Acc chapter presentation for JCI awarness week

2,649 views
2,480 views

Published on

Published in: Health & Medicine, Business
0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
2,649
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
75
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide

Acc chapter presentation for JCI awarness week

  1. 1. Area where people requiring urgent and regular treatment beyond regular duty hours receive medical treatment care; Is staf fed by emergency room physicians and nurses 24 hours day all year long
  2. 2. The pre-admission screening process includes: A full history and full physical examination; Nursing assessment; Diagnostic testing (as per patient’s condition).
  3. 3.  RIGHT FOR TREATMENT RIGHT FOR INFORMED CONSENT RIGHT FOR GET PRIVACY CONFIDENTIALIT Y INVOLVEMENT IN CARE DECISIONS ACCESS TO PROTECTIVE SERVICES RESPONSIBLE ABOUT GIVING CLAER INFORMATIONS AND FOLLOWING ORDERS
  4. 4.  WHEN SERVICE ISNOT AVAILABLE IN MOUWASAT HOSPITAL OBTAIN PHYSICIAN ORDER INFORMING PATIENTS AND FAMILIES PREPARE A FULL MEDICAL REPORT SEND TO RECEIVING FACILIT Y AND GET ACCEPTANCE FAX ARRANGE THE T YPE OF TRANSPORTATION THAT MATCH THE PATIENT NEEDS
  5. 5.  DIAGNOSIS REASON FOR TRANSFER PHYSICAL STATE OF THE PATIENTS SUMMARY OF THE CARE GIVEN MEDICATIONS RECEIVED
  6. 6. DETECTED AND ORDERED BY ATTENDING PHYSICIAN
  7. 7. THE STAFF MUST BE ACLS /NALS/PALS CERTIFIED
  8. 8.  OBTAIN A WRITTEN ORDER INFORM THE NURSING SUPERVISOR ON DUT Y; NOTIFY ER DOCTORS TO ARRANGE AMBULANCE AND NOTIFY ER AND CHARGE NURSE TO ARRANGE EMERGENCY EQUIPMENT, EMERGENCY MEDICAL BAG AMBULANCE CONTENTS; CALL THE RECEIVING HOSPITAL AND INFORM THE CHARGE NURSE / HEAD NURSE THERE. ENSURE ALL RELEVANT DOCUMENTS AND EQUIPMENT ARE AVAILABLE AND FUNCTIONING. INFORM THE SOCIAL WORKER TO NOTIFY THE FAMILY SPONSOR REGARDING TRANSFER IF THEY ARE NOT AWARE; AFTER COMPLETE DOCUMENTATION SENT THE FILE FOR BILLING AND CLEARANCE.
  9. 9.  AMBULANCE WITH ALL SET-UP; CARDIAC MONITOR WITH DEFIBRILLATOR; EXTERNAL PACEMAKER IF PATIENT IS CARDIAC; PORTABLE VENTILATOR; OXYGEN CYLINDER; SUCTION EQUIPMENT; EMERGENCY MEDICINES; INTUBATIONS EQUIPMENT; IF PATIENT IS TRANSFERRING TO ANOTHER COUNTRY PASSPORT OF PATIENT AND THE ESCORT; TRANSFER FORM (PHYSICIAN, NURSE & RT); COPIES OF ALL RESULTS, IF NEEDED; LIST OF MEDICINE PATIENT IS TAKING; ACCEPTANCE LETTER; AMBULANCE FORM; PLEASE SEE THE ATTACHMENT FORM FOR TRANSFER; LIST OF SOME REFERRAL CENTERS.
  10. 10.  MEDICALLY- ADVISED DISCHARGE is when the attending clinician considers that the patient no longer requires in-patient care and documents this in the patient’s medical record TRANFER TO OTHER FACILIT Y. DISCHARGE AGAINST MEDICAL ADVICE (DAMA DISCHARGE) includes one or both of the following:  The patient requests discharge and refuses further in-patient care  The patient refuses to follow/accept the treatment plan recommended by the attending clinician.
  11. 11.  Date/time the patient is to be discharged; Convalescent period, if appropriate; Work restrictions, if appropriate; Follow-up/out-patient treatment required; Medications to take home, if appropriate; Instructions given to the patient, if any; Dietar y restrictions or requirements; Date of follow-up in the clinic; Discharge diagnosis; Reason for admission/treatment Pertinent physical, laboratory and x-ray findings; Condition on discharge; Transpor tation Needs Recommendations
  12. 12.  To minimize inappropriate use of hospital resources; To identify and use cost-effective care sites when clinically appropriate; To prevent unnecessary admission To avoid re-admission caused by incomplete course of treatment, or resource gaps.
  13. 13.  ATTENDING PHYSICIAN REGISTERED NURSE PHARMACIST SOCIAL WORKERS REHABILITATION UNITS INDIVIDUALS PAIN SPECIALIST NURSE RESPIRATORY THERAPIST NURSE PATIENT TEACHING CENTRE
  14. 14.  WHEN BEING PHYSICALLY OUT OF THE HOSPITAL
  15. 15. SOCIAL SERVICES FOR SOCIAL NEEDS,FOR MORE SPECIFIC EDUCATIONAL NEEDS THE PATIENT AND FAMILY MAY BE REFERRED TO THE PATIENT TEACHING CENTER;PHARMACISTS FOR MEDICATION INSTRUCTIONS;REHABILITATION UNIT (PHYSIOTHERAPIST, OCCUPATIONAL THERAPIST + ORTHOTIST) FOR DIFFICULT Y IN MANAGING ACTIVITIES OF DAILY LIVING;DIETICIAN FOR DIETARY INSTRUCTION AND CONSULT;PAIN SPECIALIST NURSE FOR EVALUATION AND
  16. 16.  NEXT OF KIN MUST BE INFORMED TREATING PHYSICIAN IS RESPONSIBLE TO INFORM THE PATIENT ABOUT ANY KNOWN LONG DELAY IN DIAGNOSTIC AND/OR TREATMENT SERVICES AVAILABLE ALTERNATIVES MUST BE EXPAINED UPON EXPLANATION AND ACCEPTANCE OF THIS DELAY THE PATIENT WILL SIGN THE DELAY OF CARE NOTIFICATION FORM INDICATING HIS NOTIFICATION AND APPROVAL
