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.

Tuesday, February 23, 2010

SAQ #12

HOW DOES THE TEAM HANDLE SENTINEL EVENTS, NEAR MISSES, AND ADVERSE EVENTS? YELLOW, HIGH
Summary of Related Standard(s) 15.5 The team identifies, reports, records, and monitors sentinel events, near misses, and adverse events.15.6 The team follows the organization’s policy and process to disclose adverse events to clients and families.
Process Currently in Place - Evidence of Current Status
• E-safety reports
• No blame culture encourages staff to file reports
• Quality and Risk Management will f/u with patient/family for an adverse/sentinel event
• Staff debriefing sessions after adverse events
• Development of the PeriAnesthesia Handover tool
Improvement Strategy / Action Plan
Reassess in June
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