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!

We are proud to share that HCA Healthcare, our parent company, has entered into a new joint venture business with A Plus International Inc. (A Plus), a global manufacturer of healthcare products, to expand access to personal protective equipment (PPE) by manufacturing surgical and procedure masks in the United States. Under the partnership, production of Level 1 and Level 3 masks meeting American Society for Testing and Materials (ASTM) standards for quality and safety is expected to begin in early 2021 from a manufacturing center in Asheville, North Carolina.

Investment in the new business entity will initially be funded equally by HCA Healthcare Mission Fund, LLC, an affiliate of HCA Healthcare, and A Plus. The new business entity is part of HCA Healthcare’s continued effort to support healthcare workers and address the global demand for PPE. HCA Healthcare’s 2020 spending for PPE increased by more than $196 million from 2019.

“The recent surge in demand for PPE due to the pandemic has underscored how dependent we have been on supplies from overseas and the importance of working to diversify our supply chain,” said Dr. Jonathan Perlin, president, clinical operations group, and chief medical officer of HCA Healthcare. “We are thrilled to join forces with the expertise of A Plus on this new business which is focused on domestic manufacturing of PPE so that we can continue to support our caregivers on the front line.”

HCA Healthcare’s investment in the business is being funded through the HCA Healthcare Mission Fund, an innovation fund created following HCA Healthcare’s purchase of Mission Health to support healthcare-related businesses in Western North Carolina. The new business’ headquarters and production facility will be located on one of Mission Health’s campuses in Asheville and will bring skilled jobs to the area.

“Asheville has a diverse and skilled workforce with the experience to produce these important protective supplies that keep caregivers safe,” said Greg Lowe, president of HCA Healthcare’s North Carolina Division. “Thanks to the HCA Healthcare Mission Fund, we are honored to welcome this new business to our campus, and we are excited for the job opportunities for our community.”

Supporting the supply chain of hospitals and non-acute providers, HealthTrust, a global leader in purchasing aggregation and performance improvement for healthcare, will co-manage the joint venture with A Plus. HealthTrust’s wholly owned subsidiary, Resource Optimization & Innovation (ROi), will serve as the distribution partner for the business, providing access to PPE inventories to HealthTrust member organizations throughout the U.S.

According to a recent Gallup poll, Nurses were polled as being the most honest and ethical professionals for the 19th year in a row, especially throughout their efforts to help fight COVID-19. Nurses received their highest ethics rating and earned an 89% overall score. We are thankful for the nurses who continue to excel with bravery in the midst of adversity and remain diligent in the goal to increase patient care. 

To read the complete findings of the Gallup poll, click here.

Choosing the right destination to relocate to for a travel nursing assignment or permanent opportunity may be difficult. However, Nurse.com's recent 2020 Nurse.com Nurse Salary Research Report showed three destinations that Nurses are likely to relocate to. Within the report, it was noted that nurses are more likely to relocate to: Florida, North Carolina, and Texas- three of HealthTrust’s most popular and in-demand cities for nurses. Find out below why these states are attractive for nurses across the country. 

Florida

From fresh water springs and nature trails to beautiful beaches and miles of coastline, the sunshine state is calling your name!  Explore one of Florida’s several amusement parks or hit the golf course (the state has more than any other in the U.S.!)  When you come to Florida, you’ll join one of the nearly 1,000 people moving to the state daily since the start of COVID-19, according to a study by the Internal Sales Group.

North Carolina

Whether you are hiking incredible mountain views or exploring historic architecture, North Carolina will not disappoint. With an extensive arts scene, you can discover the beautiful museums and galleries that continuously captivates artists from around the country. Not to mention that North Carolina is becoming known as a healthcare destination among the healthcare community.

Texas

Whether you’re an adventurer, antiquer, fashion enthusiast, foodie or history lover, Texas has so much to offer you.

Relax in your downtime and take in the vast scenery and activities that the Lone Star state has to offer. Texas offers wide open spaces, hiking trails, beautiful lakes and Gulf Coast shoreline. Texas is also known for being one of the most affordable states to live in!

To learn more about why nurses are quickly relocating to these states, click here. Already sold? Explore our current opportunities in Florida, North Carolina, and Texas!

