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Standard Work



Chapter 0 : Templates and Tools

A3 Scientific Method Problem Solving Tool

List of RETIRED Protocols, Guidelines, Pathways & Standard Work

Standard Work Template

Standard Work Template with 5 Components

Chapter 1 : Clinical Standard Work

Section : Assessment and Care Fundamentals

Vital Signs - Adult Acute Care - CNA, PCT & RN

Vital Signs - Patient Discharge Vital Signs & Focused RN Assessment

Section : Be Safe

Exposures - How to Enter HIV/HEP Exposure Order for BBF Exposure

Exposures - Safety First - PPE for Spray, Splash, Splatter Exposures

Exposures - Team Member BBF Exposures in OPSC / Main OR

Isolation - Long Term Isolation Precautions in Ambulatory

Sharps - CRITICAL TO SAFETY - Prevent Team Member Injury from Sharps (Inpatient RNs)

Sharps - Engagement, Cleanup, and Disposal of Needle Safety Devices

Sharps - Hot Needles - Prevention of Injection Related Needle Sticks

Sharps - Needle Stick Prevention - Grey Vacutainer Needle on Blood Collection Set

Sharps - Nursing Work Surface / Keyboard Tray

Sharps - Opening Ampules Safely (Ampule Breakers)

Sharps - Preoperative Sharps Safety Checklist & Post Sharp Injury Actions (Main OR)

Sharps - Preventing Sharps Team Member Injury in OR

Sharps - Surgical Neuro Monitoring Needle Safety

SPH - CRITICAL TO SAFETY - Safe Patient Handling to Prevent Team Member Injury (Inpatient)

Violence - After Action Review (AAR) of Explosive Violence

Violence - Epic Flag for Situational Awareness and Violence

Violence - Explosive Violence Response & Recovery in Non-Inpatient Areas

Violence - Explosive Violence Response & Recovery on Inpatient Unit

Violence - IMPORTANT PHONE NUMBERS

Violence - Medical Center SAVE Policies

Violence - Obtaining Private Security & Private Security Role Description

Violence - Performance Concern for Correction Officers/Law Enforcement

Violence - Restricted Access in Violent Event

Violence - SAVE Call Script

Violence - STOP Signage across Patient Doorway (Potential Impulsive Behavior Alert)

Violence - Threat Assessment

Violence - VIDEO: Developing Situational Awareness for Personal Safety

Section : CAUTI Prevention, Genitourinary and Renal Care

CAUTI - CRITICAL TO SAFETY - CAUTI Prevention (Adult Inpatients)

CAUTI - Foley Catheter Insertion with Substitute Insertion Kit

CAUTI - Indwelling Urinary Catheter Insertion (Foley Insertion)

CAUTI - Intermittent Catheter Insertion with VaPro Plus Catheter

CAUTI - Potential CAUTI Investigation, Problem Solving, Action Planning (& RedCap data entry)

CAUTI - PrimaFit External Urine Management System for Females

CAUTI - Urine Collection for Laboratory Testing: Container Selection and Volume Requirement

CAUTI - Urine Culture Specimen Collection with Indwelling Urinary Catheter Algorithm

CAUTI - Using Scale to Measure Urine/Fecal Output, and Scale Replacement Process

CAUTI / CLABSI - SOP: Chlorhexidine (CHG) Bathing Treatment

Dialysis - Adult Hemodialysis / Apheresis Catheter Blocking with Citrate

Dialysis - Adult Peritoneal Dialysis Prior to Kidney Transplant

Dialysis - Ordering Peritoneal Dialysis Supplies

Disposal of Bodily Fluids Post Intravesical Chemotherapy or Hazardous Medication Administration

Section : Children's Hospital

Acute Peds | Point of Care Testing: Urine Dipstick Analysis

Admission | Admitting Oncology Patient from Outpatient to Inpatient with Active Infusion

