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!

Capella University has a great new tuition discount/scholarship offer for this spring. A person can complete a DNP for under $10,000 out of pocket. This is an amazing opportunity. Please contact Capella University for additional information.

Please make sure the appropriate order source is selected when entering Medications into Meditech. Medications should not be entered with the Plan of Care order source. 

W – Written - order that can be found in the patient’s physical chart with a “wet ink” signature – does not go to the provider for eSignature.

V – Verbal - order taken in presence of the provider by the appropriate personnel (ex. RN) during an emergency situation or provider is scrubbed in for a procedure

T – Telephone - taken over the phone (not a TEXT) by the appropriate personnel when the provider is unable to access the EHR.

C – Plan of Care - only used by PT/OT/ST based on a previous order for Eval/Treat

P – Protocol - used when there is a hospital approved protocol, approved facility emergent standing orders, or approved clinical algorithm. - does not count against computerized provider order entry (CPOE) percentages.

Z – Dept. Process - used to carry out elements of another provider order that may depend on patient response or timing – does not go to the provider for eSignature.

Thank you for your attention to this educational opportunity!

There has been a recent update on the SPOT Tool with a direct impact on the Nurse Workflow:

• Sepsis Screen Completed as Quickly as Possible Once Notified
• 2020 HCA Healthcare GOAL= 27 Minutes from Alert to Screen Documented. 

Please review attached PowerPoint and comment with questions.

Thank you for your dedication to Patient Safety!

SPOT

Educational Reminder: Please ensure the patient and the medication are being scanned 100% of the time prior to medication administration.  Failure to comply with this process jeopordizes patient safety and patient care. 

File Time Variance is a discrepancy of 30 plus minutes between the File Time and Administration Time. The goal for number of File Time Variances is Zero.  Included is an education reference on File Time Variance. 

FTV

Please comment with questions.

Thank you for all you do!

The Medication Reconciliation is a patient safety standard.

All healthcare providers review meds on admission, transfer, discharge, and PRN.

Attached is education on Medication Reconciliation, Please make sure to review and ensure Medication Reconciliation is being completed per guidelines and standards.

Thank you for your dedication to Patient Safety!

Med Rec

New Suicide screens accessible from either Safety/Risk/Regulatory or BH: Suicide/Homicide Screen interventions

On page 3 of the suicide screen is a new calculated risk and the option to document a Detailed Risk Assessment

Detailed Risk Assessment can be accessed through the Suicide screen or from a stand-alone intervention

Please note this is currently being Piloted in San Antonio and changes across the enterprise are expected after the first of the year. 

Educational attachment below-

BH Suicide and Risk Behavior Screens

Thank you for all you DO!

As a friendly reminder: If a patient discharges with a prescription for an opioid,  the patient must receive education on:

• Pain Management  
• Safe Disposal of Opioids
• Safe Use of Opioids.

Please note this education must be provided and documented for home and facility/rehab discharges.

The Education is located in Care Notes, please ask Charge Nurse if you are unsure where to locate this information.

Pain Management

Safe Disposal of Opioids

Safe Use of Opioids

Please comment below with questions.

Thank you for you dedication to Patient Safety!

Please review the attached PowerPoint regarding USP 800: Safe Handling of Hazardous Drugs shared by our partners in Central West Texas. Effective Date: December 1, 2019 enforceable by: FDA, The Joint Commission and CMS. I have also included HCA cooperate videos for review:

https://mediaconnect.medcity.net/media/t/0_7csehab9 

https://mediaconnect.medcity.net/media/USP+-+800+-+New/1_0spjune

USP 800

Please comment below with questions.

Thank you!