lewis blackman hospital patient safety act sc code ann.

1. Lewis Blackman Hospital Patient Safety ActSC Code Ann. �44-7-3410 et seq. Annette Drachman, JD, MHA Director, MUHA Legal Affairs Rosemary Ellis, MSN Director, Quality and Patient Safety

3. What happened next? On Monday, November 2, the new Attending received a verbal report from the Resident that the patient was stable. The Attending then went to the OR.

4. Lewis died later that day from internal bleeding

6. Lewis Blackman Hospital Patient Safety Act Three Primary Areas in the Act Name Badges Informing Patients who is involved in their care Establish a mechanism to contact the Attending Physician

7. Name Badges Identify all clinical staff (includes �persons who work in a hospital whose duties include personal care or Medical treatment of patients�): Must include Name (first and last) Department Job or trainee title Must be Clearly visible In terms or abbreviations reasonably understood

8. Informing Patients(Written Information) This act requires specific information be provided to all inpatient and ambulatory surgery patients at the time of admission or as soon as possible thereafter. Information includes identification of who is involved in their care and the mechanism to contact the attending. We have designed a brochure that includes all the information required by the act. Patient registration staff are required to give the brochure to the patient. We are revising the general consent for treatment toinclude documentation of the patient�s receipt of the brochure.

10. Mechanism to contacting the Attending Physician Whenever the patient or family member asks to speak to the attending physician about their medical care: Determine what concerns the patient or family have to determine if you can take care of it immediately. If you are not able to respond to the concern - page the attending physician by calling 2-8080. Rationale: Monitoring the documentation If the patient or family member would like to page the attending themselves, give them this number 792-8080. Document all patient/family member requests to and your actions in the interdisciplinary progress notes of the medical record. Never give out personal pager numbers.

11. HOW DO I COMPLY? Follow MUSC requirements by: Completing ALL information on white board at the BEGINNING of the shift, if utilized in your area. Wear your name badge in a visible location (eye level is recommended)

12. HOW DO I COMPLY? If unable to respond to requests appropriately, contact the Attending MD (or attending designee) at patient (or patient representative) request regarding medical concerns. If you page the attending physician at the request of the patient, you must document that in the progress note in the medical record (see pocket card). Ensure that patient/family has copy of MUSC pamphlet �An Academic Medical Center of Excellence�

13. WHAT IF I CAN�T REMEMBER WHAT I AM SUPPOSED TO DO? Check the poster supplied to your unit. Keep your pocket card handy

14. STATE Enforcement Enforced by DHEC against the HOSPITAL�s license DHEC will investigate complaints and issue citations Added to routine inspections

15. Policy changes The following policies have been revised to reflect the requirement: C-124 Paging Responsibilities and Response Time C-109 Chain of Command Policy A-7 Identification Cards C-74 Resident Supervision

16. The following slides contain helpful information that is not a part of the act.

19. Paging a Physician

20. Remember A Resident MD is not an Attending physician.