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

With the Meditech enhancement being so extensive, attached are some additional educational references specific to Restraint Documentation and Discharge Workflow Changes. Please contact your Regional Director of Clinical Operations with questions.

Restraint

DC Flowsheet

Discharge Enhancement

Protect yourself and your patients by assessing for and administering the flu vaccine. Please review the attached document highlighting the assessment, documentation, and administration of the flu shot for your patients.

Flu Education

Friendly Reminder: Flu shot documentation is due to HealthTrust by 10/31.

One of the goals of the Controlled Substance Safety Component of the 2018 Clinical Safety Improvement Program is to decrease the potential for patient misuse of prescribed opioids post-discharge. To work toward meeting that goal patients need to be educated on safe use, storage, and disposal of opioids. Please reivew the updated Teach/Educate intervention below and contact your Regional Director of Clinical Operations for questions.

Teach/Educate Intervention: Opioids

Did you know.....The Clinical Excellence blog has links to Atlas and Lippincott. Please feel free to use these sites for additional education and reference to policy. The links can be found on the top of the page.

The Woman's Hospital of Texas announced  new infection control protocols for staff providing direct care in their neonatal intensive care units. The new measures are likely to impact all NICUs in the Gulf Coast Division so all HealthTrust NICU nurses working in, or traveling to the region should review the attached handout. The first 10 NICU nurses who comment with the name of the leading type of device assisted infections in the NICU will get a prize! HINT: The Answer is in handout!

 BARE BELOW THE ELBOWS

SPOT is an application that monitors all patient labs and vitals in real time and uses the information to identify patients who are risk for sepsis.

Early identificaton = Early treatment.

I have attached an educational reference on SPOT. This training is included in annual update this year. Please reach out to your Regional Director of Clinical Operations for additional questions

SPOT Handout