Patient transfer
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Safe transfer of patients is of utmost priority to minimize unwanted complications. Patients, especially the critical ones experience some amount of physical stress during the process of transfer which may result in the stress being manifested in altering one or more physical markers or parameters
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Patient transfer presentation
Patient transfer involves moving a patient from one surface to another for continuation of care. There are various types of transfers that depend on the patient's condition and abilities, including one-person or two-person standing pivots, transfers using boards, and sit-to-stand transfers. Proper preparation, communication, documentation, stabilization of the patient, and choice of transfer mode are important elements to consider. Modes of transfer can be intra-hospital shifts within the same facility or inter-hospital shifts using ground ambulances or air transport like helicopters. Equipment, monitoring, and safety techniques are vital to ensure safe transfer of the patient.
Transfer of patient
This document discusses the transfer of a patient from one unit or hospital to another. It defines a patient transfer as discharging a patient from one unit or agency and admitting them to another without going home in between. The two main types of transfers discussed are between units in the same hospital and between different hospitals. The key steps outlined for an intra-hospital transfer are obtaining a physician order, informing the patient and receiving unit, completing documentation, arranging transportation, and ensuring the receiving unit admits the patient. The nurse's role in the process involves communication, documentation, collecting patient belongings, and assisting in the physical transfer of the patient between units.
Moving ,lifting, and transferring patients
This document discusses various techniques for moving and transferring patients, including:
1) Moving a patient up in bed can be done by one or two nurses using a slide sheet to promote comfort and proper body alignment.
2) Turning a patient onto their side or prone position ensures comfort, allows changing of linens/bed pans, and offers relief from pressure points.
3) Assisting a patient to sit up enables changes in position without injury and maintains good body mechanics.
4) Transferring a patient from bed to chair or between a bed and stretcher safely transfers patients and maintains proper body alignment, sometimes using mechanical devices.
Restrain policy
The PPT is regarding discussion of Safe Restraint Policy as per NABH norms basically for Nurses working in medical conditions and emergency medical conditions. The discussion is mainly based on Assessment care and monitoring of patient with restraint, and also documentation
vulnerable-patient-PPT.pptx
This document defines vulnerable patients as those unable to protect or care for themselves, and lists several categories of vulnerable patients including the elderly, children, disabled individuals, and patients undergoing medical procedures. It describes how nurses should assess and care for vulnerable patients, with an emphasis on safety. Key safety measures include identification bands, regular checks, grab bars, non-slip surfaces, adequate lighting, and ensuring vulnerable patients are not left unattended. The goal is to minimize risks for these patients like falls, injuries, neglect, and infections.
Admission Procedure for Hospital services NABH ppt.pptx
Personal details of the patient are recorded. The tests ordered by the patient's doctor are charged. The room is assigned after the patient has been updated by either the Patient Accounting Department or the Customer Service Department.
Patient transfer
1) Patient transfers involve safely moving a patient from one surface to another using proper techniques and assistive devices.
2) There are different levels of transfer based on a patient's participation and need for assistance.
3) Many risk factors must be considered for safe transfers, including a patient's medical conditions, physical abilities, communication skills, and environment. Assistive devices can help reduce risks.
Discharge from hospital in nursing
This document discusses the process for discharging a patient from the hospital. It involves coordination between the medical staff, patient, and family to plan for the patient's care after leaving the hospital. The nurse is responsible for ensuring the patient is ready for discharge and that they receive instructions for medications, diet, follow-up care, and any other needs. Discharge planning involves teaching the patient and family to care for the patient at home as well as documenting the discharge instructions and type of discharge.
Recommended
Patient transfer presentation
Patient transfer involves moving a patient from one surface to another for continuation of care. There are various types of transfers that depend on the patient's condition and abilities, including one-person or two-person standing pivots, transfers using boards, and sit-to-stand transfers. Proper preparation, communication, documentation, stabilization of the patient, and choice of transfer mode are important elements to consider. Modes of transfer can be intra-hospital shifts within the same facility or inter-hospital shifts using ground ambulances or air transport like helicopters. Equipment, monitoring, and safety techniques are vital to ensure safe transfer of the patient.
