Patient tient Flo low Pilot w Pilot Be Beginn ginning ing Tod oday ay All All Roo ooms ms Par articipa ticipating ting in in Patien tient t Flo low Pil w Pilot ot • Goals & Expectations – Stretch the Pilot Process & ID Outstanding Challenges – Gather Widespread Feedback From All Staff/Teams – Build & Implement a Process Best Fitting Our Environment • Known Challenges – Circulator Repeat Trip to Pre-Op due to Anes Consent/Surgeon Arrival • All Elements Will Be Verified by Circulator in Pre-Op • Based on Research from The Joint Commission & Title 22 1
OR C OR Cir ircula culator tor • Other than Transport & Independent Site Verification-no change in Circulator duties/responsibilities • Communication (All Teams) – Collaborate w/ Anesthesia on a reliable way to reach them – LEGIBLY print # on SBAR & Pre- Op white board / Ensure that “OK to proceed to OR” box is check. Very Important!!! – Phones & pagers are part of your uniform. They are to be on & in working order at all times – Alert Anesthesia when taking rest/meal breaks • Hand-off – First-Read SBAR form – Select Hand-off option best suited for your patient • Briefing & Debriefing – Use the words “Briefing” “Debriefing” – Will occur for ALL cases or line-ups – Alert Anesthesiologist if additional room set up is required (ACL, shoulder, multiple mapping sites, etc.) • Remain in OR Suite to receive patient when Anesthesia arrives 2
OR Scr OR Scrub ub • Communication – Collaborate w/ Anesthesia on a reliable way to reach them – Phones & pagers are part of your uniform. They are to be on & in working order at all times • Briefing & Debriefing – Use the words “Briefing” “Debriefing” – Will occur for ALL cases or line-ups – Alert Anesthesiologist if additional room set up is required (ACL, shoulder, multiple mapping sites, etc.) • Remain in OR Suite to Receive Patient When Anesthesia Arrives Anesth Anesthesia/Su esia/Suppo pport t Team eam • Coordinate with your assigned rooms for transport assistance 3
1 st Case-Set up Room Establish Communication w Team Pre-Op Validation Brief Case Debrief RN to PACU Patient Arrives in Scrub-Turnover Room Room RN to Room RN to Room (Quick Assessment) Finalize Set up, Counts, Scrub-Setting Up RN to Pre-Op Scrub Setting up 4
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