Covidien Triage Documentation
1) Zetron pager assignment: The pagers appear to fall off the list for assignment in preparation
for shift change.
-Resolution: Pagers that are not assigned a timeframe at time of assignment are rendered
unavailable for assignment.
-Teaching point- assign staff member to time (shift) when linking RN to Pager.
-Add to Q&A sheet
Technical issue- Connexall to disable second screen where person assigning pagers can also
enter time, which is not needed. Ed MacNeil
2) Connexall- need to add to float RN and flow CP a total of 4 choses for assignment –Ed MacNeil
3) Covidien – not able to locate patient to link to device.
-Resolution: patient status is EPIC must be Admit or Observation. If a patient is listed as Same
Day Surgery or PACU etc. the patient ID will not appear.
Process- Sharon to discuss process for moving patient to admitted status from misc. areas.
Need to know whose responsibility it is to move patient status in EPIC so staff may call to
request change.
4. Apnea alert- apnea occurring > 30 seconds will now be included in Tier Alert Process
R. Respiratory alert also will be included in Tier Alert Process
5. Addition of Users not located in Covidien or Connexall.- Please forward name, unit and role
to Sharon Mullins and Tom LeZotte. A long term process is in development.
6. Alert Results for last 24 hours
9S – revisions to alert parameters have decreased pager alerts from 350 to 55
in last 24
Hours
6RW- 145 alerts have decreased to 32.
Staff feel alerts are more appropriate for alerting patient change in status
Review of Physiologic Changes Made on Wednesday
Adjusted Parameters for Vital Signs Monitoring and End Tidal CO2 Monitoring
1.
High End Tidal CO2 remains > or equal to 60
2.
Low End Tidal CO2 set at Zero (0)
3.
High Respiratory Rate >or equal to 45
4.
Low Respiratory Rate < or equal to 4
5.
High Heart Rate Remains > or equal to 140
6.
Low Heart Rate Remains < or equal to 40
7.
Low SpO2 Remains < or equal to 80
Criteria for application of End Tidal CO2 Monitoring:
1. Morbidly Obese with BMI > or equal to 35 with a PCA, Epidural or Supplemental oxygen
2. Diagnosed Obstructive Sleep Apnea with a PCA, Epidural or Supplemental oxygen
3. Patient receiving Narcotic Analgesics delivered by PCA or Epidural
All Patients get the Pulse-oximetry
6) Continued work on Integrated Presence and Covidien and Reporting functions from
Connexall.
7). Covidien will complete training on Friday and will update any materials.
8) Process for ordering extra cables connection for monitors needed- Sharon
9) Temporary process to obtain monitor when monitor malfunctions- We will have 2 units
stored in 6RW. The units will have only local alert functions until the configuration can be
completed by Tom LeZotte. We are in a temporary situation for coverage as we establish a
support team for these devices. Staff will be assigned mid- February. In the meantime the HELP
DESK can call for Tom’s assistance however, we ask that this be limited to
1) Sign on problems- email- tom.lezotte@vanderbilt.edu
2) Monitor problems- call Helpdesk to contact Tom, if needed.
3) Linking devices or alert pager- call HelpDesk for SSS support
3). Clinical issues such as frequent alarms in a patient with a higher/lower baseline that locked
in limits- Page Dr. Weavind for assistance.
Aaron Hirsch will be covering for issues in Devin’s absence, we well as Cynthia Childress for
administrative concerns.