Admission | Admitting Oncology Patient from Outpatient to Inpatient with Controlled Substance Infusion

Admission | Process for Periviable Birth

Antiseptic Choice for Venipuncture and Arterial Puncture in the Neonate

Breastmilk | Bedside Refrigeration

Breastmilk | Freezing Breastmilk

Breastmilk | Obtaining a DME Breast Pump for Inpatients with a Voucher Payment

Breastmilk | Procurement of DME Breast Pumps for Antepartum Clinic Patients Through ABC Healthcare

Breastmilk | Procurement of a DME Breast Pump for Inpatients through ABC Healthcare

Central Line | Administration Set Change, Pediatric

Central Line | Central Venous Catheter (CVC) Needleless Connection Device Change, Pediatric

ECMO - Emergent Pediatric Cardiac ECMO (eCPR)

ECMO - Non-emergent ECMO Activation (Children’s Hospital)

ETT - NICU Stabilization of Endotracheal Tube with Neofit or Portex Stabilizers

Handover - NICU Handover of Care

Handover - PICU / NICU to OR Preoperative Handoff

Lab - Drying and Transit of Newborn Screening (NBS)

Managing Pediatric Custody Documents

Meds - Administration of High Dose Methotrexate Infusions (Acute Care Pediatrics)

Neonatal and Pediatric Length Tracheostomy Tubes: Care Procedures and Equipment to Prevent Adverse Events

Neonate - Labeling Umbilical Venous and Arterial Catheters

NICU | Delivery of Patient Specific Products to Bedside

NICU | Newborn Hearing Testing Process

NICU | Patient Death

NICU | Skin to Skin Holding for Ventilated Infant in NICU

Pediatric PICC 3M™ Tegaderm™ CHG Gluconate Dressing Change with SECUREMENT DEVICE

Pediatric Sepsis Evaluation

Phototherapy for Crigler-Najjar Patients

PICU | Double Pumping Vasoactive Infusion

PICU | Placement of Pediatric Non-Weighted Post-pyloric Tube

PICU | Pressure Ulcer Prevention in the Pediatric ICU

Sedation - Intranasal Versed for Minimal Sedation/Anxiolysis for Minor Procedures (Acute Care Pediatrics)

Subcutaneous Treprostinil (Remodulin) Infusion

Zebra Band Printing

Section : CLABSI Prevention and IV Therapy Technique

Algorithm for Requesting the IV Team to assist PIV Insertion

CLABSI - Potential CLABSI Investigation, Problem Solving, Action Planning (& RedCap data entry)

Section : Digestive Health

C. diff. - C. difficile Case Review

C. diff. - Testing and Care of Patients with Suspected/Known Clostridium difficile infection

Fecal Incontinence Management Algorithm

Lactulose Administration and Hepatic Encephalopathy (HE) Algorithm

Stool Management System (SMS) Large Volume Medication Administration (>200 ml)

Taping, Securing, and Daily Care of Nasoenteric Tubes - and Bridling Criteria

Section : Documentation and Epic

*Epic - Find Other How-To Instructions in the Epic Learning Library

Documentation of Intake and Output for Registered Nurses

Epic - How to Create an FYI Flag for Designated Visitors

Epic - How to See and Use Banners and FYI Flags

Epic – How to Create Documentation-Only Behavior Note

Inpatient - Discharge Documentation for Registered Nurses

Inpatient - E-Faxing Inpatient Documentation to Health Information Services

Inpatient - Patient Transfer Documentation for Registered Nurses

Inpatient - Shift Handover for Registered Nurses

Section : Emergencies, Resuscitation, and Mortality

Comfort Cart for Visitors of Patients at the End of Life

Honor Walk Activation - Organ Donors on Final Journey to OR

Malignant Hyperthermia - Dantrolene Administration in Malignant Hyperthermia (MH)

