Considering all aspects, clinical and administrative, of the surgical process at OSNC/Rex, identify and explore areas for improvement; Design a quality improvement initiative addressing a specific developmental opportunity. This should be a complete design/presentation with area of need, options, SWOT analysis, recommendations and action steps.
3. Options / Recommendations
Establish a different order of operation (no pun intended)
Have a list unique to each type of surgery for discharge orders until otherwise
specified.
4. SWOT Analysis
Strengths:
• Communication and staff
compliance
Weaknesses:
Patients can’t discharge until orders are put
in from doctor. They may have to wait until
the current Sx is over.
CRN’s cannot bring in patient to do induction
until H&P has been complete and signed off
Opportunity:
Patients/family can have time to thoroughly
look over discharge notes and ask questions
for better post-op prevention
CRN’s and scrub techs can accomplish more
without being held up
Threats:
Slower commencement before
quicker process.
Late patients can hold up process
5. Action Steps:
• At the start of the day, perform the normal steps for the first patient surgery.
• If possible, Do back to back H&P for next two patients once the first surgery is
complete. Finish discharge orders after current case, and have the CRN put them
in the system. This will ensure accuracy because the surgery is complete.
• Patient/Family can be given standard discharge orders in OR pre-op to look over .
• All of this will allow nurses and techs to speed up induction for the following
patients, and have a smoother flow throughout the day.
