HED Advisory Minutes
Next Meeting:
Date / Time / Location
Mar. 1, 2012, 5053/5054 MCE, North Tower
Chair:
Karen Hughart
Vickie Thompson
Attending:
Debbie Rhoden Quality Consultant
Bill Raines – HED
Nancy Rudge - CIA
Karen Hughart - SSS
Stephanie Payne – RN,
SSS Student
Sara Turcotte – SSS
JC Erickson – SSS
Recorder
April 5, 2012, 2-3pm
5053/5054 MCE, North Tower
Sara Turcotte, JC Erickson
Tom Mack – SSS
John David Hughes –
PCICU
Cheri Land – NICU
Aaron Hirsch– 9S
Rachel - Burn
Michael Jordan - 7N
Arlene – 6T3
Cristina – VCH 8th
Floor
1) Information sharing on new features & training and implementation plans if applicable
2) Decision making on new enhancements
3) Begin to identify significant enhancements needed (for future prioritization).
AGENDA
MINUTES
Next Steps
Who/Time
Topic
Summary / Decision
th,
Notifications will be sent for staff awareness.
1. Nancy Rudge
Update on HED Upgrade
On May 13 planned 16 hour HED
Staff in place on informatics side. Considering
downtime for major upgrade. First since
scheduling start of downtime to result in system
2007. Skipping 2 versions to upgrade to
coming back up by 7am.
this current version.
Will maintain same functionality. Will have
a slightly different look
Will be on agenda next month and then taken
2. Lisa Leuellen, S34/44,
Add a check box for “ice pack started”
No representatives present from this area
offline if no representatives present at that
item 2898
and when it’s refilled and a comment
to discuss
meeting
box to document where it’s applied. (I
have requested additional information
about this request.)
More information needed to determine if this is
3. Lydia Colley, PICU. Item
Add ability for nurse to document the
Karen speaking to represent Lydia Colley.
for single unit or if it is a housewide need. This
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daily assessment of need for Central
Daily need assessment area for central
will be taken offline.
Lines
lines. Need to determine if there is a
protocol or guideline (like the one in place
for Foley catheters) that spells out criteria
for continued need.
4. Emily McGarvey, Peds
PIV line intervention addition: add “labs Further input needed from Peds ED nobody Taken offline
Meeting Objectives:
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ED, item 4975
5.
Heather Prater, 8S, item
5192, item 5192
drawn” as an option under Line
Interventions under PIV section of the
HED Assessment Tab and Ped ESI 2-3
tab
Add Spirit bed to specialty bed tab drop
down box
6.
Karen, Vicki
Admit History update
7.
Deborah Ariosto
Demo new bundled safety
documentation
8.
Deborah Ariosto, Bonnie
Thompson
Bowel Management, Bowel Catheter
System discussion
Document1
present from ED at this time
Spirit beds are for patient populations that
have altered mental status and an
increased risk for pressure ulcers who
would not be safe on a traditional tall
KinAir bed
Pulled back to Admission History
Committee. There was not enough
representation at this meeting to move
forward. At this meeting changes to buckets
and dashboard indicators were reviewed.
Less questions about the immunization
process. Looking at tool that MDs use that
is not communicating/updating against
what the bedside nurses are charting about
immunizations in Admission History. This
is generating unnecessary orders
Safety checks are scattered throughout
assessment tabs and this proposed safety
section will be used to increase
standardization and simplify charting in
HED. Roundtable discussion during demo
of new safety tab. Worries of double
documenting voiced. Some really liked
innovation of this new tab and ease with
which all safety concerns can be addressed
in one location
Bonnie Thompson, RN, WOCN presented
content to clarify and simplify description
of rectal catheters under GI assessment.
Stool area for documentation will still be
present. Under the new rectal tube section
there will be drop down boxes available to
choose whether a rectal catheter or bowel
management system (BMS) is being use.
BMS section will be removed under GI tab.
Hyperlinks were asked to be included for
Mosby’s and decision tree to help nurse
determine plan of action to help patients
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Karen will contact WOCN to see if any other
beds need to be updated or added under this tab
before Spirit bed is added. Needs expressed to
also update decision tree for therapy beds in
Braden
Committee is aware of ongoing issues. This will
continue to remain on the agenda for
discussion
Further development will continue and this will
be on agenda again in future
Changes will be made by April 4th.
9.
HED Analysts/Builders
Upcoming Enhancements
with skin breakdown and chronic fecal
incontinence. Clarification of guidelines
versus protocols. Request made to consider
these catheters under line management
build to assist with monitoring length of
placement as they have a maximum
insertion threshold for 29 days.
Deferred related to time.
New Agenda Items? Contact Maribeth
Hagan to add items to list or submit via
Bright Ideas link available in HED to get
items on the list
1.
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2.
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