Where do I start
This assessment determines the risk of harm related to elements such as open oxygen source.
What is the fire risk assessment.
This step in the safe procedure process occurs immediately prior to the start of the procedure.
What is the time out.
This step in the safe procedure process should occur prior to the proceduralist leaving.
What is the debriefing.
This navigator band in Cerner is where all bedside procedures should be documented.
What is the bedside procedure record
Banner safety events should be submitted through this system.
What is Press Ganey/HRP.
This important document must be completed and then verified for completion during the briefing.
What is consent.
These team members must be present during the time out.
Who is all team members
Prior to using a new central line, the RN must ensure these 2 post-procedure orders are present/completed.
What is imaging and "Ok-to-use" orders.
These 3 elements of the Safe Bedside Procedure process must be documented in Cerner.
What is the Briefing, Time-Out, and De-Briefing.
When a near miss or adverse/unexpected event is discovered, these staff members can submit a safety event.
Who is any staff member.
This step in the safe procedure process occurs prior to administration of sedation and anesthesia.
What is the briefing.
These components are read from the consent by the RN or procedural team member.
What is the patient name, procedure, and laterality (if applicable).
During the debrief, this review helps to prevent retained foreign objects.
What is disposition of all hardware used.
During documentation of this process, the RN documents the presence of all procedural team members.
What is the time-out.
This personal information should be left out when writing a safety event.
What are names of staff members involved in incident.
During the Briefing, communication occurs between these staff members regarding procedural needs (medication, equipment, specimen collection).
Who are the proceduralist and RN.
This person should initiate the time-out.
Who is the proceduralist.
These instructions in the debriefing step ensure that the nurse has the appropriate orders for patient care post-procedure.
What are monitoring, vent settings, drips, medications, site care, activity restrictions.
After central line placement, the RN must also activate the central line and document the insertion details in this section of Cerner.
What is lines, tubes, and drains.
These 4 event types should not be reported in the Press Ganey safety event system.
What are employee injuries/exposures, Patient/Family complaints, Lost Patient Belongings, and HIPAA concerns.
During the preparation step of the Briefing, these elements are reviewed in the patient's chart.
What are allergies, imaging, and labs.
To avoid distraction and ensure participation from all team members, this must happen when initiating the time-out.
What is all activity stops.
During the debrief, planning takes place to address these 3 elements related to specimens.
What is specimen labeling, handling and transport.
After successful central line placement, towards the end of the procedure, the RN must verify and document this critical step performed by the provider.
What is verification/documentation of guidewire removal in Cerner. "All Hardware Intact and Removed".
This book explains these principles:
1.Error is normal. Even the best people make mistakes.
2.Blame fixes nothing.
3.Learning and improving are vital.
4.Context influences behavior. Systems drive outcomes.
5.How you respond matters.
What is The 5 Principles of Human Performance.