Please see attached education regarding patch documentation. The Continental Division will be adding a daily patch check reminder for fentanyl patches in BCMA. The RN will be expected to verify the patch is on the patient and document the verification. The planned Go-Live in the Continental Division is 11/26/2019.

BCMA: Daily Patch Check 

Please comment with questions.

Thank you for all you do!

Beginning July 1, 2020 in compliance with FDA, Joint Commission, and CMS, manufactures will phase out legacy feeding devices in an effort to reduce medical tubing misconnections and improve patient safety.

Please note this is a enterprise wide conversion:

https://mediaconnect.medcity.net/media/Enfit+-+Draft+1/1_ealiuqng

Transition Checklist

EnFit Transition Poster

Please comment below with questions.

Thank you for your dedication to patient safety!

Our partners in East Florida, Mercy Hospital, have provided education regarding Co-Sign in the IV Drip Titration Intervention. The Co-Sign will be available based on the selected Drug for Starts/Restarts/Titrations. Please review and comment below with questions.

Co-Sign: IV Drip Intervention

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As a friendly reminder: If a patient discharges with a prescription for an opioid,  the patient must receive education on:

• Pain Management  
• Safe Disposal of Opioids
• Safe Use of Opioids.

Please note this education must be provided and documented for home and facility/rehab discharges.

The Education is located in Care Notes, please ask Charge Nurse if you are unsure where to locate this information.

Pain Management

Safe Disposal of Opioids

Safe Use of Opioids

Please comment below with questions.

Thank you for you dedication to Patient Safety!

Please review the attached PowerPoint regarding USP 800: Safe Handling of Hazardous Drugs shared by our partners in Central West Texas. Effective Date: December 1, 2019 enforceable by: FDA, The Joint Commission and CMS. I have also included HCA cooperate videos for review:

https://mediaconnect.medcity.net/media/t/0_7csehab9 

https://mediaconnect.medcity.net/media/USP+-+800+-+New/1_0spjune

USP 800

Please comment below with questions.

Thank you!

Our partners at Aventura Hospital and Medical Center in East Florida Division have provided a competency on Fall Prevention for review and reference. Please note this is not something HealthTrust is requiring for completion rather an educational document for review and reference.

Fall Prevention Competency

Please comment below with questions.

Thank you for your dedication to patient care!

Attached is education regarding LVAD awareness provided by Chippenham and Johston-Wills Hopsitals in Capital Division.  Please ensure you have reviewed the education and are aware CJW implants LVAD's and able to address the following:

What an LVAD is...

What to do in an emergency...

Whom to contact if an LVAD patient needs assistance...

LVAD

Comment below with questions.

Thank you for all you do!

Proper use of bed equipment and alarms is required for optimized patient outcomes and fall prevention strategies.

How do you know the bed alarm is armed on your patient's bed?

Solid Green Light Indicates Bed Exit is On

If Hillrom nurse call is in place, status board displays green solid icon when the bed exit is armed on either bed.  If the patient is at risk for falls, bed exit alarm needs to be armed. 

Please review the attached education on Versa Care Beds, Centrella Beds, and Accessing status board in HillRom Nurse Call. 

Bed Exit Alarm Guidance

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Please comment below with questions.

The Medication Safety Committee and Education Team in West Florida are recommending and rolling out the entering of the Patient ID into the Alaris pump. The standardized ID is the last 6 digits of the patient account number. I have attached an educational document for review. The education will also be included in the shift huddles at the West Florida facilities.

Please comment below with questions.

Thank you for your dedication to patient safety!

Alaris ID

Our partners is the East Florida Division have shared the following education to distribute to all Critical Care Nurses working in the East Florida market:

1.  Under no circumstances, does a Nurse pull Propofol doses from an existing IV drip to bolus a patient.

2.  ALL Propofol boluses require a Physician Order via CPOE.

3.  No facility should administer Propofol above 50mcg/min. Other agents should be considered when reaching higher Propofol doses.

4.  The administration of Ketamine should be on hold at this time for additional development of polices, guidelines, medication library, education.

Please review and understand this as an expectation at all East Florida Facilities in Critical Care Units. This information will also be reviewed during huddles at the facilities. 

Comment below with questions or concerns.

Thank you for your dedication to patient safety!