FED Update
Greeting Team ! Here are some updates on information you need to know. Some of it is information corporate has told us to make sure you know, some are questions you’ve had, others are related to findings of EOC or chart audits. Please read carefully and talk with us to clarify anything needed; better to ask us now than have an auditor ask you later and you not know!
1) Pain reassessment: For chest pain, our pain reassessment was at 15% last audit and now we are at 40%... that’s a great improvement, let’s keep up that momentum. All monitors should be associated with your patients; when you go to approve vital signs use that moment to scroll down a bit and enter their pain. Our VS on discharge are improving but still have opportunities for improvement – remember to do pain as part of the discharge VS. Communicate with the tech and new employees to make sure we are focused on compliance in this area.
2) Suicidal patients:
a. FED accepted practice is that SI patients will use bedside commodes or urinals. The process of walking a patient to a bathroom presents a flight risk and needs to be avoided. If it is absolutely necessary (all the bedsides in use) then know that a staff member must be with the patient in the bathroom as there are numerous ligature risks like the cord to the call light and others.
b. At both locations, the keys for the “Quiet Room” cabinets and sliders have been placed together on one ring for ease of use:
3) Falls – there are three elements to capture after a fall:
a) In Cerner: at the top, you go to “Ad Hoc” then on left “Assessments” then “Post Fall Assessment”. Cerner has numerous opportunities to chart information; however, please use this location to document a post fall assessment as it will capture all the required elements and is actually easier to use than typing out the event in a nurses note.
b) The debriefing tool (attached and printed in a file at both locations) should be completed asap and faxed to risk management 354-1174
c) Enter a Midas
4) Bathroom Doors - Do you know how to get into a locked bathroom quickly if you need to assist a patient ? It may seem strange but the accepted practice is to place a penny on top of the hinge for each bathroom door to use for quick access. If there is no hinge, look for it affixed to a sign close by. Also, there is one patient bathroom at GS by Exam 1 that has a key lock where the penny won’t work. The key for this, “Master”, is on the main ring (see below).
5) HealthStream – An urgent HS has been assigned that is a fulfillment of a regulatory requirement for healthcare facilities related to Covid/vaccinations, please complete this ASAP. It is a simple 2 minute read and then attestation that you understood it.
6) Earbuds / Airpods / Earphones create an impediment to communication with each other and patients and are not consistent with the UHS service excellence standards; therefore, FED staff will not wear them while on duty at the FEDs.
7) If you missed the March staff meeting, I have an education piece that I need to go over with you. Also, Kudos to our EVS staff for all they do and being a vital part of the team. We gave them the February “unique expERience” award !
Staff will now take turns picking other team members who stand out in making the FEDs a great place; Chad will pick the next one.
Kudos also to Logan for doing the floors at GS during the bad weather; I heard Meghan was helping with TSQ floors as well; the TSQ stock room looks amazing and is EOC compliant – I can tell there has been a lot of work there, same with GS everything looks so much better and compliance has increased. Thank you all for pulling together and doing some amazing teamwork.
Thanks for all you do !
Andrea & Melissa