Transfer of patient
This document discusses the transfer of a patient from one unit or hospital to another. It defines a patient transfer as discharging a patient from one unit or agency and admitting them to another without going home in between. The two main types of transfers discussed are between units in the same hospital and between different hospitals. The key steps outlined for an intra-hospital transfer are obtaining a physician order, informing the patient and receiving unit, completing documentation, arranging transportation, and ensuring the receiving unit admits the patient. The nurse's role in the process involves communication, documentation, collecting patient belongings, and assisting in the physical transfer of the patient between units.
Moving ,lifting, and transferring patients
This document discusses various techniques for moving and transferring patients, including:
1) Moving a patient up in bed can be done by one or two nurses using a slide sheet to promote comfort and proper body alignment.
2) Turning a patient onto their side or prone position ensures comfort, allows changing of linens/bed pans, and offers relief from pressure points.
3) Assisting a patient to sit up enables changes in position without injury and maintains good body mechanics.
4) Transferring a patient from bed to chair or between a bed and stretcher safely transfers patients and maintains proper body alignment, sometimes using mechanical devices.
Restrain policy
The PPT is regarding discussion of Safe Restraint Policy as per NABH norms basically for Nurses working in medical conditions and emergency medical conditions. The discussion is mainly based on Assessment care and monitoring of patient with restraint, and also documentation
vulnerable-patient-PPT.pptx
This document defines vulnerable patients as those unable to protect or care for themselves, and lists several categories of vulnerable patients including the elderly, children, disabled individuals, and patients undergoing medical procedures. It describes how nurses should assess and care for vulnerable patients, with an emphasis on safety. Key safety measures include identification bands, regular checks, grab bars, non-slip surfaces, adequate lighting, and ensuring vulnerable patients are not left unattended. The goal is to minimize risks for these patients like falls, injuries, neglect, and infections.
Admission Procedure for Hospital services NABH ppt.pptx
Personal details of the patient are recorded. The tests ordered by the patient's doctor are charged. The room is assigned after the patient has been updated by either the Patient Accounting Department or the Customer Service Department.
Patient transfer
1) Patient transfers involve safely moving a patient from one surface to another using proper techniques and assistive devices.
2) There are different levels of transfer based on a patient's participation and need for assistance.
3) Many risk factors must be considered for safe transfers, including a patient's medical conditions, physical abilities, communication skills, and environment. Assistive devices can help reduce risks.
Discharge from hospital in nursing
This document discusses the process for discharging a patient from the hospital. It involves coordination between the medical staff, patient, and family to plan for the patient's care after leaving the hospital. The nurse is responsible for ensuring the patient is ready for discharge and that they receive instructions for medications, diet, follow-up care, and any other needs. Discharge planning involves teaching the patient and family to care for the patient at home as well as documenting the discharge instructions and type of discharge.
Safe transfer of patient
The Current PPT is regarding Safe Transfer of Patient mostly from wheelchair to bed and bed to wheelchair, Stretcher to Bed.
duties of OT
The duties of an OT technician include maintaining the operating theatre, preparing and sterilizing instruments, assisting the surgeon and anesthetist during surgery, and maintaining OT equipment. An OT has three areas: the preoperative area where patients are prepared, the operative area where surgery takes place, and the post-operative area for recovery. The technician's duties are divided into pre-surgery preparation, assisting during surgery, and post-surgery care of the patient and cleaning.
Moving and lifting the patient
This document discusses the moving and lifting of patients, including indications, contraindications, devices used, and the nurse's responsibilities. It describes moving patients from bed to wheelchair and back as well as from bed to stretcher for pre-operative, anemic, elderly, and gynecological patients. Critically ill, spinal injury, head injury, and unconscious patients require movement from bed to stretcher. Proper planning, coordination, and support of the head, shoulders, hips, thighs and ankles are general instructions. A nurse's responsibilities include assessment, preparation of the patient and unit, and assisting the patient during the transfer.
Admission procedure
This document outlines the admission procedure for patients entering a hospital or ward. It defines admission as allowing a patient to stay for observation, investigation, treatment, and care. There are two main types of admission: emergency admission for acute conditions requiring immediate treatment; and routine admission for investigation, diagnosis, and medical or surgical treatment. The document describes the steps of the admission procedure, which include meeting the patient, verifying their information, assisting them to the treatment area, performing examinations, coordinating with physicians, giving treatment/instructions, and orienting the patient. It also outlines the roles and responsibilities of nurses in the admission process.
