I need Clarity!
An outcome that can be improved by utilizing the "I need clarity" communication technique is what?
-Reporting adverse events
-Improved communication
-increased staff satisfaction
-decreased nursing turnover
-improved compliance with safety practices
The Safety View score represents "what" characteristic of the patient?
What is Impulsivity?
Patient is off monitor and you called the Blue phone but they do not answer. What is the next step for the TT?
What is "immediately call the red phone." (revert back to red phone process)
Nurse Mandy calls the VHT to let them know Mr. Smith will be temporarily taken off tele for a shower. She asks the VHT to pause monitoring. What is the correct response from the VHT?
We can no longer place patient's on standby. Since Mr. Smith has an order to come off tele for a shower, we will stop monitoring Mr. Smith (fully D/C) but we need you to call us back to resume monitoring after the shower. (fully re-admit)
What is the goal to defibrillation of a lethal rhythm? (From code called to defibrillation?)
What is 1 minute.
As shared belief that team members will not be reprimanded, punished or embarrassed for speaking up, sharing ideas, posing questions, raising concerns or making mistakes is referred to as what?
Psychological Safety
A Safety View Score is used in tandem with the "What" score to recommend a patient for camera monitoring?
Falls Predicative Model Score
All leads are noted to be off. No rhythm visible. What is the next step?
TT calls Red Phone and requests the nurse visualize the patient. IF no answer, call a Code.
After being called many times regarding her patient who has a HR in the 160's, Nurse Amy asks the VHT to increase the rate limit to 170. What is the correct response to this request?
What is "We are unable to do that without an order. Please get an order from the provider and I will change the parameters."
What rhythm is characterized by quivering of the atria's, irregular and P waves indistinguishable?
What is A fib?
Tommy has called the nurse regarding a capnography reading of 8. The nurse responds that she doesn't have time to go look at the patient right now. Use "I need Clarity" to develop a response to the nurse.
"I need clarity, this poses a patient safety risk, is there someone else I can call to check on the patient."
As the SV VHT you are asked by the nurse, why do we have to have a camera on someone? Why can't we just wait until someone is really a high fall risk? How can the VHT respond?
What is "we want to reduce inpatient falls- specifically falls with injury. By proactively applying video monitoring to patients when they are showing signs of impulsivity and are also a high fall risk. Does that make sense or can I clarify anything more?
SPO2 probe is noted to be off. TT calls the red phone. There is no answer, what is the next step?
What is TT calls Code.
What is the expectation of the RN when communicating a change to monitoring of a patient?
What is "In plain language say "monitoring started" or "Monitoring stopped"."
What are the normal parameters for ETCO2 monitoring?
What is 60-15?
The "I need Clarity" scripting has many benefits to improved communication. Name 2 of the benefits of using this communication technique
What is, reduced doubt and concern, helps ensure the intended message is received and understood, prevents you from hearing what you want to hear, allows opportunity to ask for more info and prevents harm and saves lives.
Lupita calls the charge nurse at 1200 to let them know that we have an available camera and would recommend Mr. Smith for monitoring. The charge nurse is busy and does not do it. She calls again at 1800 to remind them. Again, the nurse responds she doesn't have time. What is the next step in the escalation protocol?
At 0000, the SV tech should call the House supervisor to let them know that a camera has not been placed.
When the Red phone is answered in the case of an emergency or a request to check on patient, what does the TT advise the caller to do?
What is "stay on the line and visualize the patient"
The nurse becomes frustrated with the TT's calls about a bradycardic rhythm, and a heart rate in the 40s. She states, the patient is "fine" at 40 and ask TT to lower the parameter. Using scripting, how can the TT respond to her request?
What is "To keep our patients safe, we need to have an order to cover us if we want to change our standard monitoring parameters."
When admitting a patient to telemetry, what are 3 things you must verify and document to complete the admission?
What is verify patients tele orders, initiate monitoring, chart row/ box number, acknowledge default parameters, complete strip/vitals in EPIC.
If you are asked for clarity, what should be your expected response?
What is to pause, recognize a safety concern that is being raised and respond as appropriately as possible. Understand your message might not have been received clearly and you need to repeat it.
You are the tech at the SV desk for the Oncology SV cameras. All three cameras are in use currently. It's 0930 and time for huddle with the charge nurse. Before you call, you assess the current patients being monitored and what else?
What is "review the unit list and see if you could recommend a patient with a higher SVS is monitored instead of another"
The VHT calls the red phone to communicate a patient is off monitor. The nurse answers. "I'll go there next, I'm in a patient room." Using red phone scripting, how would you respond to the nurse?
What is "If you are unable to visualize the patient at this time, we are required to call a CODE/MET in 10 minutes if we do not have a signal restored."
VHT has called Nurse Deb to let her know that her patient continues to pull their leads and you cannot get a reading. She is becoming frustrated and states, I can't get to it right now! Can you just hold monitoring for a minute, I'll be able to get in there in 15 minutes! Using "I need clarity", what would be the best response?
Deb, I understand that you're frustrated. But I need clarity- this patient is not being actively monitored which is important to keep them safe. Is there someone else I can call to check on the patient? If not, I will need to escalate this concern and call the red phone.
Using I need Clarity, propose a response to this situation: VHT calls the RN to let them know that the ETCO2 is 6. The RN states that "ok, because he's sleeping." What is your response?
I need clarity, for patient safety, our policy is that patients need to be checked if the parameters aren't met. I need you to stay on the phone with me and check the patient.