In partnership with our West Florida facility, Oak Hill Hospital, we are posting the C. diff algorithm for lab testing. The C. diff algorithm is a division tool that is to be completed for C. diff testing and should be sent with the specimen to the lab. If criteria is not met, the sample collection is to be stopped and discussed with the provider.

C.diff Testing Algorithm

Thank you for all you do for our patients!

In partnership with our Gulf Coast facility, HCA Houston Healthcare North Cypress, in an effort to sure up the tele start documentation and notification these forms will be attached to the Tele boxes.  When ER hold RN or ER staff RN grab a Tele box this form will be with box.  This is to help ensure monitor is placed on tele admit, monitor room is called, rhythm verified and then ER charge receives form after steps are completed prior to departing.

ER Hold Tele Tracker

Thank you for your dedication to patient safety!

The San Antonio Division at all of the Adult Emergency Departments and FSED's, are piloting a Lean Six Sigma project on improving Vancomycin Dosing 1500mg or greater.

Issue:  Doses were not given or being missed.

Order sets were restricted to the ED location for Providers, but staff had on their eMAR 2 doses 1 hour apart.  There was still an issue and the second dose was still being missed or delayed.  So the Lean Six Sigma project was updated with a new process.

In December, the process changed in which the doses were profiled at the same time, so the doses in emar were a few mins. apart, but staff were educated  and label comments instructed them to administer the doses concurrently.  Staff would scan both doses in eMAR appropriately, and set up the ICU Medical Pump to run both doses concurrently.  Staff have specific instruction within the Label comments directing them to confirm the rate and volume.

Vanco Dosing

Please contact Charge Nurse for additional questions.

Thank YOU!

HeART allows viewing AirStrip ONE on iMobile devices as well as submitting and approving AirStrip ONE Snippets using a PC. HeART Telemetry Alerts are triggered on you iMobile Device. Alerts must be reviewed and accepted within 30-60 seconds before alert is escalated. Receiving a Clinical Alert means that there is a significant PT event, accept and assess the patient even if you are not the primary nurse. 

Tele Alerts via AirStrip

HealthStream Course: HeART RN Snippet Overview

To Enroll in Course select Catalog and type course name in Catalog.

Thank you for your dedication to patient safety!

Below is information related to the GE Media Manager – Wound Image Capture application.

Education video: click here

The following Divisions are using this technology: San Antonio, North Florida, Central West Texas

Clinical Tip Sheet

Huddle Flyer

Thank you!

HCA as an enterprise is transitioning to using the Braden Scale for Skin Integumentary Documentation in Meditech.

There is a course in HealthStream providing additional Education: 

CSIP HAPI Phase 2: Braden II Scale and Skin Alteration for Inpatient and Surgery

To access course, search course title in HealthStream Catalog.

Thank you for your dedication to Patient Safety!

You are now able to view the MEWS score over the last 7 days in the West Florida Division via the Status Board.

MEWS or Modified Early Warning Signs aids in early recognition, intervention and stabilization of the patients experiencing clinical deterioration. 

• All change of conditions reported to the nurse should be documented in a nursing note to include who was notified of patient status change and action taken.

MEWS Update

Thank you for your continued dedication to Patient Safety!

Our Partners in West Florida Division have shared Education on Process Intervention Meditech Documentation for Isolation Status, Dx: COVID. 

Isolation Status-COVID

When documenting Process Interventions in Meditech for isolation status, please select one of the following for COVID patients:

1. “Contact” and “Droplet” Precautions
2. “Contact” and “Airborne” Precautions- if the patient requires a negative pressure room for aerosol-generating procedures, which includes BIPAP, CPAP, opening suctioning of airways, sputum induction, CPR, intubation/extubation, bronchoscopy, mechanical ventilation or high flow oxygen
   
   

If you select “Airborne” precautions, that means the patient has to go into a negative pressure room.

Thank YOU!

Our Partners in the East Florida Division have shared Education on the ED Sepsis Bundle.

Please review provided Education and ensure interventions/documentation are being met according to appropriate timeline. 

Sepsis Bundle

Thank you for ALL Do and Happy Holidays!

The East Florida Division is reinstating Order Acknowledgement of non-med orders for the nursing staff for consistency in process. 

Go Live Dates: 

There is a brief 4 minute HealthStream course for additional education if desired: 

HHCCA-Introduction to Meditech 5.6-Inpatient-Acknowledging orders

Order ACK

Please review provided education.

Thank you for your continued dedication to patient care!