PPG GDCH Nur 39 Escorting Patient

GULF DIAGNOSTIC CENTER HOSPITAL
NURSING POLICY

Policy No: MED-NUR-P0039/12 Issue Date: October 2012 Revision No.: Original 01 Revision Date : Next Revision : October 2014 Page 1 of 8
TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

Department Section Distribution : Nursing : Nursing Care : Hospital Wide
PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

APPROVAL SHEET Prepared by: Name Ms. Jennelyn Paderan Acting Charge Nurse, In-patient Ward Reviewed by: Name Ms. Nemesio Abuso Acting Head of Nursing Mr. Zuher Arawi Quality Manager Approved by: Name Dr Emad Yassin Al Rahmani Medical Director Mrs. Jamal Kaddoura Hospital Director and Co-Founder Signature Date Signature Date Signature Date
DOCUMENT AMENDMENT RECORD SHEET
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

NURSING POLICY

Policy No: MED-NUR-P0039/12 Issue Date: October 2012 Revision No.: Original 01 Revision Date : Next Revision : October 2014 Page 2 of 8 Page Effected Revision Number

Department Section Distribution Date : Nursing : Nursing Care : Hospital Wide Description of Change
TABLE OF CONTENTS:
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

NURSING POLICY

Policy No: MED-NUR-P0039/12 Issue Date: October 2012 Revision No.: Original 01 Revision Date : Next Revision : October 2014 Page 3 of 8 PAGE NO. 4

Department Section Distribution SUBJECTS 1. 2. 3. 4. 4 5. 6. 6 7. 8. RELATED DOCUMENTS ATTACHMENT 8 PROCEDURE 5 REFERENCE PURPOSE POLICY 4 SCOPE 4 RESPONSIBILITY : Nursing : Nursing Care : Hospital Wide
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

NURSING POLICY


1. PURPOSE 1.1 To clearly define the role and responsibilities of nurses when escorting patients during transfers within Gulf Diagnostic Center Hospital. 1.2 To ensure patient safety, privacy and dignity at all times. 1.3 To clearly define which patients require a nurse escort and which level of nurse is required. 1.4 To clearly define where responsibility for each type of transfer lies. 2. POLICY 2.1 Gulf Diagnostic Center Hospital has a duty of care to ensure that its patients are safe and have access to appropriate nursing expertise at all times. 2.2 This policy includes all inpatient movement within Gulf Diagnostic center Hospital. 2.3 This policy does not address patients being transferred from other facilities. 2.4 All patients will be assessed against set criteria to determine if a nurse escort is required, (Refer to Criteria for Determining Level of Nursing Escort - Attachment #1 and which level of nurse is acceptable. 2.5 High risk / sedated patients may require medical and/or anesthetic escort in addition to a nursing escort. 2.6 The escorting nurse should have knowledge of the patients condition, plan of care, medications and treatment, and where appropriate the necessary monitoring equipment that needs to be used. 2.7 The escorting nurse will ensure that the appropriate documentation has been prepared and accompanies the patient. 2.8 Standard precautions will be used for all patients. When escorting patients with known infectious diseases, the necessary precautions will be taken and the receiving department / facility will be informed. 2.9 Patient privacy and dignity will be maintained at all times. 3. SCOPE 3.1 Escorting patients during transfers within Gulf Diagnostic Center Hospital. 4. RESPONSIBILITY 4.1 Registered nurses 4.2 Health care assistants
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

NURSING POLICY


Department Section Distribution 4.3 Porter 5. PROCEDURE : Nursing : Nursing Care : Hospital Wide
5.1 General Points 5.1.1 All patients will be assessed by an RN to determine if a nurse escort is required and what grade of nurse is acceptable and/or if the patient can be accompanied by a porter or HCA. This may take place in consultation with the physician. 5.1.2 The porters will be informed if a wheel chair is required or if assistance with pushing a bed is required. 5.1.3 All major OT cases require the patient to be transferred on their bed. 5.1.4 If procedures / diagnostic tests are planned for the patient, an informed consent must be obtained by the physician and be present in the patient's chart. 5.1.5 The patient will be identified using two identifiers before the transfer takes place. 5.1.6 Patient privacy and dignity will be maintained at all times. 5.1.7 The escort will stay with the patient the whole time the patient is away from the ward with the exception of OT and Endoscopy Unit and is responsible for the safety and well being of the patient during this time. 5.1.8 If the patient's condition requires an RN to escort the patient to Radiology, they will stay with the patient throughout the procedure and escort the patient back to their ward/unit (Attachment #1.). 5.1.9 The level of equipment for patient monitoring and maintenance will be decided upon through a full assessment of patient acuity. 5.1.10 The escorting nurse will ensure all equipment taken on the transfer is functional. The escort nurse is responsible for the return of all equipment used in transfers to their home unit. 5.1.11 During all transfers: 5.1.11.1 Side rails must be elevated on bed/stretcher. 5.1.11.2 Infusion pumps must be secured and functioning correctly 5.1.12 All patients are transported feet first with the escorting nurse at the head of the bed. 5.1.13 All patients who require monitoring equipment will have the monitor in plain view of the escorting nurse at all times with alarm appropriately set and turned on. 5.2 Escorting transfers to Wards from the Emergency Department. 5.2.1 An RN escort is required in all cases of transfer to the ward. The Emergency Department is responsible for arranging the transfer and for providing the escorting nurse.
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

