More Related Content
Similar to Base Patient Tracer Tool - Hospital Version
Similar to Base Patient Tracer Tool - Hospital Version (20)
Base Patient Tracer Tool - Hospital Version
- 1. BasePatientTracerTool
*Denotesthatafocusedtracertoolisavailableforthistopic
•Tellmeabouttheequipmentthispatientuses(ie.Ventilator,
pulseoximeter,Holtermonitor,etc.).*Ifpatienthasequipment,
useMedicalEquipmentTool
•Howdoyouknowthatyou'reallowedtomanagethisequipment?
Unit/Departmentbeingtraced:
__________________________
Pathofpatientthroughthe
organization:
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
PatientDemographics:
Age:_____________________Diagnosis:____________________________________________________
_________________________________________________________________________________________
AdditionalDiagnoses:
_________________________________________________________________________________________
Surgicalorinvasiveproceduresduringstay*(useSurgicalSafetyTool):___________________________
_________________________________________________________________________________________
Diagnosticimagingproceduresduringstay*(UseDiagnosticImagingTool):_______________________
_________________________________________________________________________________________
Disciplinesinvolvedduringstay:____________________________________________________________
_________________________________________________________________________________________
PatientStory:
EnvironmentofCare
•Clean,odor-free,uncluttered?
•Hallwaysclear(wheelchairs,beds,carts,etc.)?
•Howdoyoudecidewhatitemscanbeleftinthehallwayfora
prolongedperiodoftime?
•Tellmeaboutyourprocessforcheckingeyewashstations.
•Doorsfunctionproperly(latch,firedoorscloseallthewayon
theirown,etc.)
AreaofFocusSampleTracerObservations/QuestionsComments/NotesWhileTracing
Employeesinterviewed:
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Equipment*
DevelopedbySuzieGehrz
AccreditationChampion.ComplianceLiaison.
612-910-8945~suziegehrz@gmail.com
- 2. PatientName:Unit/Department:
OtherDiscipline:
_____________________
•Tellmehowyoufoundoutthispatientneededyourservice?
•Whatkindofcommunicationdidyoureceiveonthispatient?
Fromthereferralsource,duringshiftchange,etc.
•Tellmeaboutyourtimeframetocompleteassessments.
•Whatkindofgoalsand/orcareplandoesthispatienthavefor
yourdiscipline?
•Whatkindofinformationdoyousharewiththepatient'sother
careprovidersandwhendoyousharethis?
•Howdoyouhelppreventpatientinfections?
OtherDiscipline:
_____________________
•Tellmehowyoufoundoutthispatientneededyourservice?
•Whatkindofcommunicationdidyoureceiveonthispatient?
Fromthereferralsource,duringshiftchange,etc.
•Tellmeaboutyourtimeframetocompleteassessments.
•Whatkindofgoalsand/orcareplandoesthispatienthavefor
yourdiscipline?
•Whatkindofinformationdoyousharewiththepatient'sother
careprovidersandwhendoyousharethis?
•Howdoyouhelppreventpatientinfections?
AreaofFocusSampleTracerObservations/QuestionsComments/NotesWhileTracing
Nursing*
•Tellmeaboutyourprocessfortheuseofverbalorders.
•Is(orwas)thepatientinrestraintsorseclusion?*Ifyes,use
RestraintsandSeclusionTool.
•Whatkindofassessmentsdoyoudoonthispatient?
•Tellmeaboutyourpainassessmentprocess.(Whogetsit,how
often,howdoyouknowwhichpainscaletouse,howdoyou
respondtopain,tellmeaboutyourreassessmentprocess,etc.)
•Whatdoyoudotoreducetheriskoffalls?
•Showmeintherecordwhatthegoalsareforthispatient.
•Whatkindofeducationdoyouprovidetothepatient/family?
•Tellmeaboutwaysyouincludethepatientinhis/hercare.
DevelopedbySuzieGehrz
AccreditationChampion.ComplianceLiaison.
612-910-8945~suziegehrz@gmail.com
