Process Flow - Download Now Excel

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Process Flow - Download Now Excel Powered By Docstoc
					Standard Work                                          .
Tier                                                   2
Tier Name                                              Invasive
HPI Category                                           ATD
Process Name                                           PeriPro_PeriOp_Admission_Preprocedure_Care
                                                       2.Invasive.ATD.PeriPro_PeriOp_Admission_Preprocedure_C
Catalog / Document Name                                are

Process Owner (Name and Role)
Revision Date                                          8/26/2008
                                                       From the time patient arrives on 3rd or 4th floor to toes into
Scope
                                                       procedure ...Includes trigger for patient arrival

                                                       Bedside processes: Pt arrival to hosp, Pt arrival to proc
Further Description                                    platform, preprocedure prep
                                                       HUC processes: notification of pt arrival, chart assembly,
                                                       including order, greet patient, enter orders, manage call lights

Related Processes
Related Policies
Dept Invited                                           Attending
Amb Surg RN & Amb Surg HUC CH                          Marge Sholtz
Day Surg RN & Day Surg HUC SMM
CSU RN & CSU HUC                                       Beth Schwenker, Jamie Burch
CVL RN or tech
OR RN (SMM)
OR RN (Col)
OR Tech
Med Imaging tech/RN                                    Sue Snyder
GI Lab RN                                              Marge Sholta
T&T RN
Patient Acess                                          Marc Leighton
                                                       Terry Wyhoski
                                                       Brad Cording
Facilitator                                            Sam Green




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Standard Work                            *PPPO - Peri-Pro / Peri-Op
PeriPro_PeriOp_Admission_Preprocedure_Care



                       Itinerary prints          Caregiver                  Patient turns in
Pt Registers on        in dept                   activates                  pager to
                                                 coaster pager              registration desk
                                                 when ready                 and is directed                                                                                                                     8/14/09 Process flow
                                                                            upstairs                                                                                                                            group added all dept to
                                                                                                                                                                                                                include GI
                                                                                                                                                                                                                lab/CVL/TEE/kb


                                                                                                 Proc
                                                                               Is Pt X-ray or               HUC greets pt     HUC tells      HUC       Chart            PPPO RN          PPPO RN greets pt,                   Premeds     PPPO RN and
                                                                                                                                                                                                                Cath lab                                     PT taken to
                                                                               Procedure?                   &escorts to       PPPO RN        enters    completed        takes            checks armband                       for CVL     Procedural staff
                                                                                                                                                                                                                calls to                                     procedure room by
                                                                                                            room,asks them    of PT          orders    & put in bin     clipboard        admits pt (start IV,                 pts         perform pt
                                                                                                                                                                                                                premed pt                                    procedural staff
                                                                                                            to change         arrival                                   into pt room     EKG, Labs, Meds, X-                              handoff
                                                              Imaging                                                                                                                    ray)

                                                                             Radnet Reg                           8/14/09 PeriOp/Pro group
                                                                             prints in/near                       mapping out process flow
                                                                             modality                             made decision that a PCA
                                                                                                                  would be the one to room
                                                                                                                  a patient/kb
                                                                             See Medical
                                                                             Imaging Flows.



                       HUC looks          HUC prints labels for       HUC pulls                 HUC                              HUC places all items in chart        HUC prepares clipboard-
  HUC chart                                                                                                     HUC                                                   critical care form, family
                       at next day        patient (80 CVL,40          and label                 receives                         cover 2 MD order, 4 progress                                          HUC places chart
                                                                                                                transcribes                                           contact, care plan, shift to
                       schedule           IR,20 GI, 20 TTC)           forms                     pack from                        notes, pt edu form, disch disp                                        in next day chart
                                                                                                                kardex                                                shift reports, labs, kardex,
                                                                                                PAC                              & summary                                                             location
                                                                                                                                                                      telly strips, MARS




