to Transport Checklist?
Focus both on the patient and the family when communicating
What is 'OCTC?'
'Clear is Kind'
What is a better means of communication than avoidance?
IV trays ready (except lido), IV pumps and pneumo pumps in pre-op rooms, pre-assign pt's to pre-op rooms for next day's 1st cases, no carts stored in pre-op, PCA rooming pt's
What are things that can be done day before to facilitate efficient admissions?
General Nurse/Patient benchmark staffing in pre-op
What is 1:2?
Most frequent contributor to a 'fail' in audit reviews on Prior to Transport for Perianesthesia staff
What is charting early?
Apologize, even if nothing was done wrong
What is enhancing the patient's experience?
Compliments open doors to great work relationships
What is appreciating others?
Charting VS, bladder scanning, & removing IV's
What are skills PCA staff can perform?
General Nurse/Patient staffing in Phase II
What is 1:3?
Includes prior to transport, sign in, time out, and debrief
What are the components of the universal protocol?
Consistently fill in the care boards in pre-op and Phase II
What is providing our patients with basic and welcoming information?
Doing this exacerbates a situation and leads to mistrust
What is gossiping?
Significant SSI reduction, comfort
What are benefits of pre-warming?
Two conscience patients stable, 8 years of age and under with family or competent support staff present, but not yet meeting d/c criteria.
Or
One unconscious patient, hemodynamically stable, with stable airway over the age of 8 years, and 1 conscience patient stable and free of complications
What is can pediatric patients be paired in PACU?
Audit results posted on the far right of the Tier I huddle board
What are graphs demonstrating compliance with all 4 components of the Universal Protocol?
Pain, bleeding, constipation and nausea
What are the components of the additional discharge information?
Ask colleague about their background, interests, and prior successes
What is making an effort to get along with someone you can't relate to at work?
Two of these are currently on order and more will be soon.
What are recliners?
Patients should be observed until they return to baseline level of consciousness and are no longer at risk for cardiopulmonary depression (typically 15 min).
What is length of time monitoring is needed after block sedation given?
90%
What is the goal of compliance for Universal Protocol?
NRC
What is the new patient survey tool?
Silence, cold shoulder, avoidance, gossiping/not dealing with the person directly
What is bullying?
When your 30 min meal break is missed and charge nurse is unable to accommodate?
What is correct use of F8?