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, March 2, 2010

SAQ #19


WHAT IS INCLUDED IN THE CLIENT’S PRE-OPERATIVE ASSESSMENT? GREEN FLAG, LOW PRIORITY
Summary of Related Standard(s): 7.3 The team assesses the client’s physical and psychosocial health.7.7 The pre-procedure assessment includes processes to evaluate the client’s post-procedure pain.7.8 The pre-operative assessment includes processes to evaluate the client’s post-operative
Process Currently in Place - Evidence of Current Status
• Surgeon H & P and anesthesia questionnaire
• Medical hx, health status, nutrition status, mental health
• ARO/MRSA
• Medication reconciliation form
• Allergies
• Labwork
• ECG
• Other tests as applicable
• PONV assessed by anesthesia
• Handover tool started in PAC to increase communication amongst health care providers
Improvement Strategy / Action Plan
November 2009 - February 2010
moving towards increasing the number of nurse-only pre-admission assessments
March2010-onward
Ongoing project-anticipated pt increase of 800-1200 with Women’s program moving to SB campus
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