OT table
1. The operating room table is fully adjustable to position patients in various surgical positions and orientations. It has movable sections, articulating joints, and tilt capabilities to manipulate the patient as needed.
2. Accessories like armboards, leg holders, and overhead tables provide support and access around the patient. The table also has features like smooth contours, radiolucency, and electrical or hydraulic controls for adjustments.
3. Proper positioning is important for patient safety, surgical access, and physiological needs. It prevents pressure points, maintains circulation and breathing, and positions anatomical structures for procedures. Common positions include supine, prone, lateral, lithotomy and their variations.
SAFE PATIENT TRANSFERS
This document discusses different types of patient transfers within and between hospitals and outlines guidelines for safe transfers. It identifies that transfers, especially of critically ill patients, can pose risks. Adverse events during transfers have been reported in 6-70% of cases, including changes in vital signs, unplanned extubation, and cardiac arrest (rates as high as 8%). Risks are greater for sicker patients and urgent transfers. Factors like communication, equipment, monitoring, and planning are important to consider. The document provides tables outlining reported adverse events and mishaps during transfers. It emphasizes the need for guidelines addressing who, what, when, where, why and how questions before any patient transfer.
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The document provides information about preventing pressure injuries using the Braden Scale and critical thinking. It discusses the Braden Scale assessment tool and its subscales for assessing pressure injury risk. It then presents a case study of a patient, Ms. P, and walks through assessing her using the Braden Scale. Ms. P scores low on the sensory perception, moisture, and activity subscales due to sensory impairment, diaphoresis, and limited mobility. A thorough assessment using the Braden Scale and considering additional risk factors can help identify patients at risk of developing pressure injuries.
Ppt discharge of the patient
This document discusses discharge planning from the hospital. It defines discharge as when a patient leaves the hospital either after completing treatment, leaving against medical advice, or expiring. The key aspects of discharge planning are coordinating care, exchanging information between present and future caregivers, and initiating the process early. The goals of discharge planning are to provide continuity of care and ensure the patient's and family's understanding of the treatment plan and safe return home. The document outlines the steps of the discharge process, including assessment, diagnosis, planning, implementation, and evaluation.
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Vulnerable patients are those unable to protect or care for themselves, including infants, children, the disabled, elderly, those with medical conditions, and victims of abuse. They require close monitoring and specialized care. The document outlines how hospitals should assess and care for vulnerable groups like the elderly and children, ensuring their safety, family involvement, and proper documentation. Facilities must provide needed care or transfer high-risk patients as required and train staff to minimize risks when treating vulnerable groups.
Admission and discharge
This document defines and provides guidelines for patient admission, transfer, and discharge in a hospital setting. It outlines the purposes, principles, equipment, and procedures involved in each process to ensure continuity of care and optimal patient outcomes. Key steps include collecting patient information, assessing needs, communicating with providers and family, documenting care provided, and educating patients for continued recovery after leaving the hospital. The overall aim is to safely and smoothly transition patients between levels of care while maintaining quality standards.
Patients safety transfers and lifting
The document provides guidelines for safely transferring and lifting patients to prevent injuries. It emphasizes using proper body mechanics, communication during transfers, and getting assistance for heavy patients or awkward lifts. Specific tips are given for different transfer techniques, including using draw sheets, wheelchairs, and a one-person transfer method. Warm up exercises are also recommended before transfers to prevent strains. Overall the focus is on protecting both patients and caregivers from injuries during moves by following standardized safety procedures.
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The document discusses the discharge of patients from the hospital. It defines discharge as relieving a patient from the hospital setting after completing their initial treatment. There are two types of discharge: planned discharge after treatment is finished, and discharge against medical advice (DAMA). The steps for planned discharge include a doctor's order, completing paperwork, informing departments, and ensuring bills are paid. For DAMA, the patient must sign a consent form acknowledging they are leaving against advice. Nurses are responsible for preparing patients for discharge, assisting with the discharge process, and documenting discharge.
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The document outlines the procedures for caring for the dead, including certifying and documenting the time of death, handling requests for autopsy or organ donation, preparing and positioning the body, providing support to grieving family members, and maintaining dignity and respect throughout the process. Key responsibilities include following hospital policy, being sensitive to religious and cultural practices, and properly documenting details of death and body transfer.
