Memorial Hospital, part of University of Colorado Health Please contact Student Liaison for questions

Transcription

1 Memorial Hospital, part of University of Colorado Health Please contact Student Liaison for questions CO

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3 Welcome back to Memorial. I trust everyone enjoyed their summer break and are anxious to start their Fall semester. Your experience will be a little different this semester, in that we go live with a new Electronic Medical Record, EPIC, on 2 November and it will change several of our previous practices. The most immediate one is how you are oriented and trained to our EMR. Due to limited training resources, those of you on campus November and December for clinical had to attend 2 full days of training. Starting in January it will go down to 1 day.and we are optimistic that by early Spring 14, we will have a computerized training module for all students, that can be completed at your convenience off site. Another change in practice is that all student medications must be double signed, and the medication administration pass must observed from start to finish. When the student is filing the med administration, they must accept that they administered the medication. When they click on accept, it will prompt a pop up requesting a second ID and password. The computer will not allow any further documentation and will lockup until the second ID is entered. Teresa Taylor, Director of PDR

4 Influenza screening and vaccination started September 18, 2013 for patients Flu vaccines are due by 12/1/13. There are certain medical and religious reasons that may qualify for a declination. They have to be approved by our Infectious Disease Doctor (medical reasons completed by PCP) or HR (religious or other qualifying reason). If students arrive after 12/1/13, students will need to receive a flu vaccine with Memorial or provide documentation to Employee Health that they received a vaccine for the season, ASAP. Students/Instructors will need to wear a surgical mask during the time they are at the hospital until they provide the documentation or receive the vaccine. We are administering the vaccine 1 Oct 31 Oct on site and students are invited to participate in the program.

5 New Badge office location and hours: Badge offices: Monday AND Tuesday at HR (MAC) located at 2420 East Pikes Peak Ave in Human Resources. Wednesday through Friday Central Hospital in room (Next to 1 st floor central elevators across from vending machine area. Badges must be worn above the waist at all times during clinical time, (Directions on website) Every single clinical instructor is required to obtain an instructor badge approved by clinical education. Clinical instructors are not allowed to be on floor/unit without a badge

6 Go live date: November 2, 2013 Student / Instructor classes are two consecutive days A new spreadsheet was created for the various colleges to use to request Epic training. This spreadsheet can be found in the coordinators s and student website under coordinators. The yellow columns of data are for the schools to complete and the gray columns are for Epic training coordinator to complete. There are 2 tabs on the spreadsheet: one for the initial request and one for the roster once dates and classes have been decided upon. We suggest saving a clean one as a template. The S1 s are the students and the SI1 are the instructors. The initial password is Abc$$123. Please do not communicate that the initial password is password that will cause accounts to be locked and flood the command center with calls. The only difference in the username that is ALREADY in place for the students in Cerner is the number 1 in the username instead of a dash. Being EPIC will not support special characters in the username, we changed the dash to the number 1. Every active student in Cerner was set up with a domain account to log into EPIC with. For each new semester, Jacque and Jasmin will work together to get the new students into EPIC.

7 Policies may be obtained at For Healthcare Professionals Clinical Student Center Clinical Education Resource Forms Click on appropriate Link - Policies

8 Request for access must be submitted to Memorial Clinical Education Student Liaison no later than 7 days prior to training. Patient care is not permitted without an Epic account. To ensure access will be complete for training day please fill out the spreadsheet with: Correct spelling of LEGAL name Do not include nicknames Correct training dates Sharing of username and passwords between students will result in termination of access.

9 Critical Congenital Heart Defect (CCHD) Screening of Newborns >24 hours of age Prior to hospital discharge all well newborns at Memorial Hospital are screened using pulse oximetry assessment of preductal (right wrist) and postductal (lower extremity) values. Memorial Hospital researched altitude effects on newborn pulse oximetry values in comparison s to newborns delivered at sea level. Researchers Dr. Mark Duster and Cindy Eller, Perinatal CNS, conclude that pulse oximetry values among the altitude and sea level delivered newborns are consistent with one another. These findings will guide pending Colorado legislation requiring hospital s to perform pulse oximetry CCHD screening along with newborn screening lab work. Many states have implemented or have pending legislation for this screening. - Fall Risks for the OB patient A new paper form fall risk assessment tool was implemented at Memorial Hospital on September 18, 2013, replacing the Conley Fall Risk assessment in Cerner (Eclips). OB patients with a history of epidural analgesia in labor are especially at risk for falls and are assisted to the bathroom and not left unattended for the first 8 hours after the epidural infusion is discontinued. Newborns are also a high risk population. Safe sleep practices for newborns include use of the bassinette and being laid on their backs. Mothers, family and visitors holding newborns when sleepy may drop the infant, and hospital bed side rails pose entrapment risk. Help educate families during clinical rotations raise awareness to this important safety issue. Women s Services strives for a 0% fall rate. - Infant Abduction Practices In June 2013 a new electronic infant security system was implemented at Memorial. Tags placed on the newborn at birth are highly sensitive and are working extremely well for detecting unauthorized tampering and movement through security alarmed exit doors. Student nurses are to work directly with the assigned staff nurse for infant care and are not to exit a unit with a newborn or remove infant security tags independently, as this will result in an AMBER ALERT alarm. Please take a moment to review the infant abduction policy of the M-Net. Further education on the infant security system is being provided during orientation for clinical instructors.

