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Physician Appreciation Event – Save the date

Physician Appreciation 2014

Remember to save the date for the upcoming Physician Appreciation Event on Friday, October 17 at the Boulder Ridge Country Club.

RSVP by Friday, October 10
To RSVP Click Here

H.U.S.H Initative Starting October 1, 2014

THE HUSH INITIATIVE PLAN

HUSH initiative

Why are we implementing a new procedure? Past interventions and initiatives have been unsuccessful due to inconsistency and no accountability.

Problem/Concern:

  • FY14 HCAHPS “Quietness of Hospital Environment” scores were at their lowest.
  • Too many visitors on the unit or at patient’s bedside are frequent contributors to a noisy environment.
  • Increased noise level at the nurse stations when other departments are present. Shift change is a large contributor to the increased noise level.

Improvement Outcomes:

  • Studies show that a quiet environment contributes to faster healing, decreased length of stay and improved patient satisfaction.
  • Increase our HCAHPS score when it comes to “Quietness of Hospital Environment” question, which will also improve our overall patient satisfaction score.
  • Educated staff empowered to support a healing environment for our patients.

How are we planning to improve our scores? We will provide education, set appropriate expectations and implement new processes.

Implement on the Nursing Unit:
It is important to understand what the inpatient units will be doing during quiet time.

The hospital operator will announce quiet time at 1:45pm daily.

Each floor designate a responsible Associate to perform the following:

  • Techs and Nurses: Inform patient’s we are preparing for quiet time; ask them to minimize noise. They can help by using headphones for TV, turning cell phones on vibrate, etc.
  • Nurses: Dim lights on the unit
  • Techs and Nurses: Closing patient’s doors
  • HUCS: Close unit doors to each unit at 1:45p.m.

Patient care will be continued, however, we will try to minimize as much as possible during this time.

Nurses will educate patients and any visitors present regarding visiting hours and quiet time upon admission. A Skylight short education video is in production; once available nursing will be required to show patients upon admission and units will be monitored for compliance.

Implement in ER, PACU, SDS, CATH Lab, and Radiology Departments:
Before patients are taken to the nursing units please discuss with patient’s family members the recommended 2 visitor per room option; additional visitors will need to wait in the visiting lounge and take turns; this will help us maintain a quiet healing environment.
We understand this will require a huge change. Nursing leaders will follow up regularly to ensure these processes are followed.

Please inform your staff to call security for assistance and support if you have any issues with visitors.

H.U.S.H Initiative FAQ’S

  1. Will signs be posted to help enforce/inform staff and visitors of this initiative?

    Yes! Signs will be delivered to each unit. They should be posted on the outside of the unit doors and in break rooms so that staff and visitors will have a visual reminder to lower voices and be respectful of quiet hours.

  2. What happens when it’s quiet time and several Associates are talking loudly on the unit and no one is listening when they are asked to keep voices low?

    Please notify your Charge Nurse or Supervisor of the situation and ask for assistance. If issues continue, department leaders should be notified via email (if leader is unavailable) of specific situations; provide details for appropriate follow up.

  3. What if a patient’s family member asks to spend the night because their care expectations are not being met?

    First inquire why they feel that their loved one is not receiving appropriate care; reassure them we provide exceptional care. Let them know they will be notified of changes in their loved ones condition and for added comfort, they are welcome to call for updates. It is important to ensure this is communicated with the nurse taking care of the patient as well as passed on to the patient’s future nurses. Exceptions will be made for patient with declining condition, patient is confused – family member needs to “sit” overnight; or peds patient. NOTE: appropriate bed assignment is required (private room preferred).

  4. What if 3 visitors are in a patient’s room at one time?

    First assess the situation. If the noise level is loud or excessive, please ask visitor(s) to support our healing environment by lowering their voices. If the situation does not improve, kindly ask one of the visitors to wait in the visitor lounge area. Explain our recommended 2 visitors at a time policy. If all attempts fail, ask your Charge Nurse or Security for assistance.

  5. What do I do if I notice someone in the hallway with no visible identification?

    Kindly ask for identification such as a visitor ID badge, employee badge or contractor ID badge; inform guest it must be displayed at all times. If they are unable to produce an ID badge please escort them to the front desk to obtain one. If you are met with resistance please notify Security immediately. This is for the safety of all our patients and staff.

Fall Symposium

The Fall Symposium lectures will be held on October 22, 2014 and October 23, 2014.

Fall Hot Topics

Registration and lecture information can be found Here.

Pharmacy

Article outlining the principles of medication reconciliation

The institute for healthcare improvement has an article outlining the background and objectives for medication reconciliation.

Poor communication of medical information at transition points is responsible for as many as 50 percent of all medication errors

Stethoscope and computer keyboard

Upcoming Paragon Upgrades

The upgrades and upgrade dates include but are not limited to:

September 2014:

MPF Upgrade

  • Formerly known as HPF, the MPF upgrade will provide a better interface to view Medical Records and Sign Deficiencies.

November/December:

Paragon Version 12.1

A few highlights include:

  • Ability to edit a completed Medication Reconciliation
  • Ability to see unsigned orders on a patient and sign them while inside their chart

Spring 2015:

Paragon Version 13

  • In the Spring of 2015 Centegra plans to upgrade to Paragon Version 13.
  • All new interface with greater visibility of information on the front page
  • mobile device compatibility

More details to follow.

For any questions or concerns, please contact Michael Millare or Prapti Desai.

Infection prevention

Enterovirus D68 update

Enterovirus D68 (EV-D68) is one of many non-polio enteroviruses. Enterovirus D68 (EV-D68) infections are thought to occur less commonly than infections with other enteroviruses. EV-D68 was first identified in California in 1962. Compared with other enteroviruses, EV-D68 has been rarely reported in the United States for the last 40 years.

EV-D68 Infections Reported

Hospitals in Missouri and Illinois are seeing more children than usual with severe respiratory illness caused by enterovirus D68. Several other states are investigating clusters of children with severe respiratory illness, possibly due to enterovirus D68. CDC is watching this situation closely and helping the states with testing of specimens.

Symptoms

EV-D68 has been reported to cause mild to severe respiratory illness. However, the full spectrum of EV-D68 illness is not well-defined.

Transmission

EV-D68 is not frequently identified, so it is less studied and the ways it spreads are not as well-understood as other enteroviruses. EV-D68 causes respiratory illness, and the virus can be found in respiratory secretions such as saliva, nasal mucus, or sputum. The virus likely spreads from person to person when an infected person coughs, sneezes, or touches contaminated surfaces.

Treatment

  • There is no specific treatment for EV-D68 infections.
  • Many infections will be mild and self-limited, requiring only treatment of the symptoms.
  • Some people with severe respiratory illness caused by EV-D68 may need to be hospitalized and receive intensive supportive therapy.
  • No antiviral medications are currently available for treating of EV-D68 infections.

Prevention

  • There are no vaccines for preventing EV-D68 infections.
  • You can help protect yourself from respiratory illnesses by following these steps:
  • Wash hands often with soap and water for 20 seconds, especially after changing diapers
  • Avoid touching eyes, nose and mouth with unwashed hands
  • Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick
  • Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick

Laboratory Testing

Test to be ordered is “Enterovirus Molecular by PCR” from  ARUP .  Will be a Miscellaneous test in Paragon. 

Specimen: Respiratory-bronch wash, BAL, Nasopharyngeal aspirate, sputum or tracheal aspirate.  Volume is 1.5ml.

References

Pharmacy database reporting

Please report issues related to ambiguous Pharmacy orders appearing in CPOE to this link. This will help enhance the safety for our patients. A quick link will appear in the sidebar as well.