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

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