1 / 8

Inpatient Pre-Operative Audit Tool

Inpatient Pre-Operative Audit Tool. Identifying and Resolving Issues with the Inpatient Pre-Operative Process. By: Mary Muse, RN, BSN Chair of Pre and Post-Operative Practice Committee. Role of the Pre-Op Nurse. Verify pt Name/DOB/MRN on ID band Prepare OR Paperwork:

Mia_John
Download Presentation

Inpatient Pre-Operative Audit Tool

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Inpatient Pre-Operative Audit Tool Identifying and Resolving Issues with the Inpatient Pre-Operative Process By: Mary Muse, RN, BSN Chair of Pre and Post-Operative Practice Committee

  2. Role of the Pre-Op Nurse • Verify pt Name/DOB/MRN on ID band • Prepare OR Paperwork: • SBAR & Blood Status Forms • Label OR Flowsheet, charge form, etc. • Check MD order;Hang Pre-Op Antibiotics • Verify Allergies/Check for Red Allergy Band • Check IV Site/Access • Insert new PIV if existing is not working or less than 18 guage • Hang fluid (LR or .9NS) with blood tubing • Verify consents are signed: • Hospital,Surgical, and Anesthesia

  3. Role of the Pre-Op Nurse cont.. • Check Blood Status/Availability • Call Blood Bank/Check MD Order • Ensure operative site has been marked/initialled by surgical team • ***FINALIZE Pre-Op Checklist*** • Make sure patient is informed: • Have surgery AND anesthesia come to see patient & family? Answered questions?

  4. Identify the Problem… • Patients coming to the Pre-Op area NOT properly prepared for surgery…. • No Allergy Band, No Hospital consent • No Pre-Op Checklist Initiated,No IV Access • PCA pump connected to patient • Pts with belongings(dentures, contact lenses, Jewelry,Cell phones, etc) • Expired Blood Loc Codes/Type&Screen Order and Pre-Op Labs not drawn

  5. Purpose of Pre-Op Audit Tool • Gather Information: • Which errors are the most common? • Which floors have the highest or lowest incidence of error? • Determine the need for re-education on the floors/ICUs • Provide information to help improve the inpatient pre-op process • Allow Pre-Op RNs a way to improve professional practice

  6. Pre-Op Audit Tool Data

  7. Pre-Op Audit Tool Data

  8. What often happens as a result of these pre-op errors? • Pt surgery is cancelled! • Pre-Op RN is rushed to get pt ready • Pt safety may be compromised • Leaves room for error • OR cases are delayed • Surgeon/Anesthesia dissatisfaction • Pt dissatisfaction/frustration increases

More Related