ED Staff Meeting Happy Nurse Week 2011

1. ED Staff MeetingHappy Nurse Week 2011 May 12th, 2011 @ 2pm Email Questions: Catherine.S.Wilson@Vandebilt.edu

2. Dr. Thurman • Pre- Sedation Checklist

3. Terrell Smith • Skylight- Television System

4. Brent Lemonds • Address by Administrative Director • Middle TN eHealth Connective Initiative

5. Middle TN eHealth Connect Clinical Work Group

6. 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

7. 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 datasharing agreements are signed.

8. MTeHC HIE Data Handling Aggregated patient records viewable across sites Baptist Hospital ICA Repository Demographics Encounters Labs Imaging Rpts DC Summaries Cardiology EKG PDF … Baptist Demographic and Clinical TriStar Hospital ICA Parsers TriStar Demographic and Clinical Record linking algorithms Nashville General NGH Demographic and Clinical Local Clinic Local Clinic demographic and Clinical Aggregated patient records viewable across sites { Data from one site is not viewed by other sites }

9. 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?

10. Project Status

11. Cathy Wilson(Education Update) • May Safety Inservices • No Preregistration Required! • HandleWith Care Registration Required in The Learning Exchange!

12. POCT • Disinfect meter • Results out of range • Expiration dates • Labels • Policies online/also in ED • ICD-9 Codes

16. End Tidal Co2 monitoring (all sedations)

17. SEPSIS • Changing from cefepime to zosyn. • Zosyn can be infused over 30 minutes in sepsis.

18. Pre-Procedure Time Out Form

19. Education Room • In B-Pod • Has a New Name!

20. Nursing • Education • Staff • Training

21. THE NEST

22. 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

23. 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

24. 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)

25. Hand Hygiene- April 2011 RNs 67% ED Attending 50% ED Residents 50% Paramedics 33% PCTs 0% OVERALL PERCENT 61%

26. Chris Ruckman(Manager Update) • ID Badges- corrections due 5/13/11 • Facebook: Doctor disciplined for revealing patient info on Facebook By sjackson Created Apr 19 2011 - 10:18am Check 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