The Meditech screens for suicide prevention have changed to the Columbia Rating Scale. All patients are assessed on admission for signs or symptoms that would indicate that the patient might be at risk for suicide. The patient's history, psychosocial assessment, and suicide risk screen contribute to the initial assessment.

Please review the provided suicide algorithm document to ensure compliance for Suicide prevention assessment and documentation. 

Suicide Prevention algorithm

Thank you for your dedication to Patient Safety!

Aventura Hospital in East Florida has released a new and revised inpatient pre-procedure checklist to ensure the surgical patients are ready at the time they are called to the OR. The checklist must be complete and attached to the chart.

Please ensure you are aware of the surgical readiness checklist at the facility you are working.

Thank you each for all you DO!

Surigcal Readiness

St. Mark’s recently underwent a survey and some opportunities for restraint management/charting were identified. As I am sure you are aware restraints are considered a high-risk procedure/event and are almost always scrutinized by regulatory bodies. Attached you will find a tip sheet as well as an audit sheet. Please ensure you are managing and charting appropriately. If you have any questions at all please seek assistance for your on shift direct supervisor.

Please note St. Mark's utilizes EPIC as EHR system and restraint documentation.

Restraint Tip Sheet

Restraint shift audit

Thank you for all you do!

Our partners in the North Texas Divison have provided some very helpful education on Infection Control and Prevention. The attachments and link are the guidelines from the Regulatory Organizations.

https://www.osha.gov/SLTC/etools/hospital/hazards/ppe/ppe.html

Please ensure you are upholding the guidelines.

Thank you for your attention to this educational oppurtunity.

HealthTrust appreciates all you DO!

Gloves

Mask

Gowns

Respirator

C-Diff

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