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!

Our partners in the WFL Division have shared some important Core Measure Education Reminders: 

• SCD documentation Daily- documenting the proper device. 
• Restraint documentation- make sure to chart discontinued restraints even when patients are discharged to another facility while still in the restraints.
• CHF patients need daily weights completed with 4 AM vitals.
• Education for Sepsis, CHF and Stoke documented in Meditech and the signed paper document.
• Stroke patients need repeat dysphagia screening/speech therapy prior to PO meds if they have failed dysphagia screening in the ED. NIH and vitals Q4 hours.
  
  Thank you for ALL YOU DO!

Please review included Education on Guardrails for IV Pumps to ensure this important safety feature is being utilized during infusions. 

Guardrails

Thank you for your dedication to patient safety!

• StatSeal discs used as topical hemostasis product
• Within 24 hours of achieving hemostasis, remove dressing and replace with transparent antimicrobial dressing following facility protocol
  
• StatSeal PP
• StatSeal Quick Reference
  
  
  Thank you for your DEDICATION to Patient Care!

Please ensure you are aware of the Stroke Clinical Practice Guidelines at the facility you are working. Variations will exist according to patient diagnosis and Comprehensive and/or Primary Stroke Center. 

Provided are examples from our partners in the Gulf Coast Division: 

Documentation Neuro Checks

BP Management

Thank you for your continued dedication to patient care!

Several Divisions: North Carolina, Gulf Coast, and North Florida are converting to the new Baxter: Spectrum IQ pump. The facilities will have Live training sessions please attend if have not had past experience with the Baxter: Spectrum IQ pump.

Included in this post are references for the Baxter: Spectrum IQ pump: 

• Education Handout
• Smart Tips Guide 
• Quick Reference Guide
• Adding Upstream Occlusion
  
  
  

Additionally there is an App: Infusion Advisor IQ, for additional clinical resources on the Baxter Spectrum IQ pump.

• Tips and Training and Educational Videos

Thank you for all you DO!