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.

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!

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

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