HOME     NURSING AFFAIRS     PATIENT RIGHTS     PATIENTS AFFAIRS

 KING FAISAL SPECIALIST HOSPITAL AND RESEARCH CENTRE NURSING AFFAIRS

(IN COLLABORATION WITH CLINICAL SERVICES)

STANDARDS OF CARE FOR PATIENTS ACCESSING SERVICES IN THE ENDOSCOPY UNIT

I.  Patient Assessment/Patient Problems:

    A.  The patient can expect that his/her health status will be   assessed in a holistic and comprehensive manner and

         documented throughout his/her association with the health care system.

         1)  Every patient receives a brief assessment by a nurse within 30 minutes of registering at the appropriate

              Ambulatory Care Clinic.

              1.1)  Basic physical status includes vital signs, height, weight, pain scale and any clinic specific data

                      collection required.

              1.2)  Focus assessments are completed in specific clinics.

            2)  A detailed assessment will be performed prior to procedures involving anesthesia and/or conscious sedation

                 as per Procedural Sedation Protocol ( MCO – MC – ADM – 07 – 003 )

         3)  Vital signs will be taken on all patients as per Procedure Sedation Protocol

  3.1)  The Procedure Sedation Flow sheet will be completed in full.

  3.2)  Blood sugar level recorded for all Diabetic patients

              3.3)  The results of bowel preparation  checked on all Colonoscopy patients

         4)  Pain level will be assessed at every visit

         5)  Allergies will be updated at every visit

         6)  Medication list will be reviewed and updated at every visit

    B.  The patient can expect that his/her health data is collected and  analyzed by the interdisciplinary health care team

         and used to guide the planning of care.

         1.  Reassessment of patients occurs as follows:

              1.1)  If change in presenting status occurs.

              1.2)  Patient assessed as having unstable vital signs and/or life threatening condition will be accompanied by a

                      SNI/SNII to the area designated by the clinic physician or as appropriate for patient’s condition.

              1.3)  During current visit

                      1.3.1)  Post treatment procedure

     1.4)  Follow up visit to determine:

             1.4.1)  Response to treatment

             1.4.2)  Plan for continued treatment or discharge from system

             1.4.3)  Continuing health care needs, and if so, plan of care is revised accordingly

II.  Patient Care Planning:

     A.  The patient can expect that their care requirements are assessed, planned, implemented and evaluated in a

           systematic way.

          1)  An interdisciplinary written plan of care is formulated, implemented,  evaluated and revised as needed

               by the interdisciplinary team.

B.  The patient’s plan of care is revised when indicated by a change in the patient’s condition or when patient’s

      needs change.

C.  The patient can expect that the plan of care promotes continuity of care.

     1)  All care provided by the interdisciplinary health care team shall be clearly documented in the patient’s

          record and available to all health disciplines.

D.  The patient/family can expect to have an opportunity to participate in the care process.

III.  Psycho Social/Cultural/Religious Needs of the Patient:

A.  The patient/family can expect support for their psychosocial, cultural, and religious well-being using the following interventions:

      1)  Upon request, referrals to Social Services and/or Patient Relations may be made for appropriate support.

      2)  Inform patients of their rights in a language and method they will understand.

      3)  Identify, protect and promote patient rights in the following ways:

           (a)  Utilizing translators and bilingual staff when necessary to enhance communication.

           (b)  Maintaining privacy during delivery of care (patient exam rooms, assessment rooms, waiting areas).

           (c)  Ensure confidentiality, written, verbal and electronic.

           (d)  Explaining tests and procedures before occurrence.

           (e)  Providing an environment that allows the patient/family to practice their cultural religious beliefs.

                 (prayer rooms, separate waiting rooms).

            (f)  Coordinate with other departments e.g. Patient Relations and Social Services

IV.  Safety Needs of the Patient:
      A.  The patient can expect that infection control and prevention measures be implemented according to

           Hospital Infection Control policies:

           1)  Nursing care is provided according to Infection Control Policies and Procedures.

           2)  Patients, families and sitters are given pertinent information regarding infection control and personal

                hygiene as it applies to them.

           3)  Patients with  known MRSA or TB must be identified  prior to the procedure to ensure specific infection

                control measures are followed and that the procedure is scheduled at the end of the list.

    B.  The patient can expect that safety needs are addressed.

         1)  Patients will be correctly identified prior to any treatment, procedure or any dispensing of medications.

         2)  Informed consent is obtained according to policy.

         3)  Provide environmental safety measures by ensuring that:

              (a)  The patient is properly on a stretcher, in a wheelchair, or on a reclining chair

              (b)  Electrical outlets are covered in pediatric areas (including treatment areas and waiting rooms)  

              (c)  Children are not left unattended

              (d)  Emergency medications and equipment are available in immediate area. Crash carts and anaphylactic

                     kits are available in all clinic areas.

               (e)  MSDS information is available and current and spill kits are available for hazardous material clean up.  

               (f)  Scheduled preventative maintenance of equipment through Clinical Engineering Services is up to date

                     and includes proper tagging of equipment

              (g)  The nurse will assess, intervene and document safety needs of a patient on an individual basis. 

                    Family and sitters are instructed on safety needs and are cautioned to remain with the patient.

             (h)  Information is posted in all waiting areas instructing patients on how to receive immediate attention if

                    required.

              (i)  Waiting areas will be monitored at assigned intervals.

              (j)  Electrocautery equipment is serviced regularly by Engineering Services according to hospital policy

        C.  The patient can expect that his/her comfort, rest and pain alleviation needs are identified and supported

  V.  Patient Education/Discharge Planning:

 A.  The patient/family can expect education towards self-care and/or adaptation to their holistic well-being.

      1)  Patient educational needs are assessed at each visit.

      2)  Patient education is provided based upon identified needs and is documented.

      3)  All teaching is documented by all health care providers and is accessible through the Interdisciplinary

           Patient/Family Education Record.

 B.  The patient/family can expect that an individualized discharge plan is assessed, established and implemented.

      1)  High Risk Screening will be completed to identify any ongoing health care needs.  Referrals are made by physicians. 

      2)  Visit Discharge Plan is completed at each visit.

      3)  Discharge planning demonstrates a multidisciplinary collaboration including necessary reverals.

                                   [ Home ] [ Up ] [ NEWS ] [ Divisions ] [ Phone Directory ] [ Score Cards ] [ ACN Committees ]