Jacho

"Ready or not, here THEY come"!

survey is next week.

Anyone have a recent survey and want to share with me some of the teams primary focus?

Thanks

Haze

restraints and restraints and more restraints!!!!!!

They looked alot a narc documentation, proper use of abbreviations, they wanted our docs to specify which prn they wanted the RN to use first if there was more than one ordered (ie: phenergan, inapsine...) Charting things like oral care/baths, etc...There was some other stuff too...but I can't remember what!

Pain assessment and follow up. Restraints, restraint documentation. Also wanted to see prn's specified for what purpose on the MAR and in docs orders.

Ours was the end of July.

They used the tracer methodology which is a way to analyze care by following patients through the healthcare system in the sequence a patient would follow. Example a patient with an MI would likely enter in the ER then maybe the Cath Lab and then a monitored unit before discharge. They are putting special focus on communication between units and the hand offs of patients from one unit to the next. There is little talk to management, the focus is talking to nurses, radiology tech, housekeepers, food service workers, lab people that the patient will have interacted with during their stay.

Patient Safety Goals are number one importance.

1 Pumps- improve safety of infusion pumps

2. Alarms

3. Talk- communication between caregivers, read back MD orders, do not uselist of abbreviations

4. Identification- improve patient identification

5. Eliminate- eliminate wrong site, side, or wrong procedure surgery

6. Note- note high alert meds to improve safety, make sure meds like K+ are not kept on units, double check high safety meds such as insulin.

7. Thorough- thorough handwashing to prevent infection

The first letter of 1-7 spells out PATIENT

In addition pain assessment and intervention, use of restraints with all proper documentation.

They were only around on day shift. The first day of the survey I came to work on PM's and I walked in the break room and they were questioning our new grad. There were two surveyors, two levels of our managers and the new grad. She did great and so did the hospital as a whole.

great info...keep it comming...the inspectors are here on Wednesday!

thanks!

Haze