EP30EO-19 Interdisciplinary Practices Updated and New Guideline Checklist April 2012

EP30EO-19 Interdisciplinary Practices Updated and New Guideline Checklist April 2012

Guideline / Previously Dated / New Date / Updates /
Code Green Violent Behaviors or Security Assist
C-01-g (formerly V-02-j) / 7/10 / 4/2012 / A Code Green Debriefing Form is completed if staff /Security have to intervene and/or physically touch the individual/patient to hold/secure them, even if just for a minute and even if restraints are not applied. The team leader is responsible for completing the Code Green Debriefing Form. The completed form is sent to Patient Safety/Risk Management by interoffice mail within 24 hours; a copy is given to the unit manager/supervisor. Security completes all behavior emergency events in the Emergency Departments in Security’s Code Green Database Reports
Added section on identifying a potentially violent individual/patient.
Updated staff competency section to include new CPI and Restraint policy and application.
Hospice care (Acute Inpatient)
H-03-c / 8/09 / 4/30/12 / Reviewed as required. Changes to pager numbers and updated to documentation in CIS.
Meal Service (Patient)
M-01-v / 4/09 / 4/30/12 / Reviewed as required. No significant changes.
Pacemaker/ICD Interrogation Pre/Post Surgical/Procedure
P-00-c / New / 4/2012 / This is a new policy on care of the patient with cardiac implantable electronic device (CIEDs) such as internal cardiac defibrillators (ICD) and pacemakers when having surgery or procedures that may expose the patient to Electromagnetic Interference (EMI).
Pyxis Anesthesia System 3500
P-07-h / 4/10 / 4/15/12 / Waste must always occur with a witness to document. If for any reason a waste of a controlled substance occurs without a witness present, the user must immediately complete an occurrence report for subsequent review by Risk Management.
Pyxis Medication Management System
P-09-k
(P-12-b) Pyxis Utilization in Surgery added to this policy and eliminated) / 6/10 / 4/15/12 / Nurses should use the OR PYXIS. (Not the anesthesiologist Pyxis)
NURSES VENDING DRUGS FROM PYXIS FOR SURGEONS
1.   Take out for individual patient only.
2.   Take out ONLY the amount needed for the case for that patient.
3.   All wasting must be documented as described below.
Waste must always occur with a witness to document. If for any reason a waste of a controlled substance occurs without a witness present, the user must immediately complete an occurrence report for subsequent review by Risk Management.