Mortality Review Map - Real Time Root Cause Problem Solving

Mortality Reviews - Care Teams, UBLs, Clinical Department Quality Officer

Rapid Response - Initiating an Adult Code Response

Rapid Response - Pediatric Sepsis Evaluation

Silent Code 12 Response on 4 East

Transfer to Inpatient Hospice Unit

Section : Handover & Continuum of Care

Acuity - Use of Epic Acuity Score

Admission - New Admissions Standard Work for Bedside Nurses (Protective Isolation / Water Precautions)

Admission - Process for Periviable Birth

Admission - Room Setup Upon Patient Admission

Completing the Preop Checklist for Procedures at Main OR

Continuity - Pyxis Access for Visiting ICU RN Traveling to Procedure Areas

Discharge - Patient Discharge Vital Signs & Focused RN Assessment

Discharge - Patient Discharge Vital Signs for Women's & Children's Patients

Discharge - Room Breakdown Upon Patient Discharge

Discharge Planning for Outpatients Who Will Receive Sedation or Anesthesia

Handover - 6 East PCA/PCT Bedside Handoff Report

Handover - 6 East RN Bedside Handoff Report

Handover - 6 East Shift Change Huddle

Handover - Continuous Infusion Transfer for the Interfacility Admission

Handover - Inpatient Shift Handover by RN

Handover - Medication Infusions between ICU RN & Anesthesia

Handover - NICU Handover of Care

Handover - Nursing Handover of Infusion Pump Interoperability

Handover - Nursing HOC for Critical Care Status Patients Traveling to IR

Handover - OR / INR to NNICU Post Anesthesia

Handover - Patients Going to SAS from Acute, IMU, and ED with PCA Pumps

Handover - PICU / NICU to OR Preoperative Handoff

Handover - Sending Patients to OR from ICU and/or Emergent Within 1 Hour

Name - Changing Trauma Number Patient Identifiers to Real Name

Readmission - 30 Day Readmission Review Form

Transfer - Post-TNK Patient Transfers from the ED to NNICU

Transfer - To Inpatient Hospice Unit

Section : HAPU / HAPI Prevention and Skin & Wound Care

Fecal Incontinence Management Algorithm

HAPI - Pressure Ulcer Prevention (TCV ICU High Risk)

HAPI - Pressure Ulcer Prevention (NICU)

HAPI - CRITICAL TO SAFETY - Pressure Ulcer Prevention (Adult Inpatients)

HAPI - Pressure Ulcer Prevention (Patients Receiving Sedation/Anesthesia in Procedure Areas)

HAPI - Pressure Ulcer Prevention (PICU)

HAPI Device - Assessment During Continuous EEG (cEEG) Monitoring

HAPI Device - Oxygen Saturation Monitoring Algorithm

HAPI Device - Pressure Injury Prevention in Orally Intubated Patients (ETT)

HAPI Device - Skin Checks and Skin Care Under Cervical Collars

HAPI Device - Surgical and Percutaneous Tracheostomy Securement and Dressing for Shiley XLT

HAPI Device - Taping, Securing, & Daily Care of Nasoenteric Tubes - and Bridling Criteria

HAPI Device - TCV ICU - Pressure Injury Prevention with TEDs, SCDs and ACE Bandages

NPWT - Discharge Preparation & Troubleshooting for Patients with Inpatient Negative Pressure Wound Therapy

NPWT - Inpatient Negative Pressure Wound Therapy Application, Management & Troubleshooting

Positioning - Lateral Positioning in Procedure Areas

Positioning - Lateral Positioning in CT

Positioning - Lithotomy Positioning in Procedure Areas

Positioning - Prone Positioning in Procedure Areas

Positioning - Supine Positioning in Procedure Areas

Turning - Hemodynamic Instability Turning (Adult Critical Care)

