S.P.A.N.C.

This blog is meant to be a place for Sunnybrook Peri-Anesthesia Nurses (Pre-Admission Centre, Same Day Surgery, Post Anesthetic Are Unit and Surgical Short Stay Unit) to stay in communication with each other and to be up-to-date with concerns regarding the Peri-Anesthesia Department. The Purpose of S.P.A.N.C is •To re-implement a unit based council •to identify the unique role of the Peri-anesthesia nurse and to help staff from other areas understand what it is that we do •to create a collegial atmosphere for sharing our professional experiences within the subgroups of Peri-anesthesia •to facilitate open discussion and priority of issues relating to professional practice, education and research that impact on the quality of our work life and thereby affect positive outcomes for our patients and their families.

Monday, February 1, 2010

SAQ #1

PeriAnesthesia Accreditation 2010
Self-Assessment Questions (in order of priorities)
1. DOES THE TEAM HAVE SPECIFIC WAYS TO MONITOR ACTIVITIES THAT ARE HIGH-RISK, E.G. CRITICAL TESTS, OR MEDICATION ADMINISTRATION? RED FLAG, HIGH PRIORITY
SUMMARY OF RELATED STANDARD(S): 15.4 REQUIRED ORGANIZATIONAL PRACTICE: The team uses verification processes and other checking systems for high-risk activities.
PROCESS CURRENTLY IN PLACE:
• Independent Double Check (IDC) for high risk meds insulin and heparin, PCA's and Epidurals
• E-safety reports on near misses and adverse events
• Equipment alarms. Equipment is sent to biomed if it is not working. PCA and Epidural pumps are regularly checked by biomed.-new pain pumps to be implemented possibly in March 2009 -will require in servicing
· SMART pumps being rolled out December 2009
· Block Safety Checklist
· McKessin cabinets for narcotics on MGround and M2 PACU
IMPROVEMENT STRATEGY / ACTION PLAN
July 2009- October 2009
-IDC implemented over the summer
-E-safety reports are encouraged to be completed.
-ongoing equipment repairs are done through Biomed
November 2009 - February 2010
1. McKessin cabinet rollout Nov 17th. Super users: Ramona, Carly, Deborah K
2. Symbiq SMART pumps rolled out in December. Super users: Ramona, Carly, Carrie, Debbie Mulgrave, Sirkka
3. Block safety checklist to be implemented in Jan 2010. Ramona, Carol, Delia
4. Novo glucose meters will be rolled out in January
March 2010 - onward
1. New pain pump rollout? Will need volunteer super users.
Plan for spreading improvement to related services / areas?
With units moving on Mground, SSSU RN's will need to be in serviced on McKessin cabinets
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