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The document discusses guidelines for proper patient identification and verification of surgical procedures. It recommends that patients undergoing surgery should have at least two identifiers, wear an identifying marker, and be properly identified by the surgical team before transport to the operating room. It also stresses the importance of verifying the correct surgical procedure and site, and conducting a "time out" before any procedure to confirm patient, procedure, and site details. Potential barriers to proper identification like staffing issues, multiple procedures or surgeons are also outlined.
Operation theatre
The document discusses the operation theatre, including its definition, history, equipment, and sterilization processes. An operation theatre is a sterile facility in a hospital where surgeries are performed. Historically, it referred to a non-sterile amphitheater where students could observe surgeries. The operation theatre is equipped with items like operating tables, monitors, anesthesia machines, surgical lights, and tools to aid surgeons and sterilize the environment between procedures.
Safe transfer of unstable patient from hospital NABH ppt.pptx
Keep your body in a straight line, with a straight back and bent knees. Your head and chest should be up and straight. Keep your feet a little wider than your shoulder width. Keep the person's head, torso, and legs in line during the transfer.
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Lifting moving & patient position
The document discusses proper techniques for lifting, moving, and positioning patients. It describes how to assess patients' needs and abilities before moving them, as well as correct body mechanics for nurses to employ, such as maintaining balance and a broad stance. Specific techniques are covered, including pulling, pushing, and pivoting patients. Different considerations are outlined for infants, children, and elders. Various patient positions like Fowler's position and lateral position are also defined. The goal is to safely move and position patients while preventing injuries to both patients and nurses.
Admission of client to hospital
This document discusses hospital admission procedures, including the types of admission, admission process, preparing the patient unit, transferring patients between wards, and the nurse's role in admission. The types of admission are emergency, routine, and transfers between wards. The admission process involves receiving and assessing the patient, collecting medical and social information, examinations by physicians, and transporting inpatients to their ward. Nurses greet patients, orient them, complete charts, monitor vitals, carry out orders, and ensure patient comfort during the admission process.
Safe transfer of unstable patient from hospital NABH ppt.pptx
Keep your body in a straight line, with a straight back and bent knees. Your head and chest should be up and straight. Keep your feet a little wider than your shoulder width. Keep the person's head, torso, and legs in line during the transfer.
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Safe transfer of patient
The Current PPT is regarding Safe Transfer of Patient mostly from wheelchair to bed and bed to wheelchair, Stretcher to Bed.
duties of OT
The duties of an OT technician include maintaining the operating theatre, preparing and sterilizing instruments, assisting the surgeon and anesthetist during surgery, and maintaining OT equipment. An OT has three areas: the preoperative area where patients are prepared, the operative area where surgery takes place, and the post-operative area for recovery. The technician's duties are divided into pre-surgery preparation, assisting during surgery, and post-surgery care of the patient and cleaning.
Moving and lifting the patient
This document discusses the moving and lifting of patients, including indications, contraindications, devices used, and the nurse's responsibilities. It describes moving patients from bed to wheelchair and back as well as from bed to stretcher for pre-operative, anemic, elderly, and gynecological patients. Critically ill, spinal injury, head injury, and unconscious patients require movement from bed to stretcher. Proper planning, coordination, and support of the head, shoulders, hips, thighs and ankles are general instructions. A nurse's responsibilities include assessment, preparation of the patient and unit, and assisting the patient during the transfer.
Admission procedure
This document outlines the admission procedure for patients entering a hospital or ward. It defines admission as allowing a patient to stay for observation, investigation, treatment, and care. There are two main types of admission: emergency admission for acute conditions requiring immediate treatment; and routine admission for investigation, diagnosis, and medical or surgical treatment. The document describes the steps of the admission procedure, which include meeting the patient, verifying their information, assisting them to the treatment area, performing examinations, coordinating with physicians, giving treatment/instructions, and orienting the patient. It also outlines the roles and responsibilities of nurses in the admission process.
OT table
1. The operating room table is fully adjustable to position patients in various surgical positions and orientations. It has movable sections, articulating joints, and tilt capabilities to manipulate the patient as needed.