NURSING POLICY


5.2.2 The Emergency Department will use transfer documentation in their assessment
form. All medical and nursing notes and charts will be transferred with the patient. 5.3 Escorting transfers to and from the Operating Theater. 5.3.1 All patients being transferred to / from OT will be accompanied by an RN. 5.3.2 Prior to transfer to OT the ward nurse will ensure the OT checklist is completed. 5.3.3 The OT will call units regarding patients scheduled for surgery and verify if the patient is ready for collection. 5.3.4 The ward nurse will give a comprehensive handover to the OT nurse. 5.3.5 When a Recovery Room patient meets the discharge criteria the patient will be assessed by the Anesthetist and the discharge documentation will be signed. 5.3.6 The Recovery Room nurse will telephone the ward/area and inform the RN responsible for the patients care that the patient is ready to be transferred and the condition of the patient. 5.3.8 Following surgery the Recovery Room nurse will give a comprehensive handover to the escort nurse from the patients home unit. 5.3.9 The receiving unit can refuse a patient from Operating theater/recovery Room if the patient is deemed unstable or if further clarification of the physicians orders is required. The receiving ward/unit and Recovery Room nurse are required to inform their respective supervisor of their unit if a patient transfer is refused with details and reason for refusal. 5.4 Pediatric Patients 5.4.1 Pediatric patients are to be transferred to OT and between other departments by a RN and Porter. Family should be encouraged to accompany all pediatric transfers. 5.4.2 Transfer from the Recovery Room to wards/units will be completed by 2 RN's. An RN and the Team Leader or Charge Nurse [if available] must review the patient in Recovery Room to assess if the patient is ready to return to the Surgical Unit/Inpatient Ward prior to transfer. 6. REFERENCES 6.1 HAAD Policies and Procedures 7. RELATED DOCUMENTS 7.1 Nurses Notes 7.2 Recovery Room Record
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

NURSING POLICY


Attachment # 1
Criteria for Determining Level of Nursing Escort. An RN assesses each patient to determine the need for and level of nurse escort. The following is a guide only. If there is any doubt over the patients status or likelihood of deterioration then an RN is preferred than the Health Care Assistant
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

NURSING POLICY


. 1. HEALTH CARE ASSISTANT 1.1 Stable adult patients requiring less than 4L/min of oxygen 1.2 OT adult transfers (prior to surgery) 2. REGISTERED NURSES 2.1 The following situations require a Registered Nurse escort: 2.1.1 All children 2.1.2 Patients with a recent history of cardiac chest pain 2.1.3 Patients with Intravenous therapy / blood transfusion in progress. 2.1.4 Patients requiring oxygen at greater than 4 L/min and / or frequent suctioning. 2.1.5 Patients with unstable vital signs. 2.1.6 Patients receiving sedation during the planned procedure. 2.1.7 Patients suffering from epilepsy who have had a seizure within the past 24hrs. 2.1.8 Unstable patients: any patient who is likely to have a change in condition. 2.1.9 Post-operative OT transfers. 3. DOCTOR 3.1 A medical escort is required for all unstable, critically ill patients.
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

PPG GDCH Nur 39 Escorting Patient

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

PPG GDCH Nur 39 Escorting Patient

Diunggah oleh

Hak Cipta:

Format Tersedia

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

DOCUMENT AMENDMENT RECORD SHEET

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

GULF DIAGNOSTIC CENTER HOSPITAL

TITLE: PATIENT ESCORT POLICY, INTERNAL TRANSFER: NURSING

Anda mungkin juga menyukai