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

Educational Reminder: Please ensure the patient and the medication are being scanned 100% of the time prior to medication administration.  Failure to comply with this process jeopordizes patient safety and patient care. 

File Time Variance is a discrepancy of 30 plus minutes between the File Time and Administration Time. The goal for number of File Time Variances is Zero.  Included is an education reference on File Time Variance. 

FTV

Please comment with questions.

Thank you for all you do!

The Medication Reconciliation is a patient safety standard.

All healthcare providers review meds on admission, transfer, discharge, and PRN.

Attached is education on Medication Reconciliation, Please make sure to review and ensure Medication Reconciliation is being completed per guidelines and standards.

Thank you for your dedication to Patient Safety!

Med Rec

New Suicide screens accessible from either Safety/Risk/Regulatory or BH: Suicide/Homicide Screen interventions

On page 3 of the suicide screen is a new calculated risk and the option to document a Detailed Risk Assessment

Detailed Risk Assessment can be accessed through the Suicide screen or from a stand-alone intervention

Please note this is currently being Piloted in San Antonio and changes across the enterprise are expected after the first of the year. 

Educational attachment below-

BH Suicide and Risk Behavior Screens

Thank you for all you DO!

New SCD Pumps will be distributed to patient care areas over the next couple of weeks at Capital Regional Medical Center. Capital will be holding "Nursing Staff Practice Change" in-services. Please speak with charge nurse about attending a session when working at Capital Regional as an educational opportunity to learn how to use them. Attached is an educational document on the new SCD Pump for review and reference.

SCD Pump

Please comment with questions.

Thank you for all you do!

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

Thank you for all you do!