Two Person Skin Assessment

Section : Heart & Vascular

Acute Severe Hypertension in Pregnant and Post-Partum Patients

Blood - Administering Continuous Platelet Transfusions

Blood - Blood Cooler at the Bedside

Blood - Blood Product Administration

Blood - Pulling Blood/Blood Products Off the Tube Station

Blood - TRANSFUSION TIME OUT - Fast Blood or Massive Transfusion Protocol

Blood - TRANSFUSION TIME-OUT

ECG Documentation in Intensive Care Unit

ECG Monitoring and Documentation in Acute or Intermediate Care Units

ECMO - Emergent Pediatric Cardiac ECMO (eCPR)

ECMO - Non-emergent ECMO Activation (Children’s Hospital)

ECMO - VV ECMO Cannula Documentation and Securement (TCVICU)

LVAD - Care of LVAD Patients in Interventional Radiology

TCV ICU - Daily Rounds

TCV ICU - Pressure Injury Prevention with TEDs, SCDs and ACE Bandages

TCV ICU - Pressure Injury Prevention in the High Risk Patient

TCV ICU - Temporary Pacing Wires

VTE Risk Stratification

Section : Infection Prevention and Control

Ambulatory - Reading a PPD/Mantoux Tuberculin Skin Test in Ambulatory Settings

Exposures - Gloves On, Goggles On - Safety in Pairs

Exposures - How to Enter HIV/HEP Exposure Order for BBF Exposure

Exposures - Team Member BBF Exposures in OPSC / Main OR

Isolation - Long Term Isolation Precautions in Ambulatory

Norovirus Cluster

Section : Instruments, Scopes & Probes - Pre-Cleaning, Transport & Storage

1 : INSTRUMENTS | Education | Instrument Pre-Cleaning/Transport and Safety outside of the Operating Room

2 : INSTRUMENTS | Education | Video - Instrument Pre-Clean and Transportation Demonstration

3 : INSTRUMENTS | Education | Poster - Instrument Prep

4A : INSTRUMENTS | Education | Poster - Identifying Defective Instruments Visual Reference Guide

4B : INSTRUMENTS | Resources | Algorithm: Clinic Defective Instrument ID and Tagging

4C : INSTRUMENTS | Resources | Algorithm: SPD Defective Instrument Repair and Replacement

5A : INSTRUMENTS | Checklist for Pre-Cleaning and Transport of Instrument Outside of the Operating Room

5B : INSTRUMENTS | Resources | SOP: Pre-cleaning and Transporting Contaminated Instruments

5C : INSTRUMENTS | Resources | SOP: UVA Health Managers' SOP - Instruments Pre-Cleaning, Transport and Storage

6 : INSTRUMENTS | Resources | SOP: LIP Role in Instrument Care and Handling

7 : INSTRUMENTS | Resources | Instrument Pre-Cleaning and Transport Supply Ordering Information

8 : PROBES | Resources | SOP: Pre-cleaning and Transporting Parks Medical Pencil or Flat Doppler Ultrasound Blood Flow Detector Probes Exposed to Mucous Membranes or Non-intact Skin

9ABC : PROBES | Low-Level Disinfection of Ultrasound Machines & Probes (Quick Card, Algorithm & Disinfectant Table)

10A: MANAGER AUDIT TOOL | Assess Condition of Instruments Received Daily in Unit/Clinic

10B: MANAGER WEEKLY ATTESTATION | Unit/Clinic Follows SOP for Pre-Cleaning and Transporting Contaminated Reusable Instruments

Section : Laboratory

[RETIRED] Blood Culture - Adult Blood Culture Collection

[RETIRED] Blood Culture - Pediatric Blood Culture Collection

Blood Culture - Blood Culture Collection in Setting of Central Line (Adult & Pediatric)

Drying and Transit of Newborn Screening (NBS)

Glucometer - Safely Downloading Patient Self-Testing Glucometer Data in Outpatient Clinic

Lab - Handling of Lab Specimens (Women's Services)

Lab - Placing Pathology Order in Epic (Women's Services)