  17. 17.  Legal Guardian; Husband; Father; Oldest other male relative; Mother; Oldest other female relative
  18. 18.  Is a core clinical activity and is fundamental to patient care, best practice and clinical governance which can be informed or implied. Patients have a fundamental legal and ethical right to determine what happen to their own bodies; therefore valid consent to treatment is central in all forms of health care.
  19. 19.  19. WHAT IS THE IMPLIED CONSENT?
  20. 20.  In emergent condition when the conditions require alleviation of severe pain or immediate diagnosis and treatment of unforeseeable medical condition, which if not immediately treated, would lead to serious disability or death. The consent is only for the time frame of the emergency;
  21. 21.  30 DAYS UNLESS OTHERWISE MENTIONED
  22. 22.  The patient’s condition, assessment of patient understanding; The type of anesthesia proposed; A description of the proposed treatment or procedure acceptance of the inter vention by the patient; The potential benefits The potential drawbacks Risk arising from the proposed procedure and anesthesia; The potential for death or serious harm; The risk arising from the patient’s condition; The possible results of the patient declining the recommended treatment The likelihood of success Reasonable alternatives The identity of the physician
  23. 23. 23. WHAT ARE Guidelines for intra hospital transpor t: -
  24. 24.  Stable patient with IV line only – staf f to be determined by head nurse or charge nurse in consultation with physician Stable Patient with Ar terial Line only – RN; Patient on Ventilator – RN, ICU Specialist, RT; Patient with VasoActive Infusion – RN / ICU Specialist; Unstable Patient – RN / ICU Specialist / RT; Patient with Ar tificial Air way – RN / RT.
  25. 25.  It is palliative care, the shif t from the treating the pathological process to the patient and emphasis on assessment and controlling of symptoms related to the disease process or the secondar y to the treatments provided as pain, nausea and respirator y distress.
  26. 26.  A designating family member/watcher to stay with the patient, Food and comfor t measures to be brought in by the family; Suppor t of the family (physical, psychologically and spiritually); Suppor t of end-of-life concerns, hopes, fears and expectations in an open, honest, and culturally sensitive manner, consider special wishes of the patients and family are suppor ted whenever possible; Pain management, comfor t measures treatment of primar y and secondar y symptoms related to the disease process Patients and families shall be given suf ficient information needed to par ticipate in decisions about care Spiritual Care: According to KSA rules and regulations patients/ families who so desire may arrange for their spiritual representative to visit with the patient and of fer prayers. The social worker and or nursing shif t super visor on duty can facilitate such visits upon request.
  27. 27.  Maintain all invasive lines; IV pumps; ET tubes; Humidification; Foley catheter; Dressings; Medications; Oxygen therapy, Cardiac monitoring; Vital sign monitoring as ordered and as applicable to the patient.
  28. 28. THROUGH ADMISSION OFFICE WHICHEXPLAIN THE PATIENTS SERVICES AND RIGHTS AND RESPONSIBLITIS
  29. 29.  DO NOT SHARE COMPUTER PASSWORD DO NOT DISCUSS PATIENTS IN OPEN AREAS USE CAUTION WHEN GIVE INFORMATION OVER THE PHONE SHARE INFORMATIONS ONLY WITH APPROPRIATE STAFF TEAR UP PAPERS THAT CONTAIN PATIENT INFORMATIONS DO NOT USE PATIENT NAME WHEN PAGING ONLY AUTHORIZED PERSONNEL HAVE THE ACCESS TO PATIENTS RECORDS ALWAYS CLOSE THE DOORSTO MAITAIN MUCH PRIVACY.
  30. 30. VERIFY THAT THE PATIENT HAS EVERYINFORMATION NEEDED REGARDING THE PROCEDURE IF THE PATIENT HAS QUESTIONS WE MUST HOLD THE PROCEDURE TILL ANSWERING ALL INQUIRIES
  31. 31.  PPG ICU 18
  32. 32. ONLY HEALTH CAREPROFFESIONALS AND PATIENT AND SELECTED FAMILY MEMBERS
  33. 33.  CLARIFY THE NATURE OF COMPLAIN CALL SUPERVISOR OR DEPARTMENT HEAD INVESTIGATE AND ANALYZE THE SITUATION INFORM SOCIAL WORKER AND P.I. INTERVENTION OCCURED WITHIN 48 HOURS
  34. 34.  ASSESSTHIER DESIRE FORSUCH SERVICES AND INFORMSOCIAL WORKERS TO DISCUSS WITH THE PATIENT
  35. 35. PATIENTASKED ABOUT PAIN LEVEL, LOCATION AND DESCRIPTION.USE PAIN TOOL TO MEASURE THE PAIN INTENSIT Y
  36. 36.  FACIAL PAIN INTENSIT Y COLOURED ANALOGUE SCALE NUMERIC RATING SCALE

×