Patient tient Flo low Pilot w Pilot Be Beginn ginning ing Tod - - PowerPoint PPT Presentation

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Patient tient Flo low Pilot w Pilot

Be Beginn ginning ing Tod

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• Goals & Expectations

– Stretch the Pilot Process & ID Outstanding Challenges – Gather Widespread Feedback From All Staff/Teams – Build & Implement a Process Best Fitting Our Environment

• Known Challenges

– Circulator Repeat Trip to Pre-Op due to Anes Consent/Surgeon Arrival

• All Elements Will Be Verified by Circulator in Pre-Op
• Based on Research from The Joint Commission & Title 22

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OR C OR Cir ircula culator tor

• Other than Transport & Independent Site Verification-no change in Circulator

duties/responsibilities

• Communication (All Teams)

– Collaborate w/ Anesthesia on a reliable way to reach them – LEGIBLY print # on SBAR & Pre-Op white board / Ensure that “OK to proceed to OR” box is check. Very Important!!! – Phones & pagers are part of your uniform. They are to be on & in working order at all times – Alert Anesthesia when taking rest/meal breaks

• Hand-off

– First-Read SBAR form – Select Hand-off option best suited for your patient

• Briefing & Debriefing

– Use the words “Briefing” “Debriefing” – Will occur for ALL cases or line-ups – Alert Anesthesiologist if additional room set up is required (ACL, shoulder, multiple mapping sites, etc.)

• Remain in OR Suite to receive patient when Anesthesia arrives

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OR OR Scr Scrub ub

• Communication

– Collaborate w/ Anesthesia on a reliable way to reach them – Phones & pagers are part of your uniform. They are to be on & in working order at all times

• Briefing & Debriefing

– Use the words “Briefing” “Debriefing” – Will occur for ALL cases or line-ups – Alert Anesthesiologist if additional room set up is required (ACL, shoulder, multiple mapping sites, etc.)

• Remain in OR Suite to Receive Patient When Anesthesia Arrives
• Coordinate with your assigned rooms for transport assistance

Anesth Anesthesia/Su esia/Suppo pport t Team eam

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Brief Case Debrief RN to PACU Scrub-Turnover Room RN to Room (Quick Assessment) Scrub-Setting Up RN to Pre-Op Scrub Setting up RN to Room Finalize Set up, Counts, Patient Arrives in Room

1st Case-Set up Room Establish Communication w Team Pre-Op Validation