2. Accessories like armboards, leg holders, and overhead tables provide support and access around the patient. The table also has features like smooth contours, radiolucency, and electrical or hydraulic controls for adjustments.
3. Proper positioning is important for patient safety, surgical access, and physiological needs. It prevents pressure points, maintains circulation and breathing, and positions anatomical structures for procedures. Common positions include supine, prone, lateral, lithotomy and their variations.
SAFE PATIENT TRANSFERS
This document discusses different types of patient transfers within and between hospitals and outlines guidelines for safe transfers. It identifies that transfers, especially of critically ill patients, can pose risks. Adverse events during transfers have been reported in 6-70% of cases, including changes in vital signs, unplanned extubation, and cardiac arrest (rates as high as 8%). Risks are greater for sicker patients and urgent transfers. Factors like communication, equipment, monitoring, and planning are important to consider. The document provides tables outlining reported adverse events and mishaps during transfers. It emphasizes the need for guidelines addressing who, what, when, where, why and how questions before any patient transfer.
Ot mang
The document discusses the management and design considerations for an operation theatre (OT) suite in a hospital. It covers key aspects like location, number of operating rooms, zoning, equipment, lighting, ventilation, safety hazards, emergency equipment and patient protection protocols. The OT suite needs to be carefully planned and designed to minimize infection risks through segregated traffic flow and maintaining different cleanliness zones, from protective to sterile areas.
The Braden Scale and Critical Thinking
The document provides information about preventing pressure injuries using the Braden Scale and critical thinking. It discusses the Braden Scale assessment tool and its subscales for assessing pressure injury risk. It then presents a case study of a patient, Ms. P, and walks through assessing her using the Braden Scale. Ms. P scores low on the sensory perception, moisture, and activity subscales due to sensory impairment, diaphoresis, and limited mobility. A thorough assessment using the Braden Scale and considering additional risk factors can help identify patients at risk of developing pressure injuries.
Ppt discharge of the patient
This document discusses discharge planning from the hospital. It defines discharge as when a patient leaves the hospital either after completing treatment, leaving against medical advice, or expiring. The key aspects of discharge planning are coordinating care, exchanging information between present and future caregivers, and initiating the process early. The goals of discharge planning are to provide continuity of care and ensure the patient's and family's understanding of the treatment plan and safe return home. The document outlines the steps of the discharge process, including assessment, diagnosis, planning, implementation, and evaluation.
Care of vulnerable patients policy ppt
Vulnerable patients are those unable to protect or care for themselves, including infants, children, the disabled, elderly, those with medical conditions, and victims of abuse. They require close monitoring and specialized care. The document outlines how hospitals should assess and care for vulnerable groups like the elderly and children, ensuring their safety, family involvement, and proper documentation. Facilities must provide needed care or transfer high-risk patients as required and train staff to minimize risks when treating vulnerable groups.
Admission and discharge
This document defines and provides guidelines for patient admission, transfer, and discharge in a hospital setting. It outlines the purposes, principles, equipment, and procedures involved in each process to ensure continuity of care and optimal patient outcomes. Key steps include collecting patient information, assessing needs, communicating with providers and family, documenting care provided, and educating patients for continued recovery after leaving the hospital. The overall aim is to safely and smoothly transition patients between levels of care while maintaining quality standards.
Patients safety transfers and lifting
The document provides guidelines for safely transferring and lifting patients to prevent injuries. It emphasizes using proper body mechanics, communication during transfers, and getting assistance for heavy patients or awkward lifts. Specific tips are given for different transfer techniques, including using draw sheets, wheelchairs, and a one-person transfer method. Warm up exercises are also recommended before transfers to prevent strains. Overall the focus is on protecting both patients and caregivers from injuries during moves by following standardized safety procedures.
Discharge of a patient
The document discusses the discharge of patients from the hospital. It defines discharge as relieving a patient from the hospital setting after completing their initial treatment. There are two types of discharge: planned discharge after treatment is finished, and discharge against medical advice (DAMA). The steps for planned discharge include a doctor's order, completing paperwork, informing departments, and ensuring bills are paid. For DAMA, the patient must sign a consent form acknowledging they are leaving against advice. Nurses are responsible for preparing patients for discharge, assisting with the discharge process, and documenting discharge.
