• Everyone in the hospital environment will be masked
• Patients will wear level 1 masks when outside of their treatment rooms or when face to face with HCPs during care
• Visitors will wear personal masks or be provided with a level 1 if needed
• Non-clinical staff will wear level 1 masks at all times
• Clinical staff will wear the appropriate level of mask for the clinical situation
• Staff - universal eye protection for ED, ICU, and other high risk areas
• Staff - eye protection when face to face care and patient cannot mask
• Staff - fit tested N95 with full face shield for ALL AGP

Please review attached education-Mask Level Required and Huddle Highlights.

PPE Guidance

PPE Huddle Care

Thank you for your HARD WORK AND DEDICATION to PATIENT CARE!

The East Florida Division is increasing Meditech timeouts.  The current setting is 6 minutes for screen, menu, and suspend session. 

The new Time Ous are as follows:

• Screen Time Out-15 minutes
• Menu Time Out-30 minutes
• Suspend Session-30 minutes
  
  Meditech Time OutsThank you for all your HARD work and DEDICATION to patient care!

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!