Table.
Form for audit of fast-track nurse standard work
| Score: yes = 1; no = 0 | Responsible | ||
|---|---|---|---|
| 1 | Is 1 RN assigned? | Charge nurse | |
| 2 | Is 1 NST assigned? | Charge nurse | |
| 3 | Are 2 advanced practice providers assigned? | Charge nurse | |
| 4 | Are supplies stocked to standards? (lac cart, IV cart, ortho room) | NST | |
| 5 | Are fast-track rooms full of appropriate patients (if available)? | NST | |
| 6 | Is the NST pulling patients? (see dashboard) | NST | |
| 7 | Are rooms cleaned and marked available within 5 min? | NST | |
| 8 | Is provider seeing patient within 5 min? (see dashboard) | Provider | |
| 9 | Is the provider seeing one patient and writing orders before seeing the next patient? (see dashboard) | Provider | |
| 10 | Is RN signing up for patients? (see dashboard) | RN | |
| 11 | Does the Pyxis have the needed medications? | Material services | |
| 12 | Are meds being administered within 15 min? (see chart) | RN | |
| 13 | Is patient ready to depart 15 min or less? (see dashboard) | RN | |
| 14 | Is discharge paperwork ready once discharge chosen? (ask RN) | Provider | |
| 15 | Are providers handing nurses discharge paperwork? (ask RN) | Provider | |
| 16 | Are all tests being processed appropriately? (ask RN) | Lab/Radiology | |
| 17 | Is RN taking proactive measures for any delayed testing? (ask RN) | RN | |
| 18 | Has housekeeping rounded on fast-track? (ask RN) | Housekeeping | |
| 19 | Is person assigned to job knowledgeable of standard work procedure? | Charge nurse | |
| 20 | Is registration complete before patient being ready for DC? (ask RN) | Registration | |
| 21 | Is the daily management system (computer screen) updated? | Information systems | |
| Total | |||
DC, discharge; IV, intravenous; lac cart, laceration cart; RN, registered nurse; NST, nurse specialty technician.