In patient meeting

In patient meeting. Bryan Bunderson.

AGENDA. Good News/Bad News Spine Patients: 1st choice meds Pain reassessment Ortho Patients: Ambulation Williams/ Taunton Pain Medication during nightshift PT instructions Fall Precautions Bariatric Pt’s Chart I&O flatus BM yes/no Strict fluid education New staff introductions: Josh Wiltz RN Cheyenne Berry RN Rebekah Shuh RN Year end due dates My Talent RQI Self-evaluations Quality: New Narcotic process ID bands OR readiness Script pads Misc: Care team insights survey DME Hoyer, BSC On Call MD’s ED EMTALA Charge Nurses Dropped Calls Meals for patients Safety survey Medication Side effects.

[Audio] We have some good news to share. Our patient satisfaction scores have been at a 100% for the last 6 months, this is an amazing accomplishment Pump scanning continues to be greater than 90%, great work! Medication scanning rate is greater than 98% as a unit, with the number of medications we give, this is quite an accomplishment, keep up the goo work. Call ins have been very low and usually when someone needs to call in the team is quick to pitch in and help cover/. We continue to see improvement in our fall safety documentation. When I last spoke to Dr Alabhai he is very happy with he work we are doing with his bariatric patient's..

[Audio] Unfortunately, there is some bad news to go with the good. Lately we have had an increased number of falls resulting in injury, this will be discussed in more detail later in the presentation. There have been an increase in medication errors including wrong choice medications and not scanning full dose of narcotics. Post surgical patients are not being ambulated properly. There have been issues regarding the pain control of patient's. There have been several occasions when patients were not ready for surgery coming from the floor. There have been two patient's that did not have armbands on. Patients have been sent home without Home health properly being set up Input and output issue with bariatric patients ..

First choice medications–remember to always go with the first-choice medication, Always read your orders. please contact the provider with any questions Pain reassessment – always reassess pain after any pain medication administration.

Ambulation- Dr Taunton’s patients will always ambulate in the hall.

I&O- always chart I &O, Flatus or no Flatus every shift.

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My Talent- make sure that all assignments are complete over the next two weeks.

when notifying an MD of a change, place notification under ND notification in CC New Narcotic Process All narcotic discrepancies will be investigated and tracked, possible disciplinary action Must waste with 30 min of removal ID Bands No patient should ever be without an ID band OR readiness Any patient going to OR should have a signed consent IV and in a gown with all jewelry removed Script pads are to be kept in the pyxis not at the nurse's station MD Notification Script Pads.

Care team insights survey –Dec 1-Dec 15. Miscellaneous.

THANK YOU. Questions?. PRESENTATION TITLE. 12.