As a reminder, please make sure you are administering pain medication per physician order. For example: Patient Smith reported pain level of 7. The physician order was Norco 2 Tablets PO Q4hours PRN for pain level 7-10 and Norco 1 tablet PO Q 4hours PRN for pain level 4-6. The correct administration for patient Smith would be Norco 2 Tablets PO Q4hours PRN for pain level 7-10. This information is included in the order on eMAR, please make sure you are reviewing prior to pain medication administration. Please comment with additional questions. Thank you each for all you do!

Provided is education on recepting patients in the ED. It is imperative to appropriately recept a patient utilizing their social security number and creating an MPI search. Failure to follow the correct process leads to duplication of accounts and is a patient safety concern. Please comment below with any additional questions. Thank you for your time and attention to this educational opportunity

EDM MPI search

Oak Hill Hospital in West Florida has implemented a C-Diff Algorithm to reduce the incidences of C-Diff. The algorithm will assist in timely and appropriate collection and should be sent to lab with all specimens. Please note, specimens should look like Type 7 on the Bristol Stool Chart and collected no later than Day 3, Day 1 being day of admission. C-Diff is considered hospital onset if specimen is collected on or after Day 4 of hospitalization. Please review provided education handouts and comment with questions.

Bristol

C-Diff Education

C-diff Go Live Flyer

Cdiff Algorithm

Spontaneous awakening trials and the documentation should be completed and documented for all ventilated patients twice per day. Provided is the education, please contact Regional Director of Clinical Operations for additional questions.

SAT RN education 07-17-18 (003)

Pain Assessment and Reassessment is required on each patient prior to pain medication administration and after pain medication administration. Reassessment should be completed 30 minutes after IV/IM medication administered and 1 hour after PO medication administered. Included are Meditech screen shots of the pain assessment and reassessment. Please contact your Regional Director of Clinical Operations with questions.

Pain assessment/reassessment

One of the many reasons to love Meditech....Health Information Exchange allows you to view patient information outside of your market from all HCA facilities and employed doctors offices. They are currently working on being able to view information from non-HCA. This is very helpful in day to day continuity of patinet care but most recently in the hurricaines when patients are transfered to different facilities.

Each facility choses the path, examples desktop icon, link in magic key menu etc. Please verify with your facility how to access. Included is an informational resource.

HIE

Every patient who enters a facility should have their allergies assessed and documented in Meditech. Please review the education below on allergy entry and adverse reactions.

Allergy Entry

Included are two checklists reviewing documentation requirements for ICU/PCU, these are specific to North Texas and Medical City Lewisville but are guidelines that can be used at all facilities

Admission Checklist.

Documentation Req

Park Plaza, Tomball, Northwest, and Cypress Fairbanks are presently converting from Cerner to Meditech with a staggered rollout, completion of the rollout by the end of year.

These 4 facilities also will be changing to CPN and have a few differences in the CPN documentation.  Attached is an educational document reviewing the differences. Please note this is only applicable to the 4 listed facilities above in the Gulf Coast market.

Please contact your Regional Director of Clinical Operations with questions.

CPN education: Gulf Coast

Medication Reconciliation is a requirement for completion except for OR, Dialysis and CVOR areas of specialty. Included is a presentation reviewing the process of Medication Reconciliation. All parts apply to all specialties unless included in the exceptions below.  Contact your Regional Clinical Director of Operations for questions.  Thank you each for all you do!

Exceptions:

• Rehab- Needs everything above with the addition of the appendix 1

• Nursery and NICU- Part 7, 8 and 9 only

• Dialysis is exempt from the entire med rec education

• Actual OR and CVOR areas are exempt from the entire med rec education

***Day surgery, pacu and cath lab type areas still need all of the education like the inpatient units.

Med Rec Education