The Sentinel Event Solutions Resource Manual is part of MCN Healthcare’s ellucid® Policy Library. MCN Healthcare is the health care industry’s leading provider of TJC (formerly JCAHO) accreditation tools and CMS accreditation help, consisting of policy and procedure templates, forms, competencies and other compliance tools. MCN’s policy and procedure manuals are used in more than 25,000 healthcare organizations throughout the world to help with compliance, accreditation, and health care quality improvement.

All customizable policies, procedures, forms and compliance tools are provided as templates in Microsoft Word format. MCN’s policy and procedure library consists of 87 policy and procedure manuals and more than 18,000 compliance tools. This is the most comprehensive collection of customizable policy templates, policies, procedures, forms, competencies, job descriptions, and performance evaluations available anywhere—all kept up to date with the latest standards from CMS, Joint Commission, FDA, HIPAA, OSHA, ACHC, AAAHC, USP, and utilizing standards of practice from ANA, AORN, ENA, and more.

Introduction

Introduction to Sentinel Event Solutions

Sentinel Event

Acceptable Root Cause Analysis

Conducting Root Cause Analysis

Sentinel Event Alert - Emergency Electrical Power System Failures

Sentinel Event Alert - Emergency Electrical Power System Failures

Utility Systems Management Plan

Utility Systems Management - Emergency Power

Guidelines for Procedure for Failure of Essential Equipment

Disruption of Services - Electric

Sentinel Event Alert - Tubing Misconnections

Sentinel Event Alert - Tubing Misconnections

Prevention of Tubing/Catheter Misconnections

Sentinel Event Alert - Medication Reconciliation

Sentinel Event Alert - Medication Reconciliation

Medication Reconciliation/Verification

Medication Reconciliation/Verification Form

Sentinel Event Alert - Vincristine Administration Errors

Sentinel Event Alert - Vincristine Administration Errors

Chemotherapy Handling

Vincristine - Preparing and Dispensing

Vincristine Administration

Preparation and Dispensing of Drugs for Intrathecal Administration

Administration of Drugs Intrathecally

Sentinel Event Alert - Preventing PCA by Proxy

Sentinel Event Alert - Preventing PCA by Proxy

Patient Controlled Analgesia

Patient Controlled Analgesia (PCA) in the ICU/CCU

Patient Controlled Analgesia (PCA) - Sample Physician's Orders Form

Sentinel Event Alert - Anesthesia Awareness

Sentinel Event Alert - Anesthesia Awareness

Anesthesia Awareness

Preanesthesia Assessment

Guidelines for Administration of Anesthesia

Sentinel Event Alert - Prevention of Kernicterus

Sentinel Event Alert - Prevention of Kernicterus

Phototherapy

Examination of Newborn - Guidelines

Exchange Transfusion - Polycythemia Treatment

Discharge Instructions - Mother/Infant

Hyperbilirubinemia Screening

Sentinel Event Alert - Prevention of Infant Death and Injury During Delivery

Sentinel Event Alert - Prevention of Infant Death and Injury During Delivery

Cesarean Deliveries in Labor and Delivery

Cesarean Section - Preparation of the Patient

Electronic Fetal Heart Rate Monitoring (EFM)

Fetal Heart Rate (FHR) Assessment

Fetal Heart Rate (FHR) Abnormalities

Resuscitation of the Newborn at Delivery

Sentinel Event Alert - Preventing Surgical Fires

Sentinel Event Alert - Preventing Surgical Fires

Fire Safety in an Oxygen Rich Environment - Operating Room

Electrosurgical Unit and Electrosurgical Unit Safety

Laser Surgery - Practice and Safety

Sentinel Event Alert - Infection Control Related Issues

Sentinel Event Alert - Infection Control Related Issues

Guideline for Hand Hygiene in Healthcare Settings

CMS Issues Final Rule: Hand Sanitizer Dispensers in Hospital Exit Hallways

Hand Hygiene

Alcohol-Based Hand Rub (ABHR) - Gel (Placement and Permissible Volumes)

