HUDDLE OF THE DAY NEW POLICY ew eyewash policy to replace patient care policy ew. Water Management policy

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1 HUDDLE OF THE DAY South Lake Hospital December 22, 2017 NEW POLICY N ew eyewash policy to replace patient care policy N ew. Water Management policy

2 Tis' the season of giving Tis' the season of giving and our team members certainly outdid themselves. What a wonderful display of generosity and kindness by our South Lake Hospital family! Thank you one and all for always making a positive difference in our patient's lives and the lives of our community members. Happy Holidays! New CBL A new CBL has been assigned to all nurses, it is very brief and should only take a few minutes to complete. It has information regarding verification of physician privileges and orders to titrate medications. All hospital staff have been assigned a brief CBL related to an active shooter situation and how to determine when to run, hide or fight. Due date will be in 3 weeks for both CBLs. Page 2

3 Daisy Pin Winners from CDU Congratulations to Carrie Campbell-Jones, Nancy Drenning & Joanne Davila!!! All three received Pins for their Daisy Nominations from patients and peers for excellence in nursing practice. We are so happy to have them represent the OB department. Great job!!!! We couldn t be prouder of our Daisy Nominees.

4 EART FAILURE: H NEWS FROM THE NAVIGATOR (12/19/2017) Key measures include: daily weights, I&O/activity charting every shift, HF education (guide and video) within 48 hours of admission, correct diet transcribed on discharge instructions, and making a 7 day follow up appointment prior to discharge. Your unit secretaries have been doing a GREAT job with making follow up appointments! Remember that although this task has been assigned to them, if you find that your unit is without a secretary, the follow up appointments still need to be made. S TROKE: IMPORTANT INFORMATION!! MANDATORY 2- hour STROKE TRAINING: ALL RNs and PCTs MUST sign up for one of the mandatory 2-hour Time is Brain; initial training sessions that will be offered from Feb 1st through Feb 9th. This course is available for sign up in Net Learning. PLEASE sign up ASAP. CBL s: There will be CBLs regarding Stroke assigned in the next few weeks. Please make sure you are checking your To Do list in NetLearning periodically. NIHSS: ED, ICU, RRT, and PCU RNs will need to complete their NIHSS certification by Feb. 2nd. Please send a copy of your certificate to Holly Nyhuis upon completion: Holly.Nyhuis@orlandohealth.com LOOKING FOR CEUs?? ANYONE (RN or MD) can take the NIHSS stroke certification. Here is the link if you are interested: Pet Therapy Dogs

5 Patient Valuables/Lost and Found Policy Number: On admission, the nurse or Patient Care Technician (PCT) will proceed as follows: 1. Ask the patient/legal representative to identify their valuables and personal assistive devices. 2. Record items on the Patient Valuables Assistive Devices Record and obtain signature(s) as appropriate. If the patient/legal representative is not able to sign a second nurse will sign as witness. 3. The pink bag with the valuables will stay in the patient s possession or returned to them at completion of procedure. 4. The Emergency Room and the Diagnostic Imaging department will stock bags in their designated areas. Security of Valuables: 1. If a patient is admitted place patient valuables in personal belongings bag along with original copy of Patients Secured Personal Items List. Hand carry personal belongings bag to Administrative Supervisor/ designee office for safekeeping. 2. All small personal assistive devices such as dentures, hearing aids, or glasses not currently being used by the patient will be placed in a fuschia valuables bag and identified accordingly. 3. All larger patient-owned DME will be identified accordingly and left with the patient. Medications: The patient s medication, if unable to be sent home, will be labeled and sent to the Pharmacy for safekeeping until patient is discharged. Medication will be returned to the patient upon discharge. 3. The patient is advised to send any valuables and nonessential property home with the patient s designee, including all medications. In the Outpatient and the Emergency Room setting: 1. The staff member will obtain a fuschia/pink valuables bag and place a patient label on the bag for easy patient identification, as needed. 2. Valuables will be removed and placed in the valuables bag for safe keeping and easy identification, if medically necessary. Page 5 Upon Discharge: 1. Prior to discharge, the Patient Valuables and/or Assistive Record are checked verifying the patient has all their property. The patient/legal representative will sign the form indicating that all valuables are present at discharge. 2. If there are any lost/misplaced items at time of discharge: a. Attempt to locate lost items. b. Notify the Administrative Supervisor. 3. If an item is found in the patient s room after discharge: a. Place items in a patient s belonging bag or a fushia/pink valuable bag. b. Identify the owner of the item, if possible, and label with the individual s name. Contact the owner to pick up the item. If unable to reach the patient or the patient cannot pick up the item: 1) Send the item with the patient s name and address to the Central Supply Department. 2) Label item properly before mailing. Central Supply will package and ship the items by standard US Mail unless requested otherwise (special shipping requests must be made by the Administrative Supervisor). 3) Postage will be billed accordingly.

