TSICU:Patient Care Management: Difference between revisions
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'''Housestaff Expectations''' | '''Housestaff Expectations''' | ||
*Communicate any absence or potential change in shift to Dr. Neville, TSICU Attending, and Dr. Kim | *Communicate any absence or potential change in shift to Dr. Neville, TSICU Attending, and Dr. Kim | ||
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*Practice hand hygiene BEFORE & AFTER every patient encounter | *Practice hand hygiene BEFORE & AFTER every patient encounter | ||
*Maintain and protect PHI/patient confidentiality | *Maintain and protect PHI/patient confidentiality | ||
'''Roles and Responsibilities''' | '''Roles and Responsibilities''' | ||
| Line 11: | Line 14: | ||
*Update and maintain patient list with new results, radiology reads/findings, and consult service recs | *Update and maintain patient list with new results, radiology reads/findings, and consult service recs | ||
*Provide family and loved ones with updates, as appropriate | *Provide family and loved ones with updates, as appropriate | ||
'''Communication & TeamSTEPPs''' | '''Communication & TeamSTEPPs''' | ||
*Open and honest communication is crucial to decrease errors, enhance patient safety and teamwork | *Open and honest communication is crucial to decrease errors, enhance patient safety and teamwork | ||
*Several TeamSTEPPS tools and techniques may be used (huddles, briefings, debriefs) | *Several TeamSTEPPS tools and techniques may be used (huddles, briefings, debriefs) | ||
'''Conduct of Morning Rounds''' | '''Conduct of Morning Rounds''' | ||
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**Potentially extubatable patients | **Potentially extubatable patients | ||
**Other | **Other | ||
'''Handoffs''' | '''Handoffs''' | ||
*Handoffs are required for ALL transitions of care. This includes, but is not limited to: | *Handoffs are required for ALL transitions of care. This includes, but is not limited to: | ||
**'''Admissions''' | |||
'''Admissions''' | **'''Transfers & Discharges''' | ||
**'''Morning & Evening Passons''' | |||
'''Transfers & Discharges | **'''iPASS''' | ||
'''Morning & Evening Passons''' | |||
'''iPASS''' | |||
Revision as of 15:18, 19 July 2019
Housestaff Expectations
- Communicate any absence or potential change in shift to Dr. Neville, TSICU Attending, and Dr. Kim
- No eating or drinking in patient care areas
- Practice hand hygiene BEFORE & AFTER every patient encounter
- Maintain and protect PHI/patient confidentiality
Roles and Responsibilities
- Ensure that 2 WOWs are available for morning rounds
- Ensure that patient lists are printed and available by the start of rounds (06:00am)
- Discard of any extra patient lists in the confidential shredder located on the C-side of the TSICU
- Update and maintain patient list with new results, radiology reads/findings, and consult service recs
- Provide family and loved ones with updates, as appropriate
Communication & TeamSTEPPs
- Open and honest communication is crucial to decrease errors, enhance patient safety and teamwork
- Several TeamSTEPPS tools and techniques may be used (huddles, briefings, debriefs)
Conduct of Morning Rounds
- PRIOR to the start of morning rounds, the overnight R2, fellow, and overnight charge/relief RN, will determine the order of rounds based on the following:
- Severity of illness (Critical, unstable, stable)
- New admissions
- Potentially extubatable patients
- Other
Handoffs
- Handoffs are required for ALL transitions of care. This includes, but is not limited to:
- Admissions
- Transfers & Discharges
- Morning & Evening Passons
- iPASS