Please review the attachments regarding education that is live in East Florida as of 2/19/2019. The education will be included in leadership rounding and compliance will be monitored. Please comment with additional questions or concerns. There will be additional communication regarding a HealthStream course for self-enrollment.  Thank you for all you do!

Intimate care_

OR Intimate Care

EDIntimateCareFlyer

Insulin is billable in increments of 20 units. This includes rapid acting insulin (HumaLOG, Lispro, etc.) in addition to insulin regular, insulin NPH, and insulin glargine (Lantus).

For example:

If the patient dose is 1 to 20 units of any insulin administered subcutaneouly, only one barcode scan is required, then backspace "20" and enter the number of units to be administered.

If the patient dose is 46 units of any insulin administered subcutaneously, three barcode scans are required, then backspace "60" and enter "46".

Please comment with additional questions

For those ED nurses working in the North Texas Market: Provided is education regarding EMS Timeouts. Please verify blood draw policy from prehospital providers as some facilities do not accept. Thank you and please comment with questions.

EMS Key points

There are some changes in the Meditech screens for The West Florida Division, Go-Live January 28 and January 29, 2019. The changes include an updated packed cells order screen, updated OB admission screens, discharge screen changes, and updated diet order screens. Please review included education resources and comment with questions below. Thank you!

OB Less than 39 Weeks Provider Education_corp

Diet Order Optimization (1 Page Flyer)

Packed Cells Order 1 page flyer

As a friendly reminder BCMA scanning expectation is 99%. To ensure you are meeting this expectation, please print your scan rate at the completion of each shift and review with the charge nurse or designated facility contact. I have included printing instructions for review and reference; keep in mind Meditech menus can vary by Division and Facility. 

Please comment with additional questions.

Thank you for your attention to this educational opportunity and your continued dedication to patient safety.

BCMA-Printing Scan Rates

Quick Reference BCMA

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Welcome to 2019! I wanted to share a very helpful educational reference received from the Far-West Division. The education reviews scanning multiple doses of controlled substances and ensuring the second dose is properly scanned. If missed the verification, administration, and documentation are effected. Please comment below with questions. Thank you each for your dedication to patient safety.

Controlled Substance Education

On behalf of the clinical operations team, I would like to wish each of you a wonderful holiday season. We appreciate all that you do and dedication to patient care.

All patients receive VTE prophylaxis: mechanical or pharmacological within the first 24 hours of admission unless contraindicated. Please make sure your documentation accurately reflects the requirement or contraindication. Should VTE prophylaxis or contraindication not be included in the admission orders, please speak with the physician. I have attached an educational reminder for review and reference.

Venous Thromboembolism (VTE) Prophylaxis (002)

The "z" and "w" order source in Meditech should never be used when entering an order. When either one of those sources is used, the order never goes to the physician to be electronically signed. This is particularly important for any Meditech controlled substance activity. Please comment below with questions.

Medical City Alliance in the North Texas Division has shared a Meditech Manual that some of you might find helpful as a resource and reference. Please be mindful that screens and functionality of Meditech can vary by facility and division. Please comment below with questions, thank you for all you do!

MEDITECH MANUAL ALLIANCE ADOBE