6. dead body care pp
The document outlines the procedures for caring for the dead, including certifying and documenting the time of death, handling requests for autopsy or organ donation, preparing and positioning the body, providing support to grieving family members, and maintaining dignity and respect throughout the process. Key responsibilities include following hospital policy, being sensitive to religious and cultural practices, and properly documenting details of death and body transfer.
Identification of patient and part that has to be operated
The document discusses guidelines for proper patient identification and verification of surgical procedures. It recommends that patients undergoing surgery should have at least two identifiers, wear an identifying marker, and be properly identified by the surgical team before transport to the operating room. It also stresses the importance of verifying the correct surgical procedure and site, and conducting a "time out" before any procedure to confirm patient, procedure, and site details. Potential barriers to proper identification like staffing issues, multiple procedures or surgeons are also outlined.
Operation theatre
The document discusses the operation theatre, including its definition, history, equipment, and sterilization processes. An operation theatre is a sterile facility in a hospital where surgeries are performed. Historically, it referred to a non-sterile amphitheater where students could observe surgeries. The operation theatre is equipped with items like operating tables, monitors, anesthesia machines, surgical lights, and tools to aid surgeons and sterilize the environment between procedures.
Safe transfer of unstable patient from hospital NABH ppt.pptx
Keep your body in a straight line, with a straight back and bent knees. Your head and chest should be up and straight. Keep your feet a little wider than your shoulder width. Keep the person's head, torso, and legs in line during the transfer.
Bundle care
The document discusses care bundles, which are groups of evidence-based interventions that are more effective at improving patient outcomes when implemented together rather than individually. It provides examples of common care bundles, such as ventilator bundles and central line bundles. The ventilator bundle includes elements like keeping the head of the bed elevated, daily sedation vacations, stress ulcer prophylaxis, deep vein thrombosis prophylaxis, and oral decontamination with chlorhexidine. The central line bundle outlines best practices for insertion, maintenance, and care of central lines to reduce central line-associated bloodstream infections.
Lifting moving & patient position
The document discusses proper techniques for lifting, moving, and positioning patients. It describes how to assess patients' needs and abilities before moving them, as well as correct body mechanics for nurses to employ, such as maintaining balance and a broad stance. Specific techniques are covered, including pulling, pushing, and pivoting patients. Different considerations are outlined for infants, children, and elders. Various patient positions like Fowler's position and lateral position are also defined. The goal is to safely move and position patients while preventing injuries to both patients and nurses.
Admission of client to hospital
This document discusses hospital admission procedures, including the types of admission, admission process, preparing the patient unit, transferring patients between wards, and the nurse's role in admission. The types of admission are emergency, routine, and transfers between wards. The admission process involves receiving and assessing the patient, collecting medical and social information, examinations by physicians, and transporting inpatients to their ward. Nurses greet patients, orient them, complete charts, monitor vitals, carry out orders, and ensure patient comfort during the admission process.
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Safe transfer of unstable patient from hospital NABH ppt.pptx
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Safe transfer of unstable patient from hospital NABH ppt.pptx
Keep your body in a straight line, with a straight back and bent knees. Your head and chest should be up and straight. Keep your feet a little wider than your shoulder width. Keep the person's head, torso, and legs in line during the transfer.
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Prepare the patient (and relatives)
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Post operative management
Post-Operative Managment
• The post operative period begins from the time
• The patients leaves the operating room and ends with the
follow up visit by the surgeon.
• The post operative care is provided by
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The document provides guidance on safely transferring a sick child from one medical facility to another. It discusses the key steps in the transfer process:
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2) Control and clear communication are essential during the potentially chaotic emergency department environment. A structured approach like SBAR should be used.
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1) The document discusses nursing care in the post-operative phase, including monitoring in the post-anesthesia care unit (PACU) and assessing airway, breathing, circulation, and consciousness.
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3) The document details the nursing interventions and assessments needed in the immediate post-operative phase and considerations for transferring a patient from the PACU to the postoperative ward or intensive care unit.
Nursing Management for obstetrical procedures
The document provides guidelines for nursing management of women undergoing obstetric operations. It outlines:
1) Equipment and monitoring required in recovery, including vital signs monitoring every 5 minutes for 30 minutes;
2) Criteria for safe transfer to the postnatal ward once stable, including pain level below 1;
3) Post-operative observations every 30 minutes for 2 hours then every 2 hours for 24 hours, including vital signs, pain, temperature and wound/loss monitoring.
