Our partners and colleagues in the West Florida Division at Central Florida Regional Hospital have provided some education on the telemetry escalation process. 

Please review this process and become aware and familiar with the telemetry escalation processes in the facility you are supporting. 

Telemetry Escalation

Thank you for your DEDICATION and COMMITTMENT to patient care!

The Medfusion Syringe Pump delivers blood, blood products, prescribed drugs, and other fluids into a patient's body in a controlled manner. Due to a software error, if a bolus or loading dose is interrupted and a specific sequence of events occurs, over or under-delivery of a bolus or loading dose may occur. 

Please review the huddle card to ensure you:

• Reviewed and understand the information
• Will follow the guidelines to avoid infusion administration errors
• If a potential patient safety issue related to the Medfusion pump is identified, the chain of command will be activated

Huddle Care: MedFusion

Thank you for your dedication to Patient Safety!

The HCA Education Team has released a HealthStream course that contains three educational videos, providing an overview of NATE, C-ARDS, and SOFA. 

The Intended audience are clinicians who utilize the NATE, C-ARDS, SOFA Tools. 

To access the course via self-enrollment, please login to HealthStream and search the catalog for:

HHCCA:NATE, C-ARDS, SOFA Overview

Completion Time: 56 minutes.

This is not a required course but a continued educational offering.  

Thank you for ALL your HARD WORK and DEDICATION to patient care!

Corporate Information Technology Group (ITG) has deployed new eSAF “Core Access” functionality that automates provisioning of Direct Care Nursing Access for Meditech users in North Florida Division.

This new eSAF functionality solves the challenges of new direct care nurses being “hired” into a new or existing Lawson Position Code that is not setup for role-based/entitled system access.

Adoption of standardized Meditech access templates for direct care nurses will provide noteworthy relief to nurses, managers, and ITG personnel. 

Additionally, adoption of standardized Meditech MIS user mnemonics will make it easier to “share” nurses across markets and divisions and eliminate the need to change MIS user mnemonics.

Standardized Meditech access templates for the Division will include more options on the main Meditech menu and some menus may look different, resulting in a period of adjustment as nurses become accustomed to the new access. A minimal adjustment period is expected, with most nurses achieving a level of comfort within hours.

Nursing staff will also be granted access to all facilities in their Division/market.

The deployment of the project is the week of September 1.

Please see attached education. 

NFD DCNA

Please ensure all GE Dash Patient Monitors are being tested before use on each patient. An issue has been identified indicating a potential issue with the audio alarm not functioning properly. 

Recommendations

1. Test each device one time per shift, at a minimum.
• Refer to the Dash™ 4000 Operator's Manual for the location and operation of the SILENCE button.  The Dash™ 4000 produces an audible beep tone when the SILENCE button is pressed. This confirms the audio function of the Dash monitor is working properly.
• The Dash monitor should be verified it is in correct working order and operating condition before use and the functions of the alarm systems verified at regular intervals per the Operator's Manual. 
• If only a "clicking" sound or no discernible audible sound is produced when the SILENCE button is pressed, the audible alarm function of the Dash monitor may not be working properly. 
• Lastly, any functionality issues involving the audio alarm will not affect the visual alarm functionality of the Dash, or the audio and visual alarm functionality of the Central Station (if connected to the Dash). 
• Additional information can be found in Chapter 2 “Equipment Overview” and Chapter 4 “Alarms” of the attached Operator’s Manual.  
2. If the audible alarm is found to not function properly, immediately remove the monitor from service and return it to the BioMed Department.
3. Report any similar occurrences to the PSO where a patient was harmed or a near miss.

Dash Operator Manual

Thank you for your dedication to patient safety!

Meditech has been recently updated with two new proning therapy order entry screens. This will allow for standardized documentation of the therapeutic intervention. 

Please review attached education regarding screen updates as well as Proning Therapy guidelines for both manual and device assisted (bed) proning therapy. 

Meditech Proning Therapy Orders

Proning Guidelines

Thank YOU for you continued DEDICATION to patient care!

• Everyone in the hospital environment will be masked
• Patients will wear level 1 masks when outside of their treatment rooms or when face to face with HCPs during care
• Visitors will wear personal masks or be provided with a level 1 if needed
• Non-clinical staff will wear level 1 masks at all times
• Clinical staff will wear the appropriate level of mask for the clinical situation
• Staff - universal eye protection for ED, ICU, and other high risk areas
• Staff - eye protection when face to face care and patient cannot mask
• Staff - fit tested N95 with full face shield for ALL AGP

Please review attached education-Mask Level Required and Huddle Highlights.

PPE Guidance

PPE Huddle Care

Thank you for your HARD WORK AND DEDICATION to PATIENT CARE!

The East Florida Division is increasing Meditech timeouts.  The current setting is 6 minutes for screen, menu, and suspend session. 

The new Time Ous are as follows:

• Screen Time Out-15 minutes
• Menu Time Out-30 minutes
• Suspend Session-30 minutes
  
  Meditech Time OutsThank you for all your HARD work and DEDICATION to patient care!

For those utilizing a different EHR system outside of Meditech 5.6, attached are educational references reviewing COVID-19 screening for: Cerner, EPIC and Meditech Expanse. 

Cerner

EPIC

Meditech Expanse

Thank you for all your hard work!

There will be 2 modifications to the HCA Central Line Kit:

1.  Omit 1 (of 2) Facemasks.

2.  Substitute vinyl gloves in place of Nitrile gloves for Step 1-Removal.

Recommendations:

• The Facemask provided in the Central Line Kit should be utilized for the provider.  Please obtain a second facemask for the patient from regular stock.
• No practice change is indicated for substitution of vinyl gloved in place of nitrile gloves.

Thank you for your continued DEDICATION to patient care!