In alignment with HCA's documentation standards, Evidence Based Clinical Documentation, The North Carolina Division's clinical informatics team has updated the Central Venous Access and Urinary Documentation.

The cut-over is occurring 1/21/2021 between 0700-1000.  During the cutover, the previous documentation will be inactivated but visible via the flowsheet. All patients will have documentation in the new update. 

Please review the education and contact the superusers on the units with additional questions. 

Clinical Update

Thank YOU!

Please review the attached education on CPN Database Updates in alignment with EBCD and General enhancements.  These updates are applicable to Women and Children's Services documenting in the CPN Database. 

CPN Updates

Thank you for your DEDICATION to patient care!

Please review the attached document reviewing the standard workflow for the COVID-19 Vaccine Nursing screen assessment, COVID-19 Vaccine order, and the Case Management consult order (COVID Vacc).

COVID-19 Vaccine Documentation

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Please review the attached Patient Expiration Process to include the Documentation. Escalations should occur at the facility level following the chain of command. 

Patient Expiration Process

Thank you for all you DO and Happy New Year!

Did you know Meditech has a report that you can run to review required documentation?  Attached are 2 references highlighting how to run the reports. 

I encourage you to become familiar and utilize the report at the end of each shift to ensure complete documentation. 

General-Req. Documentation

Surgical Serv-Am I Finished

Thank you for your continued dedication to patient care!

Please review the attached educational document:

• CAM/RASS if initiated must be documented each shift
• Restraints/Lines/Drains/Airways if initiated must have a documented Start, Monitor, Discontinue

Documentation:CAM/RASS/Lines/Drains

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Corporate Information Technology Group (ITG) has deployed new eSAF “Core Access” functionality that automates provisioning of Direct Care Nursing Access for Meditech users in South Atlantic Division.

This new eSAF functionality solves the challenges of new direct care nurses being “hired” into a new or existing Lawson Position Code that is not setup for role-based/entitled system access.

Adoption of standardized Meditech access templates for direct care nurses will provide noteworthy relief to nurses, managers, and ITG personnel. (Surgical nurses will not be included in the initial roll-out). 

Additionally, adoption of standardized Meditech MIS user mnemonics would make it easier to “share” nurses across markets and divisions and eliminate the need to change MIS user mnemonics.

Standardized Meditech access templates will include more options on the main Meditech menu and some menus may look different, resulting in a period of adjustment as nurses become accustomed to the new access. A minimal adjustment period is expected, with most nurses achieving a level of comfort within hours.

Go Live: 11/10/2020-12/8/2020

Grand Strand-11/10/2020

Trident/Summerville – 12/1/2020

Colleton – 12/8/2020

Meditech Menu Standardization

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Our partners in the East Florida Division have shared some education on Safety Rounding. Safety Rounding is utilized across the Enterprise to reduce negative outcomes, improving positive patient outcomes.  Included is the Safety rounding toolkit utilized to educate and validate staff in East Florida. 

Safety Rounding Huddle Points

Safety Rounding Checklist

Thank you for your dedication to patient safety!

Our partners in the Continental Division, Presbyterian/St. Luke's has a policy in place that all patients need a set of vital signs within 2 hours prior to discharge to ensure patient safety.  

The attached policy outlines the requirement under assessment/reassessment. 

Please ensure you are familiar with the facility policy in which you are working in regards to Documenting the Provision of Care. 

Thank you for your dedication to PATIENT SAFETY!

Documentation of Provision of Care

EFD is preparing to go live on November 1^st with the transition from utilizing pin numbers to NT authentication for EMAR and BCTA. This conversaion will streamline user access across multiple systems and applications as well as improve safety and security.

Pin numbers will no longer be used to access EMAR and BCTA.  Users will instead use their network password for opening screens and filing documentation. 

Below is the go-live dates by market.

11/3: Kendall Regional

11/10: Aventura and Palm Beach

11/17: Mercy and Broward

11/24: Treasure Coast

Please review attached educational document

PIN to AD

Thank you for ALL you DO!