Clinical-Excellence

BCMA File Time Variance

Posted by HWS Clinical Ops on Apr 16, 2021 9:26:53 AM

A File Time Variance is a discrepancy of 30+ minutes between the File Time and the Administration Time of a medication. A File Time Variance is created when the user scans the medication after the administration and edits the time to indicate the time the patient was given the medication. File Time Variance is a show of false documentation of medication administration and against policy.  

Please ensure medications are being scanned and documented in real time. 

Included is an educational document for review on File Time Variances. 

FTV

Thank you for your dedication to patient safety!

 

Topics: All Nurses

Certified Nurses Day 2021: Celebrating and Supporting Lifelong Learners

Posted by HealthTrust Workforce Solutions on Apr 7, 2021 2:00:35 PM

Certified Nurses Day occurs every March 19, celebrating the birthday of Dr. Margretta “Gretta” Madden Styles, RN, EdD, FAAN, a visionary nursing leader and scholar.


Kenneth Wall, a nurse at HCA Houston Healthcare Clear Lake in Texas, recently achieved his Certified Emergency Nurse (CEN) certification. (left to right) Donna Baptiste, Dr. Karanja, Kenneth Wall, Jennifer Gonzales, Laurie Roth, Yvette Greer.

Florence Nightingale once said, “Let us consider that we are never done as nurses…we must be learning all of our lives.” Like Florence, HCA Healthcare and HealthTrust Workforce Solutions recognize the unique and intrinsic worth of each individual by supporting lifelong learners. On National Certified Nurses Day, we celebrate HCA Healthcare nursing colleagues who have demonstrated advanced skill, knowledge and practice by earning a professional certification in complex nursing care specialties.

“The value of a specialty nursing certification is becoming more important as healthcare becomes increasingly complex and challenging,” said Steve Tarkington, vice president, HCA Healthcare Center for Clinical Advancement.

As a part of our organization’s robust clinical education offerings and support, HCA Healthcare provides qualifying nurses who wish to pursue a specialty certification the opportunity to take advantage of discounted rates, a voucher program and reimbursement upon successfully completing the certification exam.

In 2020, more than 3,753 HCA Healthcare-affiliated registered nurses expanded their professional expertise and advanced their professional skills through the voucher program to earn certification in specialty areas, including:

  • Emergency Services (BCEN)
  • Critical Care (AACN)
  • Surgical Services (CCI)
  • Medical-Surgical (ANCC)
  • Medical-Surgical (ONCB)

According to the American Association of Critical Care Nurses, the benefits of obtaining a nursing certification include:

  • demonstration that the nurse cares enough to be tested against rigorous standards, confirming their knowledge and skills in a specialty area;
  • creating an environment of professionalism, contributing to staff retention and patient safety;
  • serving as a role model for professional development, lifelong learning and dedication to excellence in patient care, and
  • a sense of pride, fulfillment and empowerment, as well as career advancement. (Research shows nurse leaders prefer hiring a nurse who is certified.)

Thank you to certified nurses across HCA Healthcare and HealthTrust Workforce Solutions for your extraordinary contributions to patient care and your commitment to advancing the nursing practice. Meet a few lifelong learners below…

Cori Morrison, oncology certified nurse at
HCA Healthcare’s Sunrise Hospital and Medical Center in Las Vegas, Nevada

“To effectively care for patients, I want to be as educated as possible in all of aspects of nursing and treatment,” said Cori Morrison, an oncology certified nurse at HCA Healthcare’s Sunrise Hospital and Medical Center in Las Vegas, Nevada. “Being certified helps me achieve this and stay in-tune with the ever changing facets of the oncology world.”

Callie Ballenger MSN, APRN, FNP-BC, NPD-BC, division nurse residency coordinator,
HCA Healthcare’s MidAmerica Division

Callie Ballenger, division nurse residency coordinator for HCA Healthcare’s MidAmerica Division, has a background as a Nurse Practitioner and recently achieved her Nursing Professional Development Certification. “I believe in the importance of lifelong learning and always being the best that I can be. I learn a lot from studying for certification exams. I also think it shows the patients that you are caring for and people that you work with that you are dedicated to the profession,” said Callie.

