Bullet Rounds
True or False
Bullet Rounds are only necessary a couple of days a week
False. Bullet Rounds are meant to be 7 days a week to ensure all patients progress in their stay.
True or False
Patient Communication white boards should have Estimated Date of Discharge updated to keep everyone including patients and families informed
True-it is important every person involved in the patient's circle of care needs to be aware of EDD and work together to achieve that goal supporting and communicating with the patient.
Can a patient be discharged early if all requirements of discharge are complete and MRHCP writes orders?>
Yes, if everything is done correctly for the patient to return to their best home safely this can be communicated, iniated and updated on the EDD
What patients should have a Clinical Frailty Scale Completed upon Admission?
All Patients aged 65+ should have a completed Clinical Frailty Scale upon their admission
True or Flase a Senior review is taking a poll of who are senior citizens in your care area.
False -Senior Review is taking the patient population into bullet rounds and quickly 1-2 minute per patient of their status upon review with MDT & MRHCP
When does a patient require an Estimated Date of Discharge (EDD)attached to their admission?
A) 8 hours upon admission
B) Within 7 Days of admission
c) Within 24 hrs upon admission
c) Within 24 hrs upon admission
Wha does CCD stand for?
A) Clinical Criteria for Discharge-*
B) Client Compassionate Disposition
C) Critical Care Discharge
A) Clinical Criteria for Discharge
True or False.
A Green day is when a everything planned or requested gets done. This can include imaging, physiotherapy, or any other intervention required.
TRUE!
True or False.
Keeping patients immobile is the safest way to keep them from falling in hospital.
False.
Dignity of risk acknowledges that life experiences can post a risk of failure. We ensure that we support every patient right to participate without barriers in what activities they are comfortable with and support their wishes, values for discharge planning.
the A in SAFER-f Stands for?
All patients-Ensures all patients are reivewed daily in bullet rounds.
Bullet Rounds are a tool designed for:
A) Quick 1-2 minutes per patient highlight the days events leading closer to discharge*
B) A review of Health History of the patients in detail
C) Thorough Grand Rounds
A) Quick 1-2 minutes per patient highlight the days events leading closer to discharge*
True or False:
Patients length of stay > 28 days must have a long stay review
True
True or False:
Once a patient is discharged there is no other Frailty resources availble outside of hospital.
False:
The Frailty Network has many primary care, continuing care and patient information for patients and their family with living with the dognity of risk and supports outside of hospital.
What is SAFER-f?
A medicine bundle of best practices for the most efficent best care a patient can receive.
True or False:
Can bullet rounds be done virtually?
True:
Yes, you can do bullet rounds virtually especially if physical distance is difficult. Best practice is all team members in the same space but understand that sometimes this is not possible
Use of untraditional bed spaces causes can help flow TRUE OR FALSE
TRUE-Co-hording stable safe clinically like patients allows for better movement from the ED and continues patient flow to appropriate services and care in the best timely manner
Can you name 3 MDT members who should be at Bullet rounds besides an MRHCP?
Any 3 from this list:
Social Work, Continuing Care, Nursing, Physio/OT, Respiratory, Dietician, Pharmacy,
Early discharge is implemented with the intention that:
A) A frail Patient is discharged to Long term care
B) Every 5th patient is discharged before 5 pm
C) 1 in 3 patients are discharged by Noon
C)1 in 3 patients are discharged by Noon