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!

Please review included Education on TNK for Acute Stroke.

Tenectplase for Acute Ischemic Stroke

TNK Huddle Card

TNK Competency

Thank you for continued dedication to Patient Care!

Attention RN’s:

We need your help to decrease the number of orders with the wrong order source and being placed under the wrong Provider. In addition, Pharmacy has been seeing a large number of medication orders placed under “Written” order source. They will not process the order unless they are faxed the paper order, as written source does not que for a provider signature in Meditech.

• The Order Source you choose determines if the provider must electronically sign the order.  Insurance Companies frequently refuse to pay for tests or procedures if proper signatures aren’t present. This can also be considered practicing outside your scope.
• Who you place orders under (provider) can affect rounding lists.
• 3 Rights for Placing Orders: Order Source, Provider and Patient

Please review attached education and escalate additional questions to the charge nurse.

Thank you for your attention to this important educational opportunity.

We appreciate all you do for patient care!

Order Entry-Meditech Screens

Order Source

Our partners in West Florida are rolling out a standardization to how blood cultures are obtained in Adult Patients. The new process is going live March 21, 2022. 

Blood Culture Huddle Card

Blood Culture Post Assessment

Thank you for all you Do!

In order to optimize use of I-Mobile, it is encouraged to use the texting feature if applicable. Please note texting can not be used for orders or critical result notification.

I-Mobile: Text

Thank you for your dedication to patient care!

New Order acknowledgement should occur throughout the shift upon MD entry to include implementation of new orders. 

Additionally end of shift chart checks should occur to ensure accuracy and completion of orders. 

New orders/implementations should be reported to oncoming nurse at Bedside Shift Report.

All orders can be viewed in Meditech from the review patient orders screen or order history in clinical review.

Order ACK

Thank you for ALL you do!

Our partners in the West Florida Division have shared some important education on Sepsis. Please review and ensure you are familiar with all guidelines.

Sepsis Flowchart

Sepsis Bundle Guide

SPOT Alert

HWS Sepsis Quick Reference Guide

Sepsis is Time Sensitive: Timely, Monitor, Execute and Complete Sepsis bundle for optimal patient safety and outcomes.

Thank you for your dedication to patient care!

Our partners in West Florida shared education regarding the pre-procedure checklist.  Please ensure this has been added to the Process Interventions and completed prior to patient being transported to procedure. 

All patients going for any procedure should have:

• Witnessed & signed consent
• Completed Pre-Op Checklist
• “Yes” to ESR (Enhanced Surgical recovery Program) protocol
  
  

Thank you for your continued dedication to patient care!

Our partners at Rapides Regional Medical Center have shared some important education related to Advanced Primary Stroke Center Certification. 

Our compliance for this measure is based on the percentage of final coded ischemic/hemorrhagic stroke patients having *both* the following:

1. Meditech documentation attesting “written information regarding stroke was provided to the primary learner” [i.e. Purple Packet] and a
2. Signed copy of the Purple Packet personalized Risk Factors education present in the patient’s permanent chart

Nursing Education PP-Stroke

Thank you for your continued dedication to patient care!