10 - Medication Safety: Observation of the 5 rights of medication administration Staff nurses in Women s Services are performing audits observing peer medication administration to ensure the 5 rights of medication administration are conducted. Two patient identifiers is a crucial step in safe medication administration and is a leading cause of errors when not performed at the bedside with the MAR in view. Be observant of medication administration practices while on your OB rotation, and ask staff nurses about their safe medication practice stories. - Observation of practical skills Students performing clinical skills on a patient for the first time, (such as IV starts or foley catheter insertion/discontinuation), are to be observed by their clinical instructor. All clinical skills performed should be observed by the assigned staff nurse as well to ensure the procedure or skill is done according to hospital or procedural guidelines. Lippincott is a great online resource and has procedure and Memorial specific comments. Please use this resource to ensure best practice when performing patient care. - EPIC STORK Memorial is counting down to go-live for the new electronic medical record (EMR) system, EPIC, scheduled for November 2, STORK is the application that will be used for EPIC documentation in Women s Services. Medical providers and hospital staff are busy learning the new system. It is fair to anticipate it will take a few weeks to become familiar and comfortable with this new EMR system once it s up and running, so student nurses are going to be especially helpful as we strive to provide the patient a great hospital stay experience. Students are a valuable part of the health care delivery team, and your assistance and support during this time is greatly appreciated by our staff, providers and patients. - CODE WHITE A specialized, interdisciplinary rapid response team is available in the event of severe maternal hemorrhage events, known as Code White. Team responses may vary due to patient location and the clinical situation. Massive transfusion protocol, as used in trauma cases, can be implemented and Code White responders assist with rapid infusion pump blood administration, runners to blood bank, and ISTAT labs. We encourage you to review our Code White procedure during your clinical rotation.

11 It is the responsibility of the instructor to notify Clinical Education if clinical time needs to be cancelled and rescheduled, as it is necessary to find an alternative date for a make-up day and this will be needed to be scheduled around other established clinical group slots Clinical Instructors should submit student to unit orientation checklists via to student liaison after making electronic copies Clinical Instructors are required to report ANY issues to student liaison Clinical Instructors should know sign-on for Epic. (S1 for student, SI1 for instructor Call to set up appt. with student liaison if you are a new instructor

12 Beginning on December 9, 2013, Memorial Hospital Central and North will begin a Go Green Linen Reduction initiative in order to conserve natural resources. Reducing the amount of dirty laundry we produce will not only conserve water and energy, but will also decrease hospital cost. Our new initiative will focus on the following: 1. Change linen every other day (on odd days), when soiled, and when a patient requests. 2. Change only the linen that is soiled. 3. Eliminate piles of unused laundry in patient rooms. 4. Educate to proper use of warmed bath blankets. 5. Identify unusable linen prior to being returned for processing. 6. Eliminate staffs personal use of blankets. 7. Do not let linen leave the facility. 8. Maintain patient satisfaction by proper patient education.

13 In addition to changing bed linens every other day (unless soiled), it is important to look at the types of linen that are used for special circumstances. When a patient is cold and requests another blanket, it is better to give them a bath blanket than the heavy cover blanket. The bath blanket will keep them warmer. If the bath blanket is warmed, best practice is to put one to two warm blankets against their skin, cover that with a flat sheet and then the cover. This method will keep them warmer for a longer period of time. Take only the laundry that is needed at the time into the room. Clean, unused linen needs to be laundered after the patient leaves the facility. Patients and families should not leave the facility with laundry. Family members should be encouraged to bring in warm clothes or blankets for their personal use. Consider changing only draw sheets instead of the whole bed. Consider if the patient actually even needs a draw sheet. Be mindful of your practice. Linen conservation is everyone s responsibility. Clearly explain processes to patients and families and answer any questions they may have. Please however, never deny someone s request to have their linen changed. Thank you for helping us make an impact on our environment!