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Standard Work . Tier 2 Tier Name Invasive HPI Category ATD Process Name PeriPro_PeriOp_PostProcedure_Care_Discharge 2.Invasive.ATD.PeriPro_PeriOp_PostProcedure_Care_Disch Catalog / Document Name arge Process Owner (Name and Role) Revision Date 8/25/2008 Scope From procedure complete through patient leaves building. Includes bedside processes - dicharge, patient movement, post procedure care. Includes HUC processes - enter discharge in Invision, chart management, managing call Further Description lights, entering charges Related Processes Related Policies Dept Invited Attending Ambulatory Surgery Cathy Onopa CSU Melissa Leibengut GI / Respiratory Joni Tombari Case Management Jane Hounsell Ambulatory Surgery Mary Haines Testing & Treatment Annette Gagnon ICU Joy Levin Lab Mary Lee Walloch Lab Jay Flegal Food & Nutrition Carrie Schoner Materials Shelley Belott-Rice Patient Placement Susan Scholz EVS Pamela Shead Pharmacy Paul Pisarzewicz OR -- Day Surgery -- Facilitator Sam Green D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 1 of 11 Standard Work PPPO = PeriProcedural or PeriOperative PeriPro_PeriOp_PostProcedure_Care_Discharge Physician writes Procedural RN PPPO HUC PPPO HUC PPPO staff Procedural Face to face Procedural RN PPPO HUC TRIGGER: and signs calls peripro pages family to "voceras" collects supplies caregiver brings report brings old enters orers - Procedure ongoing care HUC to notify of notify them that PeriPro RN to for returning patient back to completed record and new include complete and possibly patient's return procedure is notifiy them that patient peripro or periop between RNs chart with anticipated discharge complete the pt is (on bed for using handoff orders to PPPO discharge time orders returning cardiac caths, in template & HUC in comments in wheelchair or on including cart for other reviewing orders procedures) PPPO HUC PPPO HUC files PPPO RN PPPO RN Prescriptions PPPO RN PPPO RN give PPPO RN PPPO RN PPPO RN places old record retrieves assessment per sent down to continues care post procedure completes ensures chart ensures completed chart completed chart protocol or MD Pharmacy prior to discharge education discharge complete discharge in completed bin & places it orders to discharge instructions outside of complete patient room PPPO RN PPPO RN PPPO RN PPPO RN prints PPPO RN calls PPPO RN asks PPPO RN or PPPO staff completes updates med list gathers supplies patient friendly family for ride or patient if they Escort? Yes PCA escorts waits with RN Done discharge MAR in PowerChart for patient - med list & gives calls valet to pull would like an patient to patient till ride dressing to patient car around escort to the exit discreet arrives no supplies, urine discharge strainers, etc PPPO RN or PCA directs patient to Institute Elevator / Discreet Discharge D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 2 of 11 PPPO HUC PPPO HUC PPPO HUC PPPO HUC discharges disassembles keeps record of Voceras EST to HUC Done patient from chart and rubber times for turnroom over bands to old entering chart charges* * not sure process will appply in new hospital - charges will potential be included in procedure, but stats will still need to be kept. D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 3 of 11 Process Flow Testing Department: Business Owner(s): Team Leader(s): Name of Process: PeriPro.PeriOp.PostProcedureCare&Discharge Orientation/Training: Instructions: List out process steps in appropriate column; For each step, identify if any of the categories in green apply - be sure to include specifics for each. Flow Chart Color: Yellow step, pink t en ns m io e e at t t ar en p lv lic De dw s vo decision pm lie pp s r In er rm pp Ha ui A th D Eq Su Fo # Process Step IS IT M O Physician writes and signs ongoing 1S care and possibly discharge orders YES! Procedural RN calls peripro HUC to Procedural 2S notify of patient's return phone areas PPPO HUC pages family to notify family 3S them that procedure is complete pagers PPPO HUC "voceras" PeriPro RN to 4S notifiy them that the pt is returning vocera PPPO staff collects supplies for 5S returning patient gauze, etc Procedural caregiver brings patient back to peripro or periop (on bed for cardiac caths, in