SAQ #38

HOW DOES THE TEAM DETERMINE WHETHER TO PROVIDE SERVICES TO THE CLIENT? GREEN, LOW
SUMMARY OF RELATED STANDARD(S) 6.5 With the client’s permission, the team gathers health history information to determine the need for service.

Process Currently in Place - Evidence of Current Status
• PAC screening requires a surgeon’s history and physical
• Pt must answer the anesthetic questionnaire which the PAC nurse then assesses. From there, the patient may require a telephone only appointment, an office appointment with the RN, RN-GP, RN-anesthesia, depending on patients comorbidities
• PAC appointment and assessment to determine fitness for surgery. If at high risk, bed allocation to the ICU’s may be arranged pre-op. Also patients identified as appropriate for SSSU admissions are assessed as per criteria in policy
• Ongoing assessments throughout all phases of PeriAnesthesia by RN’s
• Diabetic patient require the services of Diabetic APN prior to returning home on the day of surgery so that they are aware of their insulin needs
Improvement Strategy / Action Plan
Reassess in June