c489 FMEA Table
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Description
List 4 steps in your Improvement Plan Process * List 1 Failure Mode per step Likelihood of Occurrence (110) Likelihood of Detection (110) Severity (110) Risk Priority Number (RPN) Example: On-call staff must clock in within 30 minutes of being notified. On-call staff forget to clock in when arriving to the unit. 4 5 2 40 1. Assign a 1:1 for patients receiving conscious sedation
Inability of hospital/unit to supply staff to accommodate a 1:1
8
10 9 720 2. Monitor all VS and LOC until patient returns to baseline
VS and LOC are not monitored before, during, and after procedure 3 8 10 240 3. Assure competent/trained nurses assess and care for patients s/p conscious sedation
Nurses working have not cared for or been trained to care for these patients 3 7 8 168 4. Involved...