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!

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!