Process Flow (Excel download)

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Process Flow (Excel download) Powered By Docstoc
					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




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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.




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                                                                                  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




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                             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




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         Flow Chart Color:
         Yellow step, pink




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                             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
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        Flow Chart Color:
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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




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D:\Docstoc\Working\pdf\a8aaeaa3-7fd4-4bb9-824c-100fefffe264.xls                                                                                 7 of 11
        Flow Chart Color:
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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

				
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