Quality & Safety Scoop

By Bridget Norton, M.D., MBA, Chief Quality & Safety Officer

Case Review Learning Moments September 2020

Cardiac Arrest Prevention (CAP) Program
It is appropriate for a DNR patient to be enrolled in CAP or other programs designed to improve patient care. Despite having a DNR order, the patient should still receive our best care. Preventing a code event will allow the patient the opportunity to go home, transfer to a lower level of care or pass away peacefully with family rather than during a code event when family may not be present.  (CAP Code/Cardiac Event Review)

Interpreting Services
When using an interpreter for a patient/family from Sudan, it is important that we request the interpreter be from the same country (North Sudan versus South Sudan) as the family for cultural/political reasons. If the interpreter is not from the same country, the family may refuse to speak with them. (ECMO Case Review)

Documentation of COVID-19 in the Problem List
We are testing all inpatients for SARS-CoV-2 on admission but some patients are admitted with a test that has already been done at an outside facility.  It is vital that patients who have a positive test, regardless of whether it was done at Children’s, and regardless of their inpatient unit, have “COVID-19 positive” added to their problem list. This documentation is our clinical responsibility.  Appropriate documentation helps ensure good communication and proper isolation to protect our staff, as well as other patients. The adjustments that were made to the pandemic code policy to allow a different response to patients who are known negative also relies on having this accurately documented. If you have any questions, please feel free to email me (BNorton@ChildrensOmaha.org) or Incident Command

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