6 Telemetry Cleaning Processes - Biomed Biomed cannot take any equipment that is not cleaned or decontaminated from the department. Equipment should be cleaned or decontaminated before Biomed can pick it up. Specifically the Telemetry. Proper maintenance includes clinical staff keeping equipment clean in and around the battery pack as well. Just wiping the outside of the unit doesn t cover disinfection. How to Contact the Hospitalist Using Perfect Serve rom the Perfect Serve F Directory Screen there are 3 directories Practitioners Care Team Groups Practitioners elect Practitioner find the S Managing MD for the day on this list then send message directly to that MD. Groups f you cannot find the name of the practitioner on the list then you can I send to group but make sure to indicate who is the Managing MD in your message. Page 6

7 From your staffing and payroll coordinator: P lease remember when coming in for any educational classes or meetings, you MUST clock in and out in order to be paid! If your class or meeting is immediately BEFORE your shift: Clock in before the class/meeting and DO NOT float your time to Education or Meeting. (I will do that when I receive the sign in sheet from your manager/education). You will clock out at the end of your shift as normal. If your class or meeting is immediately AFTER your shift: Clock out at the end of your shift, then clock back in AND float your time to education or meeting. Then you will clock out after your class or meeting. You DO NOT need to float your time when clocking out the last time, you only need to float your time once. Your badge is part of your uniform and you should be wearing it every time you are on campus for anything work related. Looking to become an interpreter? To start the process you will be assigned two computer based learning modules. One will introduce you to the world of medical terminology and the other will outline the expectations of being an interpreter. Upon completion of both modules please set up an appointment to complete a written test and an oral interpretation exam. To set up this appointment please contact Rosemary Crain by calling ext or sending an to rosemary.crain@orlandohealth.com. Page 7

8 W hat is Baby-Friendly? The Baby Friendly Hospital Initiative is a global health initiative program launched in 1991, by the World Health Organization (WHO) and the United Nations Children s Fund (UNICEF), and that recognizes hospitals and birthing centers that offer an optimal level of care for infant feeding, and support new mother and infant bonding. South Lake Hospital s Center for Women s Health has begun the Baby Friendly Hospital Initiative journey. It is necessary that all South Lake Hospital team members understand the significance of this desired designation, and will offer support and understanding for new mothers, even if not working in the Labor & Delivery unit, but from any hospital department. More info to follow:) Pressure Injury Interventions are most effective when started as soon as the patient is known to be at risk, this includes putting a patient on a specialty mattress in the ED. Once you complete your patient s Braden Score and deem the patient to be at risk for skin breakdown, start interventions IMMEDIATELY. WOUND CARE CORNER Time is crucial. A few hours can make a significant difference when it comes to preventing a pressure injury. Don t wait for Wound Management to recommend a positioning wedge, waffle boots, Barrier Cream, protective Mepilex sacral border dressing and a specialty bed/mattress. These items have been made accessible to you for a reason. Use the Braden Score and your knowledge to put interventions into place ASAP. Remember a specialty mattress/bed needs a physician s order, then call UHS to notify them which bed/mattress you need delivered to the room.

9 T his Go To resource is an internetbased therapeutic diet and professional practice manual for registered dietitian nutritionists, dietetics technicians as well as registered and allied health professionals. It provides health professionals online access to evidence and knowledge-based nutrition information that keeps health professionals current as well as compliant. It can be easily accessed 24 hours daily. The Nutrition Care Manual is: consistent with the Centers for Medicare & Medicaid Services, provides Interpretive Guidelines for the Hospital Conditions of Participation, meets the Joint Commission s Hospital Accreditation Standards, Is consistent with the Academy s Evidence Analysis Library, Academy position papers, and the Nutrition Care Process. For clarification and questions, please seen our Clinical Dietitians via Vocera or X 7313 What is The Nutrition Care Manual? Go to Swift, check CLINICAL located within the green header To Access this valuable Resource: Click various valuable nutrition topics listed in the green header, at the top of this page Click on N ( nutrition), Click on Nutrition Care Manual Adult or Pediatric Notice within this green header on the RHS, is a search window New MRI Screening and Patient History Form The MRI Screening and Patient history form has been revised. Please destroy any old printed forms. Thank you, MRI Team Page 9

10 Hand hygiene with soap & water or use of alcohol-based sanitizers Standard Precautions- what is it? Proper handling of patient-care equipment Proper handling of contaminated linen Before and after patient contact, after removing gloves, after touching the patient s environment and between patients Use of Personal Protective Equipment (PPE) Do not place on floor, window ledge, or garbage can, keep away from your skin, mucous membranes, and clothing Proper disposal of medical wastes regular bags vs. red bags Such as cleaning and disinfecting Proper use and disposal of sharp and safety devices Gloves, Gowns, Masks/N95, Face shields, Caps Infection Control Reminder Be Joint Commission Ready Page 10

11 Want More Wellness Credit in 2018? Holiday Volunteer Opportunities: Wellness Program Audits Random audits will take place in January Please remember to keep documentation of your wellness activities. Those employees unable to provide proof of wellness activity participation/ completion risk losing their 2018 wellness credit. You ve completed your biometrics, completed your health survey.now you want to earn even MORE credit in 2018? It s not too late! Log into the bebetter portal and log your wellness activities that you have completed this year. Log points and receive $10/pay, earn points and receive $15/pay Points MUST be logged no later than 12/31/2017. Don't miss out on your chance to earn up to 100 points by volunteering at one of the following organizations: Special Olympics Florida, FAITH Neighborhood Center, New Beginnings, or the National Training Center. For more information about what each organization does and what you can do, click here. Each volunteer session is worth 25 points and can earn a maximum of 100 points! Joint Commission Corner Each week you will get a chance to win a prize if you Lynn Obrien the correct answer. Lynn.OBrien@orlandohealth.com The 5th responder gets the prize. Where and how do you dispose of controlled substance patches? Fold in half and place in sharps container How many Code Cart Verification Record should be on top the code cart? A. 3 months B. 1 year C. Current month only Page 11

12 Your Pet s Picture If you would like your pet s picture to be featured in our huddle please send a picture to: ma.monrealdumaop@orlandohealth.com Owner: Kyndall N. Truett Exercise Specialist National Training Center Owner: Stephanie Schaefer Buyer Materials Management Page 12