Policies Please
Policies at Emerson Health can be located here.
What is Policy Manager.
The checklist completed prior to a surgical procedure.
What is the pre-operative checklist.
Where is this located? Barriers?
This must be completed on every patient undergoing a c-section unless it is STAT.
These times must be documented before transfer to W3.
Bonus* Where is this documentation located?
What is skin to skin start and stop times.
Single most important practice to reduce the spread of infection, to be performed before and after patient contact.
What is performing hand hygiene.
When a patient declines, this must still be used to obtain informed declination and completion of the appropriate waiver.
What is a medical interpreter?
This policy prohibits artificial nails or gels, enforces covering head and facial hair, wearing protective eyewear, and wearing proper attire in restricted and semi-restricted areas.
What is the Surgical Attire Policy.
The rate of domestic violence.
What is 1 in 4 women.
Every patient must be screened for safety/abuse. Where is this documented?
This legal form allows you to appoint someone to make healthcare decisions for you if you're unable to communicate.
What is a health care proxy?
Where is this documented?
The wet time for green top and blue (bleach) top wipes.
What is 1 and 3 minutes.
The emergency response information located on our unit.
What is the Disaster Plan Reference Guide?
We all have access to detailed information on chemical properties, health hazards, precautions for safe handling of chemicals, emergency procedures, and control measures.
What are these and where are they found.
What are Safety Data Sheets (SDS)
Where are they found? These are found on our Intranet under Department: Emergency Preparedness
If there is a chemical spill, contain the spill, refer to the SDS for precautionary measures before cleaning up.
Where are Spill Kits located?
The dry time for surgical Chloraprep.
What is 3 minutes.
This individualized plan outlines a patient's nursing diagnoses, goals, and interventions to ensure consistent and effective care.
What is the care plan?
The plan of care must be completed and updated each shift
The only acceptable equipment left in the hallway.
What is the code cart.
These screening results for infections like HIV, hepatitis B, and syphilis must be verified upon a patient's admission to the maternity unit.
What are prenatal infectious disease screening results/prenatal labs?
Where are these documented? What if they are missing?
Per this policy, confirmation of two patient identifiers must be done before labeling.
What is patient identification and laboratory specimen labeling.
This should be submitted when any actual, near miss or potential event occurs which is not consistent with the routine care of patients.
What is an RL safety report?
This must be done 1 hour after administering oral pain medication to evaluate its effectiveness.
What is a pain reassessment?
Ways we prevent bioburden and biofilm from forming on instruments.
What are wiping instruments down with sterile water during the case and spraying them with enzymatic solution as soon as possible.
These bottles must be dated when first used and discarded after 30 days; if left undated, they must be thrown away immediately.
What are multi-use Ultrasound Transmission Gel (UTSG) bottles.
This policy specifies you may use any of the following for transport into the soiled utility room: ▫ A clearly marked biohazard transport tote ▫ A single cycle tray with the proper biohazard label applied ▫ A rigid container system
What is transport of contaminated instruments?
The location of the malignant hyperthermia cart.
Bonus* What is the medication needed to treat MH?
What is the PACU?
Documentation of this batch number and expiration date must be done in the EMAR.
What is Human Donor Milk?
These designated breastmilk refrigerators must contain only breastmilk and PDHM, with no room for items such as these.
What are prune juice and other patient items.
These test strips and control solutions must be dated with a new expiration when opened—6 months and 3 months, or by the printed date, whichever comes first.
What are StatStrip test strips and glucose control solutions?