response -Ms-02
Jambo
Deploymentflowchart2.pptxModule two
Scenario
40-year-old female
Spouse and three children
Health history: Asthma
Nonsmoker, social drinker
Mild, intermittent, right lower quadrant abdominal pain
Fever
Scenario
Patient contacts her primary care physician (PCP) to request visit
PCP triages patient
Lilly is transported to Emergency Department (ED) for further evaluation
Appendicitis is identified
Lilly is prepared for surgery after meeting with surgeon
Pneumonia is identified post-procedure
Antibiotics prescribed
Lilly is discharged after two additional days after pneumonia diagnosis
Individuals affected by acute incident
Patient:
Lilly Walden
Patient’s family:
Tom (spouse)
Children
Staff:
Dr. Maureen Woods
Office manager
Nurse practitioner (triage)
Medical receptionist
Medical assistant (MA)
ED physician
Individuals affected by acute incident
Staff cont.
Surgeon
Tom’s sister
PACU staff
Medical/Surgical registered nurse (RN)
Pulmonologist
Other:
Patients in ED waiting
Patients in Dr. Wood’s office
Reliable handoff
Utilization of SBAR
Situation:
What is happening?
Background:
What is the background of the situation?
Assessment:
What do you think the problem is?
Recommendations:
What would you recommend for this issue?
Effective communication
Lilly contacts her supervisor to inform that she will not be in
Patient contacts her PCP to report symptoms
Telephone handoff to nurse practitioner
Telephone interview regarding symptoms
Medical receptionist expresses concern regarding patient’s appearance
Notifies RN that patient has arrived
RN asks MA to interrupt MD for assessment due to patient distress
Effective communication
MD requests ambulance transport to nearest hospital
MD notifies ED regarding patient’s condition
Other patients are informed by Office Manager of the delay
Patient’s given option of rescheduling or waiting
In ED: further handoffs take place
Lilly is informed of nothing by mouth status in preparation of surgery
Communication among healthcare team regarding surgical plans
Nurse contacts MD regarding crackles in left lower lung
Orders received for chest x-ray
Deployment flowchart
Lilly contacts PCP
Triaged, distress identified
PCP assesses patient
Transfer needed for higher level of care
Ambulance called for transport
Patient made NPO, consents signed
Appendicitis identified
Patient cleared for discharge
Interdisciplinary rounds
IV antibiotics initiated
POD#1 Pneumonia identified
Lilly returns from surgery
Surgeon consulted
ED MD assesses patient
MD contacts ED for handoff
Reference
Nelson, E. C., Batalden, P. B., Godfrey, M. M., & Lazar, J. S. (2011). Value by design: Developing clinical microsystems to achieve organizational excellence. San Francisco: Jossey-Bass.
