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 #6

DOES THE TEAM RECONCILE THE CLIENT’S MEDICATIONS AT TRANSITION OR END OF SERVICE? YELLOW, HIGH
Summary of Related Standard(s): 11.4 REQUIRED ORGANIZATIONAL PRACTICE: The team reconciles medications with the client at referral or transfer, and communicates information about the client’s medications to the next provider of service within or outside the organization.

Process Currently in Place - Evidence of Current Status
 • Reconciliation in PAC on 'Medication Record'
• Pamphlet instructs patient to bring meds in pre-op
-in SDS pre-op the pt is asked if there has been any changes in their meds since their PAC appt, and also which meds they took on the morning of their surgery date
-medications are also listed by the pt on the anesthetic questionnaire
• OPP and SSSU patients are instructed on use of newly ordered meds and when to resume pre- op meds and pt's are sent home with a prescription
· PACU checks post-op surgeons orders

Improvement Strategy / Action Plan
Nov 2009-Feb 2010
1. PACU to complete MAR for patients staying overnight
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