For those utilizing a different EHR system outside of Meditech 5.6, attached are educational references reviewing COVID-19 screening for: Cerner, EPIC and Meditech Expanse. 

Cerner

EPIC

Meditech Expanse

Thank you for all your hard work!

There will be 2 modifications to the HCA Central Line Kit:

1.  Omit 1 (of 2) Facemasks.

2.  Substitute vinyl gloves in place of Nitrile gloves for Step 1-Removal.

Recommendations:

• The Facemask provided in the Central Line Kit should be utilized for the provider.  Please obtain a second facemask for the patient from regular stock.
• No practice change is indicated for substitution of vinyl gloved in place of nitrile gloves.

Thank you for your continued DEDICATION to patient care!

HCA has developed a Proning Therapy screen in Meditech that will capture initiation, monitoring, and discontinuation of therapeutic proning. Please review included education.

Proning Therapy

Thank you for your continued DEDICATION to patient care!

Please review attached educational reference on COVID-19 Onscreen indicators for Meditech.  Results will display on the Order management, Nursing documentation, and C-Tracker screens. 

COVID-19 Onscreen Indicators

Thank you for all you HARD work and Dedication to Patient Care!

One of the main complications being seen with COVID-19 is ARDS; plateau pressure is a key indicator of assessing lung injury. Plateau pressure has been added to RT ventilator flowsheet to assist with trending and care of patients. 

RT Ventilator Flowsheet

In addition included are Meditech updates:

• EDM and new tracker icons for 1^st POC and COVID-19
• 1^st Point of Contact Screening with embedded QRS icon leading to Media Connect Education

ED First Point of Contact

First POC

Thank you for your Dedication to Patient Care!

Please refer to this Guidance and ensure you are safe when caring for deceased COVID-19 patient. 

Postmortem Care

Thank you for Dedication to Patient Care!

The Continental Division has recently updated the Nursing Meditech Menu.  The Menu will be standardized across the Division: same menu, same numbers, same status board, etc. for all facilities in Continental Division. 

Please review the attached education and comment with questions. 

Meditech Menu Update

Thank you for all you DO!

The Meditech screens for suicide prevention have changed to the Columbia Rating Scale. All patients are assessed on admission for signs or symptoms that would indicate that the patient might be at risk for suicide. The patient's history, psychosocial assessment, and suicide risk screen contribute to the initial assessment.

Please review the provided suicide algorithm document to ensure compliance for Suicide prevention assessment and documentation. 

Suicide Prevention algorithm

Thank you for your dedication to Patient Safety!

Aventura Hospital in East Florida has released a new and revised inpatient pre-procedure checklist to ensure the surgical patients are ready at the time they are called to the OR. The checklist must be complete and attached to the chart.

Please ensure you are aware of the surgical readiness checklist at the facility you are working.

Thank you each for all you DO!

Surigcal Readiness

St. Mark’s recently underwent a survey and some opportunities for restraint management/charting were identified. As I am sure you are aware restraints are considered a high-risk procedure/event and are almost always scrutinized by regulatory bodies. Attached you will find a tip sheet as well as an audit sheet. Please ensure you are managing and charting appropriately. If you have any questions at all please seek assistance for your on shift direct supervisor.

Please note St. Mark's utilizes EPIC as EHR system and restraint documentation.

Restraint Tip Sheet

Restraint shift audit

Thank you for all you do!