Show:
Line Items
Utilization
IRRs
B-Screen
Miscellaneous
100
This line item is appropriate to use with patients who pose a significant risk for falling.
What is Fall Risk
100
This is the amount of time calculated by the GRASP (r) instrument needed to care for the patients on a unit.
What are PCHs (patient care hours)
100
The minimum number of IRRs completed needed per ANSOS period to meet regional requirements.
What is 10% of a unit's ADC or 2 per week (whichever is higher)
100
The minimum number of times GRASP should be completed and sent in via the B screen.
What is once per shift.
100
The only appropriate person to complete a patient's GRASP evaluation.
Who is the primary RN?
200
This line item is "central" to capturing part of the care for patients with PICC lines.
What is Central Venous Access Care
200
This is the time provided by RNs and PCTs in caring for patients.
What are NCHs (nursing care hours)
200
The minimum percentage of agreement between the primary RN GRASPing and the auditor in order for the patient's GRASP score to be considered valid.
What is 90%
200
The time GRASP needs to be completed by for each shift.
What is 03:30, 10:30 and 18:30
200
This is met when during pilot a unit stays at or below their budgeted HPPD (hours per patient day).
What is fiscal alignment?
300
This line itemwould be appropriate for the patient with no maintenance fluids running, a 24 hour med schedule of Zosyn IVPB at 09:00 and 17:00, Colace PO at 09:00, and has been regularly receiving a PRN dose of Zofran once a day.
What is Med Trips 6-10
300
This is the formula used to determine whether a unit is overstaffed or understaffed during a shift.
What is PCHs divided by NCHs
300
In addition to the patient's chart, this communication tool is vital for the auditor to insure an accurate auditing process.
What is a conversation with the primary nurse being audited.
300
Patients that should NOT be included in the "planned leaving unit" section of the B-Screen.
Who are patients that will NOT be gone prior to the start of the next shift.
300
This screen allows you to see the entire facility's GRASP totals by shift and the most recent time it was updated.
What is the "C" screen?
400
To capture the time and care needed to support a patient who has been made comfort care and their family, this line item is appropriate.
What is Emotional Support: Complex
400
This is the number of nursing care hours provided to a unit during an 8 hour shift if the unit is staffed with 5 RNs, 2 PCTs and 1 UA.
What is 56?
400
This reason for disagreement between auditor and primary RN during an IRR could come from an MD D/C'ing a PCA midshift.
What is change in physician orders?
400
The number of hours added for each 1:1 sitter GRASPed for.
What is 24
400
The number of PCHs required on a shift with a 34% shift distribution and a total GRASP score of 250.
What is 85?
500
For patients with PICC lines this line item is chosen only once a week or PRN
What is wound care intermediate.
500
The unit's shift utilization where GRASP (r) called for 65 patient care hours and the shift was staffed with 6 RNs, 2 PCTs and 1 UA.
What is 102%?
500
These are the people responsible for performing IRRs.
Who are frontline staff, GRASP committee members and management?
500
The B-Screen is sent in order to appropriately staff for this shift.
What is the following shift?
500
GRASP stands for this.
What is the Grace Reynold's Study for the Application of PETO.