Jenny Weir, double-certified clinical nurse coordinator at
HCA Healthcare’s Los Robles Health System in Thousand Oaks, California

“I love to learn, and our field is ever changing,” says double-certified clinical nurse coordinator Jenny Weir of HCA Healthcare’s Los Robles Health System in Thousand Oaks, California. “I’ve been a labor and delivery nurse for more than 30 years and got certified shortly after in inpatient obstetrics. About two years ago, I achieved certification in electronic fetal monitoring. I wanted to show my peers, doctors and patients my specialized experience and that I meet a national standard of excellence. You can always sharpen your skills and be a resource to others.”
 
Holly Toscano, certified in Maternal Newborn Nursing, serves HCA Healthcare patients at
Sunrise Hospital and Medical Center in Las Vegas, Nevada

“With evidence-based practice, nursing is constantly evolving to create better patient outcomes,” said HCA Healthcare colleague Holly Toscano, who is certified in Maternal Newborn Nursing. “As a charge nurse, my certification helps me stay current so I can be a better mentor and resource for our care team and our patients.”

Newly certified nurse Jennifer Gonzales, celebrates with her peers at HCA Houston Healthcare Clear Lake in Texas. (left to right) Beatriz Zamora Leon,
Jennifer Gonzales, Donna Baptiste, Barbara Gonzalez

Topics: Healthcare, HCA Healthcare, Certified Nurses Day

Safety Hand Off "Time Out"

Posted by HWS Clinical Ops on Apr 7, 2021 9:00:00 AM

In an effort to prevent safety fallouts the North Texas Division, Medical City Fort Worth has created a handoff checklist. Please ensure you are familiar with the checklist and utilize the Hand Off "Time Out" to review the important safety elements. 

Hand Off "Time Out"

Thank you for all you Do!

Topics: North Texas Division, All Nurses

San Antonio Division Intiative: Mobilab App

Posted by HWS Clinical Ops on Apr 6, 2021 9:00:00 AM

Mobilab app- will now be available on the iMobile devices to utilize as well as still available on the desktop. 

The app will be pushed out to all the devices on 4/6/21 throughout the San Antonio Division.

The QR Code below is a video providing an overview and resource of the app:

oQR

Please contact the charge nurse at the facility with additional questions. 

Thank you for your DEDICATION to patient care!

Topics: San Antonio Division, All Nurses

Louisiana Nurse Gives Back With Convalescent Plasma Donations

Posted by HealthTrust Workforce Solutions on Apr 5, 2021 2:19:29 PM

Blog NurseLakeview Regional Medical Center nurse Leslie Goertz knows first hand what patients are going through in the COVID-19 unit, after battling the virus herself last April. Once she recovered and returned to work, she wanted to extend her care to the Louisiana community by donating convalescent plasma. Leslie has been donating convalescent plasma every few weeks for the past eight months.

Learn more about how Leslie is giving back to help patients battling COVID-19 on Facebook.

Topics: Healthcare, HCA Healthcare

ED: IV Stop Times

Posted by HWS Clinical Ops on Apr 5, 2021 12:44:23 PM

Please ensure IV Stop Times are documented in the ED. A yellow information box alert will display in eMAR to ensure proper documentation of the IV stop time. This is a required field if there are IV medications on the patient's eMAR in the ED.

ED: IV Stop Times

Thank you for all you DO!

 

Topics: ER, All Nurses

Infection Prevention and PPE Utilization

Posted by HWS Clinical Ops on Apr 5, 2021 12:08:42 PM

Our partners in the Capital Division at CJW have shared some education regarding the current safety standards for PPE usage and Infection Prevention. 

REMINDERs:

Ensure we are following appropriate PPE measures at all times.