wheelchair or on cart bed, cart, Procedural 6S for other procedures) wheelchair areas Face to face report completed between RNs using handoff template handoff Procedural 7S & including reviewing orders template areas Procedural RN brings old record and Procedural 8S new chart with orders to PPPO HUC areas PPPO HUC enters orers - include anticipated discharge time in PC at HUC 9S comments Invision desk PPPO HUC places completed chart in completed 10 S completed bin chart bin 11 S PPPO HUC files old record Chart holders PPPO RN retrieves completed chart & outside of 12 S places it outside of patient room rooms PPPO RN assessment per protocol or 13 S MD orders Prescriptions sent down to Pharmacy 14 S prior to discharge Pharmacy 15 S PPPO RN continues care to discharge education PPPO RN give post procedure al 16 S education materials 17 S PPPO RN completes discharge orders 18 S PPPO RN ensures chart complete PPPO RN ensures discharge 19 S instructions complete PPPO RN updates med list in PC or 20 S PowerChart PowerChart moble cart PPPO RN gathers supplies for patient - 21 S dressing supplies, urine strainers, etc gauze, etc HP Laser PPPO RN prints patient friendly med Standard 22 S list & gives to patient PowerChart Printer D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 4 of 11 Flow Chart Color: Yellow step, pink t en ns m io e e at t t ar en ep lv lic dw s vo decision rD pm lie pp s r In rm pp Ha e ui A th D Eq Su Fo # Process Step IS IT M O PPPO RN calls family for ride or calls Parking 23 S valet to pull car around Services PPPO RN asks patient if they would 24 S like an escort to the exit 25 D Escort? No, No escort --PPPO RN or PCA directs patient to Institute Elevator / 26 S Discreet Discharge Yes, Escort -- PPPO RN or PCA 27 S escorts patient to discreet discharge PPPO staff waits with patient till ride 28 S arrives PPPO HUC discharges patient from PC at HUC 29 S Invision Invision desk PPPO HUC disassembles chart and rubber 30 S rubber bands to old chart bands PPPO HUC keeps record of times for 31 S entering charges PPPO HUC Voceras EST to turnroom 32 S over Vocera 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 5 of 11 Flow Chart Color: Yellow step, pink t en ns m io e e at t t ar en ep lv lic dw s vo decision rD pm lie pp s r In rm pp Ha e ui A th D Eq Su Fo # Process Step IS IT M O 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 6 of 11 Technology Testing Department: Business Owner(s): Team Leader(s): Name of Process: PeriPro.PeriOp.PostProcedureCare&Discharge Orientation/Training: Instructions: List out process steps in appropriate column; For each step, identify if any of the categories in green apply - be sure to include specifics for each. Flow Chart Color: Yellow step, pink t en ns em io e t at ar t en ep lv lic dw s vo decision m D ie pp s ar p pl In er rm ui A H p th D Eq Su Fo # Process Step IS IT M O 1S 2D 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 7 of 11 Flow Chart Color: Yellow step, pink t en ns em io e t at ar t en ep lv lic dw s vo decision m D ie pp s ar p pl In er rm ui A H p th D Eq Su Fo # Process Step IS IT M O 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 8 of 11 Sub Category Appropriate Task Category (Name of Flow) Date Decisions/Major Changes Contact Person Reason for Decision PeriPro.PeriOp.Admis Resolution and quality of image are greater with the sion&PreprocedureCa Pt will go to Medical Imaging if s/he has an order equipment in the dept than they are with portable Standard work re 8/26/2008 for an xray. Randi Wirtz equipment. Sub Category Appropriate Task Category (Name of Flow) Date Assumptions Contact Person Comments PeriPro.PeriOp.PostP rocedureCare&Discha Standard Work rge 8/25/2008 Dept have Vocera PeriPro.PeriOp.PostP rocedureCare&Discha Standard Work rge 8/25/2008 Each HUC desk is staffed D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls 9 of 11 Document Flow on Process Flow Tab & Flow Test Tab Note to do's on Master To Do List Place To Do's that can't be completed until another task is accomplished on the Issues tab of the master to do list Note issues on ECIP Issues List Update process list with name of flow Email Sam when flow final Sam creates pdf Sam post flows on ECIP intranet site of the master to do list
"Process Flow (Excel download)"