Infection Control Plan

Sentinel Event Alert - Preventing Bed Rail Entrapments

Sentinel Event Alert - Preventing Bed Rail Entrapments

Guidance for Industry and FDA Staff - Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment

Siderails and Beds - Safety

Sentinel Event Alert - Delays in Treatment

Sentinel Event Alert - Delays in Treatment

Verbal and Written Orders - General

Telephone, Verbal and Written Orders for Medication

Critical Test Result Reporting

Acknowledgment of Results of Diagnostic Testing

Panic Values

Unacceptable Abbreviation and Symbol List

"Hand-Off" Communication

Physician Notification of Change in Patient Condition

Monitoring Patient's Response - Reporting to Physician

End of Shift Report Form - Nursing Management

Sentinel Event Alert - Preventing Ventilator-Related Deaths and Injuries

Sentinel Event Alert - Preventing Ventilator-Related Deaths and Injuries

Patient-Ventilator Maintenance/Monitoring - Recommended Parameter

Use of Clinical Alarms on Medical Equipment

Standard of Care - Ventilators Monitoring Record Form

Capnography

Sentinel Event Alert - Preventing Needlestick and Sharps Injuries

Sentinel Event Alert - Preventing Needlestick and Sharps Injuries

Exposure Control Plan

Sharps Injury Protection Plan

Sharps Injury Log Form

Sharps Precaution and Disposal

Sentinel Event Alert - Preventing Medical Gas Mix-ups

Sentinel Event Alert - Preventing Medical Gas Mix-ups

Compressed Gas and Oxygen Use

Sample Training Outline - Medical Gas

Sample Training Outline - Handling, Storage and Transport of Compressed Gas Cylinders

Anesthesia Gas and Nitrogen Storage

Sentinel Event Alert - Preventing Exposure to Creutzfeldt-Jacob Disease

Sentinel Event Alert - Preventing Exposure to Creutzfeldt-Jacob Disease

Creutzfeldt-Jacob Disease Precautions

Sentinel Event Alert - Preventing Fires in the Home Health Setting

Sentinel Event Alert - Preventing Fires in the Home Health Setting

Basic Home Safety

Home Hazard Analysis Checklist

Initial Home Safety Evaluation and Instruction Form

Safety Precautions When Using Oxygen

Patient and Family Education Handout - Home Safety

Patient and Family Education Handout - Oxygen Safety Rules

Sentinel Event Alert - Preventing Blood Transfusion Errors

Sentinel Event Alert - Preventing Blood Transfusion Errors

Patient Identification for Clinical Care and Treatment

Blood/Blood Components - Transfusion

Blood/Blood Components - Checking from the Blood Bank

Acquisition, Identification and Administration of Blood Products

Informed Consent - Blood/Blood Component Transfusion

Blood/Blood Components - Patient's Guide to Blood Transfusions

Sentinel Event Alert - Preventing Infant Abductions

Sentinel Event Alert - Preventing Infant Abductions

Infant Security Plan

Maternal Child Health Security - Patient Education Form

Infant/Child Abduction Response Plan

Infant/Child Abduction Response Plan Activation Evaluation Form

Sentinel Event Alert - Preventing Restraint Deaths

Sentinel Event Alert - Preventing Restraint Deaths

Restraint and Seclusion - Staff Training and Competency Requirements

Restraint and/or Seclusion for the Management of Violent or Self-Destructive Behavior

Restraint and/or Seclusion for the Management of Violent or Self-Destructive Behavior (Behavioral Healthcare Settings Only)

Restraint Use for the Management of Nonviolent, Non-Self Destructive Behavior

Sentinel Event Alert - Preventing Inpatient Suicide

Sentinel Event Alert - Preventing Inpatient Suicide

Mental Health Admission Assessment - Nursing

Nursing Admission Assessment Form

Assessment for Suicidality

Suicide Precautions

Assessment for Self-Harm

Close Observation Form

Patient Room Safety

Patient and Family Education