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!

It is the responsibility of the primary nurse to review restraint orders and ensure accuracy for non-behavioral vs. behavioral restraints. Inaccuracies should be escalated to the charge nurse and physician immediately. 

Included in the HCA Restraint Policy for Review.

Restraints

Thank you for all you DO and your DEDICATION to PATIENT SAFETY!

U.S. federal courts have officially put the previously announced regulations requiring COVID-19 vaccinations on hold indefinitely and deemed them not enforceable. 

Given this development, HCA Healthcare has paused the vaccine requirement for all colleagues with the exception of those in California and Colorado who are subject to local and state mandates.

With that being said, our approach has always been to strongly encourage vaccination, but not to mandate it unless we are required to do so by the federal government (i.e., CMS mandate) or a state government. 

• At this time, we will continue to process any proofs of vaccination received thus far and any proof of vaccination submitted going forward (supplied on a volunteer basis). 
• We will no longer be processing any exemption documents since the vaccine is not required.  

We understand the frustration and difficulty the changing information has created for all involved. We will keep you informed of any significant changes in federal vaccine mandates that may modify our response. Thank you for your patience, understanding, and your unwavering commitment to our mission.

Lastly, we remain focused on Annual Updates and compliance with any items that may be due soon.