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8/3/2019 RT POWERPT

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JECSONS MEDICAL CENTERDepartment of Respiratory Therapy

8/3/2019 RT POWERPT


OBSERVATIONS ACTION FOR

IMPROVEMENT

1. UNSIGNEDTREATMENTS ON

CHART

1.Supervisors are to re-check all unsigned

treatments on charts, remind

RT concerned. RT who have

unsigned treatments on chart

3 times or more will be askedto submit an IR form and

explain. Correction shall be

done subsequently.

2. Report from a nursethat some treatments

are signed by RT who

did not give the

treatments

2. Treatments should be

signed by the RT who gave

the treatment and not the RT

who received the

endorsement

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IMPROVEMENT

3. SOAP FORMINCOMPLETE

3. RTs should complete allSOAP forms, supervisors

should check that all SOAP

forms are completed. RT

concerned who have incomplete

SOAP form 3 times or morewill be asked to submit an IR

and explain. Corrective action

shall be done subsequently.

4. Narrative reports(charting) are

incomplete. Nurses do

not read them anyway

4. Narrative reports are done as a

way to communicate the assessment,analysis, plan, action and evaluation

of the treatment done to the patient.

RTs are obliged to complete these

forms to improve communication.

Nurses are to read the charting of the

RT team for collaboration.

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IMPROVEMENT

5. Treatments are

done with incomplete

RT assessment,

analysis, plan,interventions,

evaluation such as

auscultations after

nebulization or any other activities post

treatment

5. All RTs should do

assessment,analysis,

plan, interventions,

evaluation after eachtreatment.Report

observations

immediately.

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IMPROVEMENT

6. RTs are not allowed to

prescribe treatment

medications.

6. All RTs are advised to

refer to nurses patients who

need prescriptions for

treatment. Availability of meds should be checked

and if not available, RTs

should inform the

nurse.Nurses then will refer

to doctors concerned for such. Please be reminded

that only doctors can

prescribe.

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IMPROVEMENT

7. Reports by nurses that

RTs are not readily

accessible. RTs somehow

resent being paged.

7. RTs should aware

NODs on their

whereabouts every now

and then. Paging may

be done because it is

the only way that the

NODs can reach the

RT.

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IMPROVEMENT

8.Overrides/charging are

done just minutes before

endorsement due to ³loads

of work´

8. RTs should

manage time so as

not to rush the

activity.

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IMPROVEMENT

9. No system in

documentations, logbooks of

cleaning equipments, repairs,

preventive maintenance etc.

9. All important

activities should be

logged by

supervisors.Supervisors should

properly endorse and

sign the logbook.

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IMPROVEMENT

10. Cleaning of machines,O2

regulators, other equipment

are not done regularly and

without logging.

10. Cleaning will be done

by RTs in the NIGHT

SHIFT or if RTs are not

busy.The activity shouldbe logged and witnessed

by the NOD. Supervisors

should post a cleaning

schedule on the

whiteboard for reminders.

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IMPROVEMENT

11. Nebulizations by patientswith their own machine are

left alone without an RT.

11. All treatments are done with anRT supervising the patient.This

way the RT will know if the patient

is receiving the treatment properly

or not. NO RT SHOULD LEAVE A

PATIENT UNDERGOING

TREATMENT.RTs must alsoaccompany attending physicians in

their rounds especially with

patients hooked on the ventilators,

12. Some RTs time in late for endorsement

12. All RTs should time in15 minutes before the time

for endorsement.

8/3/2019 RT POWERPT


COMMUNICATION IS THE

ESSENCE OF TEAMWORK

AND THE SUCCESS OF ANYENDEAVOR««

8/3/2019 RT POWERPT


THANK YOU AND GOD

BLESS«.

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