Aft1 Essay

982 Words May 26th, 2016 4 Pages
AFT2 Task 1
Christian Fisher
Western Governors University

AFT2 Task 1 A. Compliance Status
During the last Joint Commission survey two years ago, there were several areas of deficiency surrounding the use of moderate or deep sedation or anesthesia. These noted deficiencies gave Nightingale Community Hospital the opportunity to revamp and strengthen our procedures in all areas of peri-operative services. These include the Main OR, CVOR (Cardiovascular OR), Interventional Labs (Cardiac Catheterization and Interventional Radiology), and Endoscopy Suites. Significant process has been made especially in the area of the Time Out. A Time Out is the step by which all work in the particular surgical area halts and everyone in the
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As well, internal audit has demonstrated that we are now consistently performing this communication and robust Time Out before all Peri-Op procedures 100% of the time.
A1. Plan for Compliance While all of these efforts are excellent and laudable, there still remains one area of key concern for the Peri-Op areas that was noted at our last survey. At that last survey it was discovered that patients had procedures without an evaluation of airway prior to moderate sedation. In our efforts to ensure that this area was addressed, a check item was placed on the Pre Procedure Checklist that ensures that a patient is seen by an Anesthesia provider and the subsequent form is completed and placed on the chart. This is effective for cases in which Anesthesia is involved (deep sedation and general anesthesia) but it does not address the issue of Moderate Sedation. Moderate or Conscious Sedation involves the use of simple analgesics and sympathomimetics to achieve a “twilight” state for the patient which reduces or eliminates pain and controls anxiety. The medications are administered by a Registered Nurse (RN) under the order and direction of a certified procedural physician. While the risk of complication as a result of the administration of these medications is much less than that of deeper sedation or general anesthesia, there is still significant risk of airway compromise as not all patients react the same to these agents. Therefore, another area that needs

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