OR Manager - August 2018 - 15
Process improvement
on a protocol that is approved first by
the chiefs of surgery and anesthesiology,
and then by the medical executive
committee before being placed in the
EHR. " Every hospital that doesn't use
anesthesia protocol order sets is likely
either over-ordering or under-ordering
tests, " Ulep says. Testing should be
based on the answers to two questions:
* What kind of surgery is the patient
having?
* What's the patient's medical history?
Patients commonly are either
healthy or have a history of cardiac,
pulmonary, or renal problems.
" With the answers to these two
questions, standard protocol orders can
provide the necessary information to
keep patients safe during surgery, " she
says.
The tests should be performed using
laboratory, radiology, and cardiology outpatient
services whenever possible, so
that PAT nurses' time is free for making
phone calls instead of tied up in tasks
such as drawing blood. Using outpatient
services also gives patients flexibility for
when they can have testing done. For
instance, PAT nurses should share the
business hours for outpatient services
when they make the assessment call
and give the patient a date by which
testing should be done.
A detailed process
Ulep says it's important to map the
PAT process and write it down (sidebar
above). One effective tool is the " golden
ticket, " which the PAT nurse completes
after making the phone call. This is
a form that lists all of the preoperative
tests that are required, which the
patient takes to each department. The
employee in each department initials
the form when the task is completed,
and when the patient returns it to registration,
the PAT nurse can verify testing
has been completed.
What about add-on patients and
those who live out of town? Ulep recommends
providing surgeons' offices
with a card to give patients so hospital
www.ormanager.com
Surgeon Office
faxes schedule
request
Surgeon Office
faxes schedule
request
PAT RN calls all
scheduled
surgical pa
http://anesthesiol
http://ogy.pubs.asahq.org/article
http://www.ormanager.com
http://www.ormanager.com
OR Manager - August 2018
Table of Contents for the Digital Edition of OR Manager - August 2018
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