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, March 8, 2010

SAQ #23

IS THERE A PROCESS FOR IDENTIFYING AND REDUCING RISKS TO TEAM MEMBERS DELIVERING SURGICAL CARE SERVICES? YELLOW, HIGH PRIORITY
Summary of Related Standard(s)

5.4 The team has a process for identifying and reducing risks to team members while delivering surgical care services..
Process Currently in Place - Evidence of Current Status
• Schedule was redesigned for 2 RN coverage at all times: minimal staffing guidelines as per standards
• Staff are encouraged and reinforced to use e-safety reports for near misses, bullying, actual events, sentinel events
• IPAC rep available and does regular rounds
• Hand hygiene training
• ARO/MRSA screening in PAC with f/u in SDS and PACU
• Violence prevention: unit has ID badge scan entry after hours
• Panic buttons available
• Emergency call system in place
• Safety walkabouts with senior leadership
• Safety committee: staff regularly inspect the workplace environment to identify existing/potential concerns and report to manager, or send broken equipment to biomedical engineering
• Hand hygiene products are located at POC
• Occupational Health and Safety available for staff when ill, or returning to work after extended leave
• WHIMIS, fire and safety, back safety, violence prevention programmes etc available through education days or through e-learning
Improvement Strategy / Action Plan
November 2009 - February 2010

PACU least restraint algorithm indicates issues surrounding Emergence Delerium
March2010-onward
Ongoing

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