PreOp
Phase I
Phase II
Joints & Spines
Minimal Length of Stay
100

These must be documented on every patient, so we have a baseline prior to surgery

What is vital signs?

100

This score must be a 9 or greater or return to pre-surgical baseline prior to leaving Phase I.

What is Aldrete?

100

These types of procedures can drive themselves home.

What are locals?
100
Patients who receive this type of anesthesia need to void prior to discharge.

What is spinal?

100

This is how long your patient should remain in Phase II after administration of a narcotic.

What is 30 minutes?

200

Per TJC, this patient specified value must be documented in PreOp to plan for care postoperatively 

What is a pain goal?

200

This vital sign needs to be documented on admission and immediately prior to discharge from Phase I.

What is temperature?

200

These must be documented within 15 minutes of being discharged home.

What are vital signs?

200

This was created to aid in nursing documentation of Nozin, SCDs, and discharge teaching specific for SDD.

What is a same day joint discharge note?

200

This is how long a patient needs to remain in PACU after receiving 0.2mg IV dilaudid.

What is 30 minutes?

300

These ERAS protocols should be performed and documented on a patient scheduled for a spine surgery.

What are nozin, warming gown, and CHG/Theraworx?

300
What needs to be documented immediately prior to transfer from Phase I.

What are vital signs including temperature, focused assessment including surgical site, PIV, I&O's?

300

This 8-level score must be documented on every patient prior to discharge.

What is the JHH Mobility score?

300

This is how often a joint patient's neurovascular assessment should be completed.

What is in PreOp, on admit to PACU, q15 x3, then every hour until Phase I discharge criteria is met? Again, in Phase II, if outpatient

300

This is how long patients must stay in Phase I/Phase II prior to discharge.

What is minimum 30 minutes?

400

These 5 things should be documented by the RN performing the LPN assessment

What is physical assessment, IV, present on arrival, education assessment, and care plan?

400

This is documented when you contact a provider.

What is provider notification? 

 

400

This is where you can add patient specific printed materials.

What is education?  

Click on education in navigator, education at the top, then to the right is patient materials. 

400
Spine patients need to have documented education and supplies given for this.

What is CHG and Nozin?

400

Your patient received IV antihypertensive medication. This is how long they must remain in Phase I.

What is 30 minutes prior to transfer to Phase II or inpatient?

500

These assessment elements must be documented in PreOp if a patient is undergoing a CEA

What is a neuro assessment including LOC and orientation, strength in all extremities, any numbness/tingling, pulses in all extremities, any alterations to voice, any baseline abnormalities to face?

500

These need to be documented on and discontinued prior to discharge.

What is LDA and incisions?

500

Your patient received Narcan for opioid-induced pruritis. This is how long they need to be monitored in Phase I.

What is no minimum time?  Two hours only applies to Narcan for opioid reversal.