St. Petersburg ED Assess/Reassess reminder

Thank You

Please view the below link to view the 1-page information 

North Cypress ED Hold RN Process

Thank You,

The I-PASS form is utilized to send reports to the Medical and Tele units prior to the ER moving the patient to the unit.    The process includes completing the form and faxing it to the receiving unit when the bed is assigned "dirty".   This allows the unit nurse a chance to review information and call with questions prior to the patient being taken to their inpatient bed.    See the below sample. 

*REMINDER* for West Florida Division ED

Stroke or potential stroke patients MUST have a new Blood Glucose taken and recorded in the ED.     Please, DO NOT use the glucose by EMS.

Thank You

In partnership with our MC Fort Worth facilities, please remember suicide assessments should ONLY be completed on patients 12 and older WITH behavioral health complaints.

Patients presenting without a behavioral health complaint should NOT BE SCREENED for suicide.

Please see below for additional information.

Suicide Huddle Card

Thank you, 

HWS Clinical Ops Team

In partnership with our HCA Saint Petersburg Hospital, please review the ED Sepsis bundle process steps.

ED Sepsis Bundle

Thank you for your partnership, 

HWS Clinical Ops Team

In partnership with our Medical City Fort Worth facility, please review the updated Suicide Huddle Card.  Screening should occur in patients age 12 years and older whom are being admitted with behavioral health complaints.

Suicide Huddle Card

Thank you for your dedication to patient safety.

HWS Clinical Ops Team

In partnership with our Gulf Coast facility, HCA Houston Healthcare North Cypress, in an effort to sure up the tele start documentation and notification these forms will be attached to the Tele boxes.  When ER hold RN or ER staff RN grab a Tele box this form will be with box.  This is to help ensure monitor is placed on tele admit, monitor room is called, rhythm verified and then ER charge receives form after steps are completed prior to departing.

ER Hold Tele Tracker

Thank you for your dedication to patient safety!

The San Antonio Division at all of the Adult Emergency Departments and FSED's, are piloting a Lean Six Sigma project on improving Vancomycin Dosing 1500mg or greater.

Issue:  Doses were not given or being missed.

Order sets were restricted to the ED location for Providers, but staff had on their eMAR 2 doses 1 hour apart.  There was still an issue and the second dose was still being missed or delayed.  So the Lean Six Sigma project was updated with a new process.

In December, the process changed in which the doses were profiled at the same time, so the doses in emar were a few mins. apart, but staff were educated  and label comments instructed them to administer the doses concurrently.  Staff would scan both doses in eMAR appropriately, and set up the ICU Medical Pump to run both doses concurrently.  Staff have specific instruction within the Label comments directing them to confirm the rate and volume.

Vanco Dosing

Please contact Charge Nurse for additional questions.

Thank YOU!

Our partners at Medical City Plano in The North Texas Division have shared education regarding Sepsis. 

Please ensure you are familiar with Sepsis protocols and implement in patient care.

Sepsis

Sepsis-1

Thank you for ALL YOU DO and your continued DEDICATION to patient care!