Dear nursing colleagues,

Critical components of the HCA Healthcare nursing strategy is the development of extraordinary nursing care at every level and the creation of an unrivaled work environment for nurses to succeed and thrive. In an effort to execute on these strategies, we are pleased to announce that the work to deploy the Patient Safety Attendant model across the Enterprise.

The PSA model is a best practice framework that when implemented, provides strong support to front-line nurses. Additionally, the model encourages the safety of the patient by ensuring appropriate use of PSAs.

The goal of this program is to equip nurses with support in a way that promotes high-quality care by providing strong front-line support for the HCA Healthcare nursing workforce.

What is a Patient Safety Attendant (PSA)?

· A safety attendant trained to monitor at risk patients for safety.

· Accountable for patient safety either one – to – one or virtually.

· Provides support to the nurses and ensures patients are consistently safe from harm.

· Readily available to support front-line nurses.

PSAs will receive training and development during the onboarding process, which will prepare them for their new roles and responsibilities in the safe monitoring of patients.

We look forward to creating a nursing environment that provides even stronger support to our nursing staff. We thank you for all the wonderful care you provide to our patients and your commitment to excellence.

The HealthTrust Clinical Operation Team.

Please review the attachment outlining the steps required in reporting a work injury. It is important to understand the steps and process to ensure timely reporting and proper documentation.

We want you as an employee to feel confident knowing what to do after a work injury.

Thank you for all you DO!

Injury Reporting

Capella University has a great new tuition discount/scholarship offer for this spring. A person can complete a DNP for under $10,000 out of pocket. This is an amazing opportunity. Please contact Capella University for additional information.

Please make sure the appropriate order source is selected when entering Medications into Meditech. Medications should not be entered with the Plan of Care order source. 

W – Written - order that can be found in the patient’s physical chart with a “wet ink” signature – does not go to the provider for eSignature.

V – Verbal - order taken in presence of the provider by the appropriate personnel (ex. RN) during an emergency situation or provider is scrubbed in for a procedure

T – Telephone - taken over the phone (not a TEXT) by the appropriate personnel when the provider is unable to access the EHR.

C – Plan of Care - only used by PT/OT/ST based on a previous order for Eval/Treat

P – Protocol - used when there is a hospital approved protocol, approved facility emergent standing orders, or approved clinical algorithm. - does not count against computerized provider order entry (CPOE) percentages.

Z – Dept. Process - used to carry out elements of another provider order that may depend on patient response or timing – does not go to the provider for eSignature.

Thank you for your attention to this educational opportunity!

Lee's Summit in the MidAmerica Division is using Ketamine drips for qualified inpatients. Provided is the education. Please note this is specific facility education and does not apply to the Enterprise.

Please comment with questions!

Ketamine

Thank you!

There has been a recent update on the SPOT Tool with a direct impact on the Nurse Workflow:

• Sepsis Screen Completed as Quickly as Possible Once Notified
• 2020 HCA Healthcare GOAL= 27 Minutes from Alert to Screen Documented. 

Please review attached PowerPoint and comment with questions.

Thank you for your dedication to Patient Safety!

SPOT

Educational Reminder: Please ensure the patient and the medication are being scanned 100% of the time prior to medication administration.  Failure to comply with this process jeopordizes patient safety and patient care. 

File Time Variance is a discrepancy of 30 plus minutes between the File Time and Administration Time. The goal for number of File Time Variances is Zero.  Included is an education reference on File Time Variance. 

FTV

Please comment with questions.

Thank you for all you do!

The Medication Reconciliation is a patient safety standard.

All healthcare providers review meds on admission, transfer, discharge, and PRN.

Attached is education on Medication Reconciliation, Please make sure to review and ensure Medication Reconciliation is being completed per guidelines and standards.

Thank you for your dedication to Patient Safety!

Med Rec

New Suicide screens accessible from either Safety/Risk/Regulatory or BH: Suicide/Homicide Screen interventions

On page 3 of the suicide screen is a new calculated risk and the option to document a Detailed Risk Assessment

Detailed Risk Assessment can be accessed through the Suicide screen or from a stand-alone intervention

Please note this is currently being Piloted in San Antonio and changes across the enterprise are expected after the first of the year. 

Educational attachment below-

BH Suicide and Risk Behavior Screens

Thank you for all you DO!

New SCD Pumps will be distributed to patient care areas over the next couple of weeks at Capital Regional Medical Center. Capital will be holding "Nursing Staff Practice Change" in-services. Please speak with charge nurse about attending a session when working at Capital Regional as an educational opportunity to learn how to use them. Attached is an educational document on the new SCD Pump for review and reference.

SCD Pump

Please comment with questions.

Thank you for all you do!