Preoperative
How soon should Urine/Blood HCG and/or Type & Screen be completed prior to surgery?
72 Hours
SOP #10; #3,a , i
What is the admission criteria for the Ambulatory Procedure Unit?
All patients must have order, surgical consents, a current History and Physical (H&P) less than 30 days old, escort, and if inpatient must be assigned to a bed.
SOP#2
Where is the chemical spill kit located?
Under the cabinet in the Biohazard room
Where is the SDS Rally point?
"H2" Hospital parking lot
Where are the wheelchairs stored?
Bay 25 "Equipment storage"
Who is responsible for placing preoperative diagnostic study orders?
It is the responsibility of the patient's physician to order preoperative diagnostic sutdies and to review the results prior to day of surgery.
SOP#10, b.
Discharge Home Criteria
Adequate respiratory function, hemodynamically stable, Modified Aldrete with minimum score of 14 or cleared by anesthesia/provider, tolerate fluids, ambulate consistent, tolerable pain level achieved, escort, written and verbal discharge, and meets Phase 2 criteria as ordered by surgeon.
SOP#3
Before using medical equipment, you should check for the Medical equipment verification certification. WHAT COLOR IS THIS?
Yellow (p.12)
How do you report a security incident?
Main hospital:553-1111
Off campus: 911(p.14)
What is a forensic patient?
A prisoner or person in the custody of law enforcement or the prison system.
In the absence of orders, what preoperative diagnostic study order may be placed, and who may initiate?
In the absence of orders, nursing may initiate only the UHCG for qualifying patients to then be later ordered and signed by physician.
SOP#10. c.
What is discharge criteria for a patient who has received spinal anesthesia?
Must void and ambulate prior to discharge.
How do you report an adverse drug reaction?
1. Patient Safety Report (located on Sharepoint)
2. Call the pharmacy for help 288-8820/8830
What is the policy on verbal orders?
Verbal orders are generally discouraged but allowed in emergent situations. (p.81)
What are the fingernail expectations?
-Length must be less than 1/4 inch
-No artificial nails (p.33)
Who is responsible for interpreting lab results?
It is not the responsibility of the RN to interpret test results. Per the Department of Pathology guidelines, the lab is responsible for notifying the physician of any critical lab values.
The APU RN is responsible only for notification to the surgeon. Any further consultation required should be arranged by the surgeon. If a repeat test is ordered, the APU staff will coordinate the test.
SOP #10, e., vii, viii.
What is required to use a restraint on a patient?
1. Documentation that less restrictive measures have been tried.
2.Providers order (specific to episode and time limited)
3. The patient must be monitored every 2 hours and reassessed for continued need. (p75)
Where would one find how to operate and clean equipment?
Instructions for use (IFU) binders.
How many fire extinguishers are on the unit and where?
5 extinguishers.
1 on Hall E, 1 SDS hall, 1 outside preop hall, 2 on PACU hall.
Who is required to have a Competency Assessment Folder (CAF)?
ALL employees (all personnel assigned/ attached, volunteers, housekeepers, students, and contractors). (p. 27)
What are the MRSA Screening procedures?
Must be done for all patients with a confirmed or unconfirmed history of MRSA. Swab completed by respective clinic during pre-op appointment with surgeon.
SOP#10. 3a.v.
What system of communication does SDS use during handoff to ensure continuation of care?
IPASS
Illness Severity, Patient summary, Action list, Situational awareness and contingency planning, Synthesis by receiver. (p.8)
Where are the Instructions for use (IFU) stored?
How are the staff involved in performance improvement? (This will be asked in all departments)
-Chart Audits
-BCMA (Medication scan reports)
-Training days
-In services
-Tracers
If a patient has an unresolved issue, who do you refer them to?
Unresolved issues are forwarded to the department director and/ or the Patient Advocate. (P. 86)