  • Universal masking is still in full swing- please ensure you are masking up as you enter the facility each day and continue with the appropriate mask per your patient population throughout your shift.
  • All direct patient care requires both a mask and face shield/goggles
  • All non-COVID patient interactions require at least a mask, eye covering/face shield, and appropriate hand hygiene.
  • Goggles are to be worn in all patient care areas, including the halls
  • Safety Stand-Down

Please make sure you are adhering to the facilty specific PPE utilization and safety standards. 

Thank you for your dedication to Patient Care!

Topics: Capital Division, All Network Staff

HCA Healthcare Named a 2021 World's Most Ethical Company

Posted by HealthTrust Workforce Solutions on Feb 23, 2021 2:03:05 PM

Infosys_ethical_company_wQVN4el_202102HealthTrust Workforce Solutions is proud to share that our parent company, HCA Healthcare was recognized for the 11th time by Ethisphere, a global leader in defining and advancing the standards of ethical business practices, as one of the 2021 World’s Most Ethical CompaniesHCA Healthcare is one of only seven honorees in the Healthcare Providers category.

“We are honored to again be recognized as a World’s Most Ethical Company and owe it all to our incredible colleagues, especially those working on the front lines,” said Sam Hazen, chief executive officer of HCA Healthcare. “This acknowledgement underscores that, even when faced with a threat to public health and safety like that of a pandemic, we are committed to doing what’s right for our people, our patients, our communities and other stakeholders.”

The COVID-19 pandemic was at the forefront of 2020 and HCA Healthcare responded by protecting its colleagues and patients, and by partnering with others to improve care beyond the organization. HCA Healthcare has not laid-off a single employee due to the pandemic, and in April, it instituted a pandemic pay program, which allowed the organization to continue to pay more than 127,000 colleagues, even when their hours were affected by the significant decrease in patients visiting hospitals across the country. Additionally, HCA Healthcare hospitals do not bill patients who are diagnosed with COVID-19, whether they have insurance or not, for testing or hospital care related to the treatment of COVID-19.

As a learning health system, HCA Healthcare analyzes data from its approximately 35 million patient encounters each year to develop best practices that improve patient care. To help combat COVID-19, the health system teamed up with Google and SADA on a data portal to help communities prepare and respond to COVID-19, offered more than $1 million to local community partners to aid in coronavirus relief efforts and participated in the White House collaborative to provide up to 1,000 ventilators to other health systems.

“The world has faced tremendous obstacles this past year, but we are proud to be recognized for the positive impact we are having in the communities that we serve,” said Kathi Whalen, senior vice president and chief ethics and compliance officer at HCA Healthcare. “During these challenging times, our colleagues have shown an unwavering commitment to doing what is right.”

In 2020, HCA Healthcare donated more than $45 million to community organizations and provided charity care, uninsured discounts and other uncompensated care at a cost of $3.4 billion. Last year, HCA Healthcare colleagues spent more than 83,000 hours volunteering in the communities they serve. As part of its sustainability plan, HCA Healthcare seeks to protect and preserve the environment inside and outside of its facilities by encouraging the reduction of energy usage throughout its facilities and considering the environment in all new construction and renovation projects. In 2020, HCA Healthcare hospitals across the country were honored with 60 national Practice Greenhealth awards for their steadfast sustainability efforts.

Recognition by Ethisphere is in part affirmation of HCA Healthcare’s commitment to fostering a culture of diversity and belief that excellence in healthcare starts with a foundation of inclusion, compassion and respect. HCA Healthcare continues to deliver on this promise exemplified in recent diversity and inclusion efforts, including its award-winning BRAVE Conversations program, which provides colleagues an opportunity to discuss complex topics in a safe and respectful setting.

HCA Healthcare also announced a $10 million investment over the next three years in Historically Black Colleges and Universities (HCBUs) and Hispanic Serving Institutions (HSIs).

Additionally, in response to a heightened focus on racial injustice, HCA Healthcare instituted a provisional social justice match, which supported gifts from colleagues to organizations and nonprofits supporting racial justice and addressing health equity for communities of color. In total, HCA Healthcare and its colleagues helped make an impact of $227,364 across 21 total organizations from June 5 to July 31, 2020.