Lab - Umbilical Cord Drug Screening Panel UCDSP (Women's Services)

Lab - Urine Collection for Laboratory Testing: Container Selection and Volume Requirement

Lab Sample Draw, Labeling, and Epic ‘Collection’, from Work List

Lab Sample Draw, Labeling, and Epic ‘Collection’, from “Orders Needing Specimen Collection”

POCT - Verifying Patient Identification with POCT in ED, ICUs, OR, Procedure Areas

Transport - Double Bagging Lab Specimen for Transport via Courier

Transport - Double Bagging Lab Specimen for Transport via Pneumatic Tube System

Transport - Sending Specimens to Pathology (Women's Services)

Section : Medication Administration (Pain & Controlled Substances)

Controlled Substance (Ambulatory) - Collecting Chain of Custody Urine Specimens for Contract Med Screening

Controlled Substance (Ambulatory) - Placing Patient on Controlled Substance Contract

Controlled Substance (Ambulatory) - Processing Controlled Substance Refills and Pick Up with No Nurse Visit

Controlled Substance - CADD Pump Initiation, Wasting, and Transfer

Controlled Substance - Chain of Custody for Infusions

Controlled Substance - Daily Inventory of Controlled Substances (Pyxis ES)

Controlled Substance - Discrepancy Resolution of Controlled Substances Each Shift (Pyxis ES)

Controlled Substance - Dispense Tracking for Controlled Substances and Patient-Own High Cost Medications

Controlled Substance - Diversion Management

Controlled Substance - Fentanyl Infusion via Purple Module (PCA Pump) - Adults

Controlled Substance - Handling and Wasting IV and Oral Controlled Substances when Dispensed from Pharmacy

Controlled Substance - IV Bag Initiation, Wasting and Transfer - Large Volume Pump

Controlled Substance - Patients Going to SAS from Acute, IMU, and ED with PCA Pumps

Controlled Substance - PCA Syringe Initiation, Wasting and Transfer

Controlled Substance - Pyxis Injectable & Oral Controlled Substance Waste in OPSC PACU

Controlled Substance - Pyxis Injectable & Oral Controlled Substance Waste

Controlled Substance - Pyxis Injectable & Oral Controlled Substance Waste in PACU

Controlled Substance - Syringe Initiation, Wasting and Transfer (Syringe Infusion Pump)

Controlled Substance - Transdermal Patch Waste & Removal

Handover - Continuous Infusion Transfer for the Interfacility Admission

Handover - Medication Infusions between ICU RN & Anesthesia

Sedation - Intranasal Versed for Minimal Sedation/Anxiolysis for Minor Procedures (Acute Care Pediatrics)

Transdermal Patches in Perioperative and Procedural Areas

Section : Medication Administration (IV)

Acute Care Pediatrics - Administration of High Dose Methotrexate Infusions

Administration of IVIG (Adults)

Algorithm for Requesting the IV Team

Daily Check of Secondary Storage Locations for Infusion Fluids - Areas with Fluid Warmers

Daily Check of Secondary Storage Locations for Infusion Fluids

Handover - Continuous Infusion Transfer for the Interfacility Admission

Handover - Medication Infusions between ICU RN & Anesthesia

Handover - Nursing Handover of Infusion Pump Interoperability

Handover - Patients Going to SAS from Acute, IMU, and ED with PCA Pumps

Hemodialysis - Medical Center & TCH - Medication Administration - Adult Acute & Intermediate Care

High Risk Infusion Dual Sign-off Timeout: Shared Manual 5 Rights with Readback

Interoperability - Exchange of Alaris Pump Channel

Interoperability - Nursing Validation and Infusion Documentation

Interoperability - Promoting Basic Infusion to Guardrails Protected Infusion

Interoperability Workflows for Large Volume Pump & Syringe Pump

Labeling - Creating and Applying IV Tubing Labels

Labeling - UVA IV Bag/Tubing Hang Time and Labeling

Mannitol Administration

Pyxis Access for Visiting ICU RN Traveling to Procedure Areas

Standard Work for Dispense Tracking for Total Parenteral Nutrition Compounds

Section : Medication Administration (non-IV)

