PROCEDURE SIM FMC ResidencyFebruary 24, 2015

EPIC SANDBOX INSTRUCTIONS

Provider Schedules to AccessDr. Hern-IUD PlacementDr. Fisher-Punch BiopsyDr. Lisby-Knee Injection

1. Log into Incomm2. Click on Applications3. In the drop down click on Citrix Web Access

4. Sign-in5. Choose Epic Folder6. Choose Hyperspace SND

*Two different versions of instructions in each exam room

INSTRUCTIONS 1. MA/LPN/RN assign an unused patient to the room 2. MA/LPN/RN set-up the room for the procedure indicated based on procedure book

IUD Insertion Punch Biopsy Knee injection

3. Physician and MA/LPN/RN perform pre-procedure time-out4. Physician walk through procedure as directed-please 5. Physician and MA/LPN/RN perform post-procedure time-out6. MA/LPN/RN tear down room and restock supplies and instruments even if

opened (place back in package to reuse for SIM-please dispose of sharps.

CPN POLICY#: NURS 06 Initiated 9/1/2014

Purpose:

To Prevent medical error by conducting a final verification of correct patient, procedure, and site. The time-out procedure is not intended to replace the consent process. The oral and written consent would include verification/confirmation of a discussion regarding:• proposed treatment/procedure• expected outcome• potential benefits and risks• problems/complications• alternatives

PRE AND POST PROCEDURE TIME-OUTPre-Procedure Time-Out• AIDET• Red Rule• Procedure to be performed verbalized by patient/physician/assistants• Consent Signed• Allergies Confirmed• Pregnancy Test Performed-If Indicated• Correct Site Identified and Marked• Equipment/Medication Check Complete

Pre-Procedure Time-Out Smart Text: .PRETO * May be documented in Nursing Notes or Progress Notes

PRE AND POST PROCEDURE TIME-OUT

Post-Procedure Time-Out• Instrument/Needle Count Completed• Pain Assessment Completed• Patient Education/Discharge Instructions Provided

Post-Procedure Time-Out Smart Text

.POSTTO * May be documented in Nursing Notes or Progress Notes

SMART PHRASESTIME-OUT INSTRUCTIONSSAND-BOX INSTRUCTIONSARE IN EACH EXAM ROOM

PROCEDURE CABINET

QUESTIONS?