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> ER nurse audit
ER nurse audit
Patient Care Assessment
Verify patient identification and documentation
Assess vital signs and document any abnormalities
Evaluate pain levels and ensure appropriate interventions are noted
Confirm allergy information is clearly documented
Clinical Protocols
Review adherence to triage protocols
Check compliance with infection control measures
Ensure appropriate use of personal protective equipment (PPE)
Verify implementation of standard treatment protocols
Medication Administration
Confirm proper medication reconciliation upon admission
Review documentation of medication administration times and dosages
Check for any adverse drug reactions noted in patient records
Ensure patient education regarding medications is documented
Staff Performance
Assess nurse-to-patient ratios during shifts
Review documentation for timely assessments and interventions
Evaluate teamwork and communication among nursing staff
Check for evidence of continuing education and training
Patient Outcomes
Review discharge summaries for completeness and accuracy
Analyze readmission rates and document reasons
Evaluate patient satisfaction surveys and feedback
Check for follow-up care plans and referrals documented
Quality Improvement Initiatives
Review compliance with established quality metrics
Assess participation in quality improvement projects
Document any incidents or near misses and follow-up actions taken
Evaluate staff feedback on quality improvement efforts
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