SJWH-NICU Admission Process
- LDR/OR calls NICU 2nd floor CN (#827141) when NICU team needed
- CN notifies delivery team:
- Sends message to delivery team (Del. RN & Resource RT) via nurse call system (enter room # and brief description if known, and not previously relayed)
- Calls on-call Neo/NNP
- Sends "Delivery Team down" message to Resource RN
- Sends message to delivery team (Del. RN & Resource RT) via nurse call system (enter room # and brief description if known, and not previously relayed)
- CN accesses OBTV to expedite admission
- DT notifies CN of respiratory support, etc. to have at bedside (confirming admission)
- CN notifies PST for support
- HUC initiates admission of patient into Cerner, generates MR#
- PST obtains "admission-ready" chart, containing patient labels if available
- PST to facilitate entrance of team into unit and follows team for support
- DT enters unit via southernmost entrance (neighborhood "2 Purple")
- HUC enters pt information into census log and master record
- CN generates "wee id", obtains posey, verifies pt bands and assures "Newborn Identification" sheet is completed
- Neo/NNP completes orders and communicates to Resource RN, Delivery RN, and/or Charge RN, which faxes completed orders to HUC (stamp "Faxed" and document date, time, & initials)
- HUC enters orders once fax received
- PST prints facesheet and barcode labels from neighborhood, if not printed before arrival of DT
- PST prepares PKU slip and adds pt to PKU tracking list
- Resource RN, Delivery RN, and Charge RN (and Bedside RN, if available) execute admission assessment, orders, and charting
- Del. RN orders cord blood work-up and sends to blood bank
- PST cleans and prepares transporter/giraffe shuttle for next use, returns to station (TBD)
- CN adds pt to NICU pt tracking list
2 comments:
Why do we have to fax the orders.
If orders are written in the green, blue, or pink neighborhoods, the orders need to be faxed to the HUC, which has to stay at the reception desk. The HUC stays where she needs to be, enters the orders into beacon, once she receives the fax, and the chart stays where it needs to be, in the neighborhood. This way, charts don't get misplaced, they're readily availble for review or additional orders, and the nurses don't have to keep walking back and forth to transport charts.
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