ED Staff MeetingHappy Nurse Week 2011

May 12th, 2011@ 2pm

Email Questions: Catherine.S.Wilson@Vandebilt.edu

Dr. Thurman

• Pre- Sedation Checklist

Terrell Smith• Skylight- Television System

Brent Lemonds

• Address by Administrative Director• Middle TN eHealth Connective Initiative

Middle TN eHealth Connect Clinical Work Group

Some details about the data feeds• Data feeds flowing to ICA are going to your vaults.

• Once the data spec review is complete ICA will build the parsers that transfer your data feeds/elements into the vault storage

• Once they have completed the parsers, user acceptance testing will begin

Some details continued• In User acceptance testing, each site will

compare data from the ICA vault to data in their home system. STHS testers will only see STHS data, HCA TriStar will only see their data, and so on.

• No exchange of data will take place until first use.

• First use cannot occur until data sharing agreements are signed.

MTeHC HIE Data Handling

Baptist Hospital

TriStar Hospital

Local Clinic

Nashville General

ICA Parser

s

Demographics

Encounters

Labs

Imaging Rpts

DC Summaries

Cardiology

EKG PDF

…

ICA Repository

TriStar Demographic and Clinical

NGH Demographic and Clinical

Local Clinic demographic and Clinical

Baptist Demographic and Clinical

Rec

ord

linki

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lgor

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Aggregated patient records viewable across sites

{ Data from one site is not viewed by other sites }

Aggregated patient records viewable across sites

User Groups review

• User groups to be defined in the MTeHC CareAlign system:

• Security Administrator• Provider – Includes Physician, Nurse Practitioner, Physician Assistant• Licensed clinical – Nurse, Pharmacist• Non licensed clinical – Medical Assistant• Non licensed non clinical – Unit Secretary, Registrars

?ICA what does the User Group control?

Project Status

Cathy Wilson(Education Update)

• POCTDisinfect meterResults out of rangeExpiration dates LabelsPolicies online/also in ED ICD-9 Codes

End TidalCo2

monitoring(all sedations)

•SEPSIS• Changing from cefepime to zosyn.

• Zosyn can be infused over 30 minutes in sepsis.

•Pre-Procedure Time Out Form

• Education Room• In B-Pod

• Has a New Name!

•Nursing•Education •Staff •Training

THE NEST

Chris Ruckman(Manager Update)

• Congrats: Keith Gardner & Becky Kossler our newly “CERTIFIED EMERGENCY NURSE”

• ED Conference Room- Plans• ED Initiative:

• Admin Rx• Handles with Care• Health Literacy • Service Center• Suicide/Depression Screening• Health Priority Problems• PTU RN- medication administration / discharge

• Sick Calls- 85 shift month of April (= to 965.50 hrs)**Average is about 2.83 call out per day**

• Variance Report (position filled, waiting orientation start date)

• RNs (1) 3p-3a; (3) overfill positions; (3) PRNs• Nurse Residents planned, off orientation end June• Paramedics All positions filled, newly posted PRNs• PCTs All position filled, including PRNs• MRs All position filled• MHTs All position filled

• Property Record- completed accurately• Educational Summaries- can’t read signature• Faxed Reporting- new form- issues?• Flat Screen TVs- conversion date 5/31/11• Tiered Response Calls• New / Revised Policies

• EJ Policy• Scheduling Policy (coming out soon)

Hand Hygiene- April 2011RNs 67%ED Attending 50%ED Residents 50%Paramedics 33%PCTs 0%

OVERALL PERCENT 61%

Chris Ruckman(Manager Update)

• ID Badges- corrections due 5/13/11• Facebook: Doctor disciplined for revealing patient info on Facebook By sjacksonCreated Apr 19 2011 - 10:18amCheck your privacy policies for medical staff--a Rhode Island case shows they may need some tightening. An R.I. physician was just reprimanded this week

for inadvertently identifying a patient on Facebook, according to the Providence Journal. The physician didn't use the patient's name or other identifying information. But in recounting some of her experiences in a hospital ER, she included enough detail about the patient's injuries that a third party was able to identify the patient, the Journal reports. The doctor, Alexandra Than, who practices at Westerly Hospital, deleted her Facebook account when she discovered the breach, but still was found guilty of unprofessional conduct and fined $500 by the Rhode Island Board of Medical Licensure and Discipline, according to the Journal's blog, Projo.com. Officials at Westerly Hospital told the Boston Herald that they have terminated Than's privileges at their facilities.

• Kudos