For all discharges
Patients who death is imminent
Patients who are deceased
For all admissions
An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143
Non-urgent consultation requests to the Ethics Consultation Service can be made by a CPRS formal consult, direct call or page to the Ethics Consultation Service Coordinator, 789-7133, Pager: 449
Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.
There is no ethics consultation service - don't call anyone - figure it out by yourself
Emergency Department staff will be responsible for assessing and meeting the immediate needs of the individual/s.
In response to the overhead page, at a minimum, one Emergency Department nurse and provider will go to the designated site with a stretcher equipped with a scoop board
Once on site, the Emergency Department staff members will assume charge of the situation assessing and initiating the appropriate medical interventions.
If additional emergent medical assistance is required, a “Dr. Heart” may be called.
Is legally committed.
Has a court appointed legal guardian.
Is considered dangerous to self or others.
Lacks cognitive ability (either permanently or temporarily) to make relevant decisions.
Has physical or mental impairments that increase their risk of harm to self or others.
Missing Child Alert
Immediately calling extension 7251, 7268 or 7911 to report the incident
Immediately locking themselves in a secure room or evacuate if able to do so safely.
Remaining in a secure location until the “All Clear” is given by VA or local Police
following all instruction given by VA Police or local Police
Nurses never take critical lab reports
Put the Lab on HOLD until the MD can be tracked down and told personally
Write the lab value on a paper towel and tell the PCC to call the MD
Read back process and records the name of the responsible provider to whom the results were reported and the time the result was communicated in the medical record
Triage the patient
Conduct a breathalizer test
Notifiy the police if the patient intends to leave and continues to show signs of being impaired.
All of the above
Ignore them - that's not my job
Acknowledge them by signing them
Sign them - even if it was sent erronously
What's view alert?
He received TPA
The CT of the head rules a stroke in or out
A dysphagia screen is performed
The NIHSS is completed
Fever with or without chills
Tachycardia and/or tachypnea and dyspnea
Hives or rash to the patient's trunk and back
Sudden change in BP
Improvement of the hemoglobin and hematocrit values
Stop the transfusion
Notifiy the MD and Blood Bank
Obtain four, seven ml lavender tubes from a site distant from the infusion. Label as immediate post-transfusion reaction with patients full name, full social security number, and signature of the person drawing the blood with date and time
Return the blood bag, transfusion set and patient samples to the Blood Bank with the completed Blood Transfusion Record Form
Report the suspected reaction to Quality Management by calling the Patient Safety Hotline
Do you have thoughts of hurting yourself?
Do you have a plan?
What is the plan? (assertain if it is doable)
What did you have for lunch today?
Report any suicidal self-harm behaviors or threats to the Nurse Manager and physician
Placed on one to one observation pending a mental health provider’s determination that suicidal precautions are necessary or until such time as these orders are rescinded.
Allow the patient to use the restroom in privite to maintain patient privacy.
Remove all patient belongs from the room
The Social Worker
The Case Manager
Change the assignment - surely the new nurse learned this in orientation
Look up the CPM for COMMUNICATION WITH HEARING IMPAIRED/NON-ENGLISH SPEAKING INDIVIDUALS
Intubate the patient so they can't speak
Use a picture boad
Linen storage closets will be closed and locked when not in use. Only authorized employees are allowed in linen storage closets.
Linen carts should be covered at all times.
When patients are to be transported from the medical center to another location by ambulance, the VA employee responsible for the patient transfer will ensure that ambulance drivers exchange linens. VA linens are to remain in the medical center
Do not wear patient clothing such as pajama tops, gowns or robes.
Do not use linens for anything else but paient care