The Woman's Hospital of Texas announced  new infection control protocols for staff providing direct care in their neonatal intensive care units. The new measures are likely to impact all NICUs in the Gulf Coast Division so all HealthTrust NICU nurses working in, or traveling to the region should review the attached handout. The first 10 NICU nurses who comment with the name of the leading type of device assisted infections in the NICU will get a prize! HINT: The Answer is in handout!

 BARE BELOW THE ELBOWS

SPOT is an application that monitors all patient labs and vitals in real time and uses the information to identify patients who are risk for sepsis.

Early identificaton = Early treatment.

I have attached an educational reference on SPOT. This training is included in annual update this year. Please reach out to your Regional Director of Clinical Operations for additional questions

SPOT Handout

Many of you have heard about the process changes the EHR Release Program is undergoing with the largest change combining provider documentation, nursing documentation (EBCD) and provider ordering for Inpatient and ED into a single release per quarter. All updates can be viewed in atlas.

Evidence-Based Clinical Documentation (EBCD) Regular Maintenance updates plus documentation enhancements for Moderate Sedation, Restraints, Discharge Instructions, and Vaccines and Regulatory updates for Inpatient Rehab.

Meditech 5.6.7 OE Includes updates to Restraints and new OE screens for Discharge, Discharge with Parameters, and Pediatric Asthma Severity Scoring Tool

Meditech 5.6.7 Discharge Includes updates to Discharge Plan, PDoc and EBCD Discharge documentation. Also includes new OE screens for Discharge and Discharge with Parameters with workflows for both Providers and Nursing.

Meditech 5.6.7 Restraints Includes updates to Restraint documentation in OE and EBCD to align with the corporate policy.

EBCD 2018.3 Provider Discharge Process (003)

EBCD 2018.3 Nursing without DC Restraints

EBCD 2018.3 Restraints Update (End User Education) (002)

Education from Clear Lake Regional Hospital in the Gulf Coast Divison : When Nimodipine is ordered for a non-traumatic subarachnoid hemorrhage it is considered a “critical medication”. This means Nimodipine must be given within 30 minutes of the scheduled administration time. For instance, if Nimodipine was scheduled for 1300, the nurse must administer sometime between 1230 and 1330 or document an acceptable reason for inability to administer within the allotted timeframe (patient in a procedure, patient off the unit, patient hypotensive so the physician was notified prior to administration, etc…). The Standard Medication Administration Times policy discusses administration of Nimodipine as a critical medication and the need for it to be administered within 30 minutes of the scheduled administration time. Also, Nimodipine administration compliance is closely monitored during our annual Comprehensive Stroke Survey. The nurses are able to see the critical medication instructions if they click on “***** NOT FOR IV USE ******…” in the eMAR. Clear Lake Regional Hospital has had quite a few non-traumatic subarachnoid hemorrhage patients in the months of August and September and we noticed a few fall-outs on Nimodipine administration. I have attached the Standard Medication Administration Times policy and a snap shot of where to click in the eMAR to view the administration instructions.  Please contact your Regional Director of Clinical Operations for questions.

Nimodipine eMAR Order

Critical Medication Administration Policy - Nimodipine.

The West Florida Division Critical Care Service Line Council has created guidelines for documenting drips in EBCD as an action to improve care and decrease risk to patients. Please review the guidelines below and contact your Regional Director of Clinical Operations for additional quesitons or concerns.

Guidelines for documenting drips

MidAmerica has recently transitioned to the utilization of DeRoyal wrist restraints. There is a HealthStream video titled, "Overview of the DeRoyal wrist restraint-CESL", that can be taken should you require additional information and/or education. This is not required education and supplemental only. Please reach out to your Regional Director of Clinical Operations for questions or concerns.

Nova Statstrip, which is the HCA approved glucometer, has recieved FDA approval for capillary sample testing in the ICU and ED. The change in process will require the sample type, venous or arterial. See attached screen shot for additional information.

Screen shot - sample type comment.doc

PRN Reason vs. Pain Assessment Score. Please review the included education applying to all West Florida facilities. Meditech will provide a rule check or pop up to notify the nurse they are administering PRN pain medication outside of intended parameters.  Please reach out to your Regional Director of Clinical Operations for additional questions.

PRN Reason Vs. Pain Assessment Score PowerPoint

New PRN Reason vs Pain Assessment Functionality Document 

Thank you for taking a few minutes to check out our new Posts. This blog is powered by the HealthTrust Clinical Team and is our way to share helpful clinical education, tips and insights to make your next opportunity a roaring success! We also want to hear from you so feel free to comment and let us know what you want to know more or less about but please, NO posts on external social media sites. This is your exclusive forum so please use appropriately and responsibly.

Upcoming posts will include critical education updates from our HCA facilities, helpful general clinical information, insider tips for success on assignment as a temp nurse and  clinical team info so you can get to know your clinical and support team. All posts will be grouped by Topics, HCA Division and/or State so you can search for content relevant to your assignment and interest.

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