We are excited to share that Erin Webb has been promoted
to Division Vice President of our MidAmerica Division!

Erin, who previously was in the role of Account Manager, excels at maintaining exceptional relationships with MidAmerica HCA Healthcare facilities. Erin goes above and beyond in meeting the contract labor needs of facilities and identifying the efficient way to enhance cost effective contract labor utilization. Due to the continuous value she adds to HealthTrust Workforce Solutions, Erin is a great fit for the Division Vice President role. 

Erin, who has been with HealthTrust Workforce Solutions for nearly two years, is appreciative of the opportunity to work with incredible colleagues and facilities. She is thankful that her relationships with facilities has grown stronger, especially during the COVID-19 pandemic. 

In speaking with Erin, she shared that she is grateful for the assistance that team members provide to each other and for how every colleague desires to work effectively in order to provide exceptional service. She is proud to work for an organization where team members are deeply supportive of one another, which can be seen through HealthTrust Workforce Solution's GREAT program. Within the GREAT program, team members nominate one another and share how their team members are making a difference in the organization by demonstrating Growth, Recognition, Engagement, Appreciation and Teamwork (GREAT). Erin went on to say, "When you feel valued, it motivates you to work really hard."

The motivation to work diligently is a factor that Erin is most proud of when reflecting on her journey with HealthTrust Workforce Solutions so far. Now that Erin is moving into her new role as a Division Vice President, Erin noted some major takeaways that she wants to continue to be aware of and work toward:

• Be respectful of everybody
• Count on your co-workers
• How can I bring value to HealthTrust Workforce Solutions with my new role?

We are thrilled to see how Erin will continue to build upon the value that she has created for HealthTrust Workforce Solutions!

If you are interested in working with HealthTrust Workforce Solutions, please click here.

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!

The DAISY (Diseases Attacking the Immune System) Award is an international recognition program that honors and celebrates the skillful, compassionate care nurses provide every day. Presented by the DAISY Foundation, the DAISY Award celebrates and rewards nurses for the extraordinary clinical skill and compassionate care that they demonstrate daily.

Currently, the DAISY Foundation is running a public campaign where people are encouraged to share their appreciation for the diligent work of extraordinary nurses. Through your nominations for the DAISY Award, nurses who have made an exceptional impact in your life and in the lives of your families and friends can have the potential opportunity to be recognized and acknowledged. 

The campaign, which kicked off with virtual signs in Manhattan's Times Square, will continue to be shared throughout the country. The DAISY Foundation's ultimate goal is to show the public's gratitude for the diligent work of nurses and to help reduce the burnout that many nurses continue to feel, especially during the fight against COVID-19.

We are standing alongside the DAISY Foundation and are asking for our community to make nominations, sharing how a nurse has made a meaningful impact on a patient or on a patient’s family. DAISY Award honorees receive a certificate of recognition, a DAISY Award pin, and a Healer’s Touch stone sculpture.

To learn more or to nominate an outstanding nurse, click here. 

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

Thank you for all you DO!

We recognize that many PRNs received lower than normal hours in 2020 due to COVID-19 scheduling policies. As a result, in recognition of their valuable service and dedication, we are reducing the 2020 hours requirement for PRNs from 1,000 to 800 hours for the 401(k) Plan annual match and vesting service.

For eligible PRN colleagues who participate in the 401(k) Plan and who were employed in a PRN status on Dec. 31, 2020, this means:

• A year of vesting service will be granted if their annual eligible hours totaled at least 800.
• An annual 401(k) Plan match will be deposited to their account in February 2021 if their annual eligible hours totaled at least 800.

In addition, an Employee Retirement Assistance Contribution will be deposited in accounts of eligible PRN colleagues if their annual eligible hours totaled at least 1,280 (reduced from 1,600), they were employed on Jan. 1, 2020, and they were still employed in a PRN status on Dec. 31, 2020.

These changes apply to all PRNs - regardless of location or labor union representation - because it is the right thing to do.

Note that this only affects the 2020 annual match for PRNs, and that the 1,000 hours requirement will remain for full-time and part-time colleagues.

Participants can access their 401(k) Plan account by going to www.HCARewards.com and selecting BConnected or by calling (800) 566-4114.