229-16
REPORT TO THE DIRECTOR OF THE LEGISLATIVE COUNSEL BUREAU PURSUANT TO
NRS 439.877(4)(d) – SUBMITTED BY:
Renown Medical Center
1155 Mill Street
Reno, NV 89502
Joe Macaluso
Director of Risk Management
Phone: 775-982-4798
Email: [email protected]
July 1, 2015 – June 30, 2016
Check Lists Developed Include:
Sepsis
Daily patient room cleaning
Patient room cleaning – discharge or
transfer
Hand hygiene
Fall prevention
Universal protocol
Revisions*
Central line care
Patient discharge
Prevention of surgical site infections
Mechanical Ventilation
Waterless, scrubless, bursh-free surgical
hand rub antiseptic
Patient identification before providing
treatment
Patient identification of specimen
containers
Patient identification for point of care
testing
Code blue
Indwelling urinary catheter insertion and
maintenance (Renown.CID.870.08)
Patient Safety Policies developed
include:
Patient identification before providing
treatment (Renown.CID.235.05)
Patient identification of specimen
containers (Renown.LAB.017)
Patient identification for point of care
Usage**
Renown Health
Renown Health
Renown Health
Review***
X
Renown Health
Renown Health
Renown Regional and
South Meadows
Renown Health
Renown Health
Renown Health
Renown Regional and
South Meadows
Renown Health
X
X
Renown Health
Renown Health
Renown Health
Renown Health
Renown Health
Revisions
Usage
Renown Health
Renown Health
Renown Health
Review
testing (Renown.LAB.032)
Hand hygiene (Renwon.IC.201)
Patient safety checklist & policy
compliance (Renown.CID.235.09)
Code blue (Renown.CID.150.08)
Patient & family education
(Renown.CID.235.06)
Medication management
(Renown.CID.800.23)
Discharge planning (Renown.CID.920.00)
Summary of Review
Total #
developed
Patient Safety Checklists 0
Patient Safety Policies
0
Renown Health
Renown Health
X
X
Renown Health
Renown Health
X
Renown Health
Renown Health
X
Total # Total # Reviewed
revised
0
3
0
4
*Checklists and Patient Safety Policies were reviewed for the stated time period. Need for revision is
noted by the date the revision was made.
**Usage outlines the units/departments the checklists are used in.
***As part of the annual review any required revisions will be identified. If revisions are required this is
noted in the revision box. Any additional patient safety checklists or policies identified will be noted in
this (review) column. If the annual review reveals no changes are required this box will be marked with
an “X”. An “X” means that the checklists and policies were reviewed but no changes were required.
 Reports are due on or before July 1 of each year, address report to:
Director LCB
Rick Combs (2016)
[email protected]
Copy to: [email protected]
Carson City, NV 89701