“While addressing the tough challenges of 2020, HCA Healthcare led through resilience and a commitment to ethics and integrity,” said Ethisphere CEO, Timothy Erblich. “The World’s Most Ethical Companies honorees continue to demonstrate an unwavering commitment to the highest values and positively impacting the communities they serve. Congratulations to everyone at HCA Healthcare for earning the World’s Most Ethical Companies designation.”

In 2021, Ethisphere recognized 135 honorees spanning 22 countries and 47 industries. The full list of the 2021 World's Most Ethical Companies can be found at https://worldsmostethicalcompanies.com/honorees.

Topics: HCA Healthcare

Donating A Gift From The Heart

Posted by HealthTrust Workforce Solutions on Feb 18, 2021 3:22:39 PM

Donating BloodThe gift of blood saves lives, and there is an increased need for blood during the pandemic since blood and platelets cannot be manufactured – they can only come from volunteer donors. Below, meet a couple of HCA Healthcare colleagues who’ve donated blood to help patients and their communities. If you have already donated blood or plasma, log your donation as volunteer service on our giving and serving platform.

After recovering from a mild case of coronavirus, Dr. Fauston Devecchi (pictured left), a physician advisor at HCA Healthcare’s West Florida Hospital, knew he wanted to help others fighting the virus. He donated
his plasma at a convalescent plasma drive organized by his hospital.

“Donating convalescent plasma is a simple way to contribute to the well-being of our communities, our neighbors, our families; and a very easy one to pursue,” says Dr. Devecchi (read more about Dr. Devecchi’s experience). 

Katie Grams McGovern used to be afraid of needles, but when she became the blood bank supervisor at Lakeview Regional Medical Center 10 years ago, she refused to ask others to give blood and not give herself.

Over the past decade, she’s given nearly 5 gallons of blood and partnered to host 42 blood drives. “Our drives have nearly doubled in participation, and I know that I’m not completely to credit for that, but I do tell people that if they need me to talk them through it, I will — I’ll even hold their hand,” says Katie. “Giving blood is a beautiful and simple thing and a great way to make a direct impact on patients' lives.”

Topics: Health & Safety

Central Line and Foley Maintenance

Posted by HWS Clinical Ops on Jan 29, 2021 4:28:11 PM

Our partners in the East Florida Division have identified some areas of opportunity for Education on Central Line and Foley Catheter Insertion and Maintenance.

Please review the identified gaps as well as the education for Central Line Dressing Change Policy, CLABSI, and CAUTI. 

Should you have any additional questions, please follow-up with the charge nurse on shift. 

FOLEY:

  • Two-person insertion
  • Insertion Date and Time on the bag
  • Dependent Loops
  • Indication Appropriateness
  • Plan to address removal
  • Placement of Foley Tubing
  • Missing Securement Devices
  • Reassessment
  • Order placement in EHR
  • Insertion, maintaining asepsis

 

CVC:

  • Dialysis Biopatch (7mm needed)
  • Date and Time when dressings are changed
  • Weekly Dressing Changes
  • Sutures (Too close to the skin)
  • Gauze Dressing (Duration)
  • Swab caps on all ports and line hubs
  • Scrub the Hub (Duration)
  • Non-Intact Dressing (reinforced with tape)
  • Gauze wrap on Dialysis ports
  • Plan to address removal
  • Reassessment

    Central Line Policy
    CAUTI

    CLABSI

Thank you for your DEDICATION to PATIENT SAFTEY!

 

Topics: All Nurses

Clinical Operations

As nurse leaders within HealthTrust Workforce Solutions, we partner with our colleagues to promote clinical excellence throughout the communities we serve. HealthTrust advocates on behalf of our ultimate client, the patient, ensuring that they receive the highest quality, cost-effective care in a professional, compassionate, and ethical environment. 

Subscribe to Email Updates

Recent Posts

Posts by Topic

see all