Injection Technique

Nursing Work Surface / Keyboard Tray

Perioperative Management of the Gleolan Patient

Section : Musculoskeletal including Falls & Safe Mobility

*More Safe Patient Handling on Employee Safety Site

Beds - Bed Selection / Ordering Standard Work

Blue Tube - Patient Repositioning and Lateral Transfer

C Collar - Skin Checks and Skin Care Under Cervical Collars

Falls - Screen Patient Tolerance for Standing Spine Films

Falls - Cable Management to Prevent Team Member Injury

Falls - CRITICAL TO SAFETY - Adult Fall Prevention, High Fall Risk

Falls - Escalation of Mobility Alarm Refusal

Falls - Fall Prevention in Chairs Using Self-Releasing Belt

Falls - Fall Recovery Using Hover Jack

Falls - Initiation of Spinal Motion Restrictions for MET

Falls - Patient Post-Fall Assessment and Management in University Hospital

Sara Stedy - Bed to Chair/Commode/Toilet

Surface to Surface Movement of an Adult Patient with an Artificial Airway

Section : Neurosciences & Behavioral Health

C Collar - Skin Checks and Skin Care Under Cervical Collars

cEEG - Continuous EEG Monitoring and Daily Work

EVD - Attaching a Transducer to an External Ventricular Drain for ICP Monitoring

EVD - Cerebrospinal Fluid Drainage Using an External Ventricular Drain

EVD - Changing the Bag on an External Ventricular Drain

EVD - Dressing Change for an External Ventricular Drain

EVD - Monitoring Intracranial Pressure Using an External Ventricular Drain (Includes Zeroing)

EVD - RN Assist with External Ventricular Drain Placement

Lumbar Drain - Attaching a Transducer to a Lumbar Drain for Intraspinal Monitoring

Lumbar Drain - Cerebrospinal Fluid (CSF) Drainage Using a Lumbar Drain

Lumbar Drain - Changing the Bag on a Lumbar Drain

Lumbar Drain - Dressing Change for a Lumbar Drain

Lumbar Drain - Monitoring Intraspinal Pressure Using a Lumbar Drain (Includes Zeroing)

Lumbar Drain - RN Assist with Lumbar Drain Placement

Stroke - Post-TNK Patient Transfers from the ED to NNICU

Stroke - Post-TNK/Post-Thrombectomy Assignments and Care

Section : Nutrition

Standard Meal Tray Delivery for Patients on Fluid Restriction

Standard Volumes for Oral Intake Containers (Fluid Restriction Tool)

Section : Patient Experience, Visitors, Care Partners

Comfort Rounding

Leader Rounding

Patient Belongings

Quiet At Night, Inpatient Adult and Pediatric

Searches of Patients, Patients' Belongings and/or Rooms

Visitors - Hospital Staff Resources Regarding Visitors/Care Partners

Visitors - Addressing the Needs of Visitors and Care Partners

Visitors - Obtaining and Maintaining a Comfort Cart for Visitors of Patients at the End of Life

Section : Pneumatic Tubes

Double Bagging Lab Specimen for Transport via Pneumatic Tube System

Pneumatic Tube Station Instructions

Section : Respiratory and Pulmonary

Chest Tube - Adult Small Bore Thoracostomy Tube (Pigtail) Dressing Change using StayFix® Securement Device

Chest Tube - Setting Up Chest Tube Suction with Straight Needle Valve (Krale Valve)

