Please take 10 minutes to review the below link for Stroke Education reminders including the change from TPA to TNK in December.

RN Stroke Education October 2024

Thank You

Please review the attached educational document:

• CAM/RASS if initiated must be documented each shift
• Restraints/Lines/Drains/Airways if initiated must have a documented Start, Monitor, Discontinue

Documentation:CAM/RASS/Lines/Drains

Thank you for ALL you do!

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!

Please review the attached ECMO Huddle Card detailing:

• ECMO Documentation
• The Importance of ECMO Documentation
• ECMO Modes
• ECMO Family Meeting Process

Additional resources on ECMO can be found on Atlas Connect and by Scanning the QR Code. 

ECMO Huddle Card

Thank you for your DEDICATION to Patient Care!

As a reminder, please ensure daily weights are being assessed and documented on ICU/CCU patients. 

Please comment with additional questions.

Thank you for your dedication to Clinical Excellence!

Spontaneous awakening trials and the documentation should be completed and documented for all ventilated patients twice per day. Provided is the education, please contact Regional Director of Clinical Operations for additional questions.

SAT RN education 07-17-18 (003)

Included are two checklists reviewing documentation requirements for ICU/PCU, these are specific to North Texas and Medical City Lewisville but are guidelines that can be used at all facilities

Admission Checklist.

Documentation Req

Education from Clear Lake Regional Hospital in the Gulf Coast Divison : When Nimodipine is ordered for a non-traumatic subarachnoid hemorrhage it is considered a “critical medication”. This means Nimodipine must be given within 30 minutes of the scheduled administration time. For instance, if Nimodipine was scheduled for 1300, the nurse must administer sometime between 1230 and 1330 or document an acceptable reason for inability to administer within the allotted timeframe (patient in a procedure, patient off the unit, patient hypotensive so the physician was notified prior to administration, etc…). The Standard Medication Administration Times policy discusses administration of Nimodipine as a critical medication and the need for it to be administered within 30 minutes of the scheduled administration time. Also, Nimodipine administration compliance is closely monitored during our annual Comprehensive Stroke Survey. The nurses are able to see the critical medication instructions if they click on “***** NOT FOR IV USE ******…” in the eMAR. Clear Lake Regional Hospital has had quite a few non-traumatic subarachnoid hemorrhage patients in the months of August and September and we noticed a few fall-outs on Nimodipine administration. I have attached the Standard Medication Administration Times policy and a snap shot of where to click in the eMAR to view the administration instructions.  Please contact your Regional Director of Clinical Operations for questions.

Nimodipine eMAR Order

Critical Medication Administration Policy - Nimodipine.

The West Florida Division Critical Care Service Line Council has created guidelines for documenting drips in EBCD as an action to improve care and decrease risk to patients. Please review the guidelines below and contact your Regional Director of Clinical Operations for additional quesitons or concerns.

Guidelines for documenting drips

Nova Statstrip, which is the HCA approved glucometer, has recieved FDA approval for capillary sample testing in the ICU and ED. The change in process will require the sample type, venous or arterial. See attached screen shot for additional information.

Screen shot - sample type comment.doc