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Pre operative checklist
Things to ensure and check off the list before a patient is shifted to the OR for surgery. The responsibility rests mainly with the resident doctor and the registered nurse to ensure complete preoperative preparation of the patient.
Patient safety
Ensuring safety of patients, visitors and staff in hospital premises is the responsibility of the hospital management. However, these three groups are required to have an awareness of their roles and responsibilities to ensure a safe environment.
Needle stick injury
Awareness on needle stick injuries and its prevention plays a major role in safeguarding healthcare professionals.
Medication error
Medication errors are a major concern in the healthcare fraternity. Although unintended, medication errors continue to happen everyday resulting in patient harm.
Initial assessment
Basics of nursing initial assessment needed to be done when a patient is received in the department. Done by the registered nurse, initial assessment is the basis on which further care is planned.
Incident reporting
Pune Adventist Hospital uses incident reports to record and learn from unusual occurrences at the facility. There are three types of incidents that should be reported: near misses within 24 hours, adverse events within 2 hours, and sentinel events immediately. Staff are required to report any incident or accident that causes or has potential to harm. When reporting an incident, the staff member should obtain a form, write an accurate first person account of what happened chronically and factually, and submit it to their department head. The department head will do an initial assessment while the quality team will perform a root cause analysis to prevent future risks and reduce blame.
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Patient transfer
- 1. Pune Adventist Hospital Safe transfer of patients
- 2. Types of transport • Intrahospital – transport of a patient from one location to another within the hospital • Interhospital – transport of a patient between hospitals • Scene run – transport of a patient from a non medical site to the nearest available medical facility
- 3. Intrahospital transfers • From ER to wards • From ER to OT/ ICU • From ward to OT/ICU • From ward to radiology • From ward to ward • From one ICU to the other
- 4. Interhospital transfers • From hospital to home, post discharge • From once facility to another in the same city • From one facility to another in a different city
- 5. • Critically ill patients are at an increased risk of mortality and morbidity during transport • Risk can be minimized and outcomes improved with a) Careful planning b) Qualified personnel c) Selection of appropriate equipment
- 6. Transfer policy and procedure • At least 4 concerns need to be addressed through written policies and procedures a) Communication b) Personnel c) Equipment d) Monitoring
- 7. Pre – transport communication • When an alternate team at a receiving location will assume responsibility of the patient, continuity of patient care will be ensured by physician – to – physician and nurse – to – nurse communication to review patient condition and the treatment plan
- 8. • Before transport, the receiving location confirms that it is ready to receive the patient • The responsible physician is made aware of the transport
- 9. • Documentation in the medical record includes the indications for transport and patient status throughout the time away from the unit of origin
- 10. Accompanying personnel • It is strongly recommended that a minimum of two people accompany a patient • Additional personnel may include a registered nurse, critical care technician as needed • Recommended that a physician with ACLS training accompany unstable patients
- 11. Accompanying equipment • BP monitor, pulse oximeter, defibrillator. • Equipment for airway management with oxygen source • Basic resuscitation drugs • Supplemental medications such as sedatives and narcotic analgesics
- 12. Accompanying equipment In mechanically ventilated patients, endotracheal tube position is noted and secured before transport and the adequacy of oxygenation and ventilation is confirmed
- 13. Accompanying equipment • All battery – operated equipment is fully charged and capable of functioning for the duration of the transport
- 14. Monitoring during transport • All patients receive the same level of basic physiological monitoring as they had in their ward/ ICU • At a minimum, continuous vital signs and pulse oximetry monitoring
- 15. Nurses role in transfer of a patient Action Rationale Make sure that the patient and family are informed of the need to transfer Communication promotes cooperation
- 16. Role of nurses Action Rationale Communicate with the department where the patient will be transferred Gives them time to prepare for the patient’s arrival
- 17. Role of nurses Action Rationale If being transferred to another facility, handover all of patient’s belongings Carelessness could lead to loss and inconvenience
- 18. Role of nurses Action Rationale Help in transportation of the patient Assistance reduces demand on the patient
- 19. Role of nurses Action Rationale Documentation All records to be kept for future reference