ETT - NICU Stabilization of Endotracheal Tube with Neofit or Portex Stabilizers

ETT - Pressure Injury Prevention in Orally Intubated Patients

Needle/Krale Valve, Regulator, and Flowmeter Management & Replacement

NO - Obtaining Nitric Oxide for Adult Patient in the Operating Theater

O2 - Oxygen Saturation Monitoring Algorithm

Trach - Children’s Hospital Tracheostomy Inpatients

Trach - Securement and Dressings of Percutaneous & Surgical Tracheostomies

Trach - Transporting Tracheostomy Patients with Oxygen

Vent - NICU Kangaroo Care for Ventilated Infant

Section : Women's Services

Ambulatory | Chorionic Villus Sampling

Ambulatory | Diagnostic Amniocentesis

Ambulatory | Fetal Blood Sampling

Ambulatory | Initiation of OB Care & OB Intake

Ambulatory | Management of Birth Occurring in Clinic

Ambulatory | Nexplanon Insertion

Ambulatory | Prenatal Care Visits

Ambulatory | Requirements for Each Obstetric Patient Visit

Ambulatory/Inpatient | Point of Care Microscopy

Ante/Post Partum | Escalation of Care for OB Patients

Antepartum/L&D/MBU : Women's Interdepartmental Transfer Communication

Breastmilk - Freezing Breastmilk

Breastmilk | Obtaining DME Breast Pumps for Inpatients with a Voucher Payment

Breastmilk | Procurement of a DME Breast Pump for Inpatients Through ABC Healthcare

Breastmilk | Procurement of DME Breast Pumps for Antepartum Clinic Patients Through ABC Healthcare

Cleaning & Disinfecting Labor Hydrotherapy Tub

Discharge - Patient Discharge Vital Signs for Women's & Children's Patients

IntraPartum - Active Management of the Third Stage of Labor (AMTSL)

IntraPartum - Epidural Placement Checklist

Intrapartum - Use of Birthing Stool During Labor

IntraPartum : Vaginal Prep before Caesarian Section

Intrapartum | Inpatient Labor and Delivery Admission and Shift Documentation for Registered Nurses

L&D | Emergency Blood for Baby with No MRN

Lab - Sending Specimens to Pathology (Women's Services)

Mother/Baby | Infant Drops

Neonate - Admission Process for Periviable Birth

Neonate - Drying and Transit of Newborn Screening (NBS)

Neonate - Labeling Umbilical Venous and Arterial Catheters

Postpartum | Care of Patients with Intrauterine Fetal Demise (IUFD) and Neonatal Death on 8East (L&D), 8Central, 8North

PostPartum | Management and Testing of Fetal Remains

PostPartum | Prevention of Post-Anesthesia Falls

PostPartum | Transvaginal Use of Bakri Balloon for Uterine Tamponade

PostPartum/Neonate | Health Unit Coordinator (HUC) Team Collaboration during OB/Newborn Emergencies

Pre & PostPartum - Acute Severe Hypertension in Pregnant and Post-Partum Patients

Specimen Collection and Labeling

Triage/Antepartum | Caesarian Scheduling and Pre-op Preparation: ERAS-OB

TWP Lead RNs

Women’s and Newborn Patient Progression Board

Zebra Band Printing

Chapter 2 : Administrative Standard Work

Section : Area Huddles and Rounds

Section : Be Safe, Situation Room, and QPI

30-Day Readmission Review Form

A3 Worksheet - Needle Sticks, Sharps Injuries and Splashes

Be Safe Event Management

Leaders - Daily Be Safe Leadership Huddle

Monthly Be Safe Huddle Rotation

NICU Shift Manager / ICN Leader Standard Work

Senior Leader Gemba

Service Line Analyst

Service Line Be Safe Coach

Situation Room Standard Work

Women's Services - Event Debriefing for Perishable Data

Section : Develop and Post Clinical Decision Tools

TCV ICU - Algorithm for Approving Standard Work

Section : Nursing

Section : Supply Chain & Value Management

Unit Supply & Supply Clerk Champions - Standard Work & Log Sheet

Critical To Safety

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