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                                                                                    Process Flow Testing
Department:
Business Owner(s):
Team Leader(s):
Name of Process:                                              PeriPro.PeriOp.Admission&PreprocedureCare
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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  1S                      Pt Registers on 1st Floor
                                                                                    Invision - auto print to HP Laser
                                                                                    let HUC know of pt       Standard
  2S                      Itinerary prints in dept                                  arrival                  Printer
                          Caregiver activates coaster pager
  3S                      when therapist is ready                                                            PC
                          Patient turns in pager to
                          registration desk and is directed
  4S                      upstairs
  5D                      Is pt a procedure or x-ray?                                                        HP Laser
                                                                                                             Standard
                          X-RAY:Radnet Reg prints in/near                                                    Printer in /
  6S                      modality                                                  RadNet                   near
                          Tech will come get pt on 3rd floor
  7S                      (TBD)
                          PROCEDURE:HUC greets pt
                          &escorts to room,asks them to      SIGN above HUC
  8S                      change                             desk


  9S                      HUC tells PPPO RN of pt arrival
                                                                                                             PC at HUC
10 S                      HUC enters orders                                         Invision                 desk
                                                              BIN to put chart in
                                                              complete & next day
11 S                      Chart completed & put in bin        charts
                          PPPO RN takes clipboard into pt
12 S                      room                                Clipboard


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    Flow Chart Color:
    Yellow step, pink




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                        PPPO RN greets pt, checks
                        armband admits pt (start IV, EKG,                                                                                                    Patient will go to
13 S                    Labs, Meds, X-ray)                                                                                                                   Medical Imaging
14 S                    Cath lab calls to premed pt                                                                                                          CVL
15 S                    Premeds for CVL pts                                                                                                                  CVL
                        PPPO RN and Procedural staff
16 S                    perform pt handoff
                        PT taken to procedure room by
17 S                    procedural staff
18
19                      HUC Chart assembly CV/IR/GI pt



                                                                                                           PC at HUC
20 S                    HUC looks at next day schedule                                 ESM / EHR Access    desk

                        HUC prints labels for patient                                                      PC, Zebra
21 S                    (80CVL,40IR,20GI,20TTC)                                        Invision            Label printer
                                                                                                                                      chart
22 S                    HUC pulls & labels forms                                                                                      forms

                        HUC family contact form, critical
                        care flow sheetcare plan,
                        orders,discharge disposition,
                        progress notes, education, disch                                                                              chart
23 S                    summary, discharge instructions)                                                                              forms
24 S                    HUC receives pack from PAC
25 S                    HUC transcribes Kardex                Kardex
                        HUC places all items in chart
                        cover 2 MD order, 4 progress
                        notes, pt edu form, disch disp &                                                                              chart
26 S                    summary                                                                                                       forms
                        HUC prepares clipboard-critical
                        care form, family contact, care
                        plan, shift to shift reports, labs,
27 S                    kardex, telly strips, MARS            Clipboard
                        HUC places chart in next day          bin &location for next
28 S                    chart location                        day charts
29

             C:\Docstoc\Working\pdf\a32da180-d70d-4814-89ae-ef9a40391840.xls                                                                                                4 of 11
     Flow Chart Color:
     Yellow step, pink




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     Flow Chart Color:
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              C:\Docstoc\Working\pdf\a32da180-d70d-4814-89ae-ef9a40391840.xls                                                                                    6 of 11
                                                               Technology Testing
Department:
Business Owner(s):
Team Leader(s):
Name of Process:                                 PeriPro.PeriOp.Admission&PreprocedureCare
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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        Flow Chart Color:
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        Flow Chart Color:
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        Flow Chart Color:
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C:\Docstoc\Working\pdf\a32da180-d70d-4814-89ae-ef9a40391840.xls                                                                                       10 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.Admis
                sion&PreprocedureCa
Standard work   re                     8/26/2008 Pt will stop on first floor for registration    Jackie Owens       Confirmed with Patient access reps 8/26/08
                PeriPro.PeriOp.Admis
                sion&PreprocedureCa              Pt access will register, upgrade account,
Standard work   re                     8/26/2008 armband, HIPAA forms & do ESM check in          Jackie Owens       Confirmed with Patient access reps 8/26/08
                PeriPro.PeriOp.Admis
                sion&PreprocedureCa              Charge RN assigns room day before tells flow
Standard work   re                     8/26/2008 coord flow coord tells pt access.
                PeriPro.PeriOp.Admis
                sion&PreprocedureCa              PAC doesn't create packs / charts for GI or TTC Annette Gagnon &
Standard work   re                     5/14/2009 patients.                                       Connie Gosse

				
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