ED Staff Meeting

July 14th, 2011@ 2pm

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

DOOR PRIZE• Anyone who is at home watching live or present

for the Staff Meeting will be placed in drawing:– For one of two complimentary iSERVE – LifeFlight

Conference registrations– Anyone working Dayshift 7/14/11 will be placed in a

separate drawing for a complimentary registration– Anyone working Nightshift 7/14/11 will be placed in

a separate drawing for a complimentary registration

Hand Hygiene

Claudette Fergus• Update

Cathy Wilson(Education Update)

EDUCATION

Anticoagulant Education

• Because of the risk of serious harm to patients who receive anticoagulant therapy, the Joint Commission has made

– “reducing the likelihood of patient harm associated with the use of anticoagulant therapy” one of its National Patient Safety Goals.

• Because of the risk of serious harm to patients who receive anticoagulant therapy, the Joint Commission has made

– “reducing the likelihood of patient harm associated with the use of anticoagulant therapy” one of its National Patient Safety Goals.

As part of that goal, it is specified that patients/families need to be

educated about the importance of follow-up, compliance, food-drug interactions, and the potential for

adverse drug reactions and interactions.

As part of that goal, it is specified that patients/families need to be

educated about the importance of follow-up, compliance, food-drug interactions, and the potential for

adverse drug reactions and interactions.

Education Resources

Link to print anticoagulation education in the OPC anticoagulation section.EDOCS

HeparinCoumadin/warfarinLovenoxVitamin K content of selected foods.

Link to print anticoagulation education in the OPC anticoagulation section.EDOCS

HeparinCoumadin/warfarinLovenoxVitamin K content of selected foods.

English & SpanishLexicomp can provide handouts in other languages.

**Pharmacy provides limited support for Coumadin patient anticoagulation counseling during the hours of 8am-4pm Monday-Friday.

English & SpanishLexicomp can provide handouts in other languages.

**Pharmacy provides limited support for Coumadin patient anticoagulation counseling during the hours of 8am-4pm Monday-Friday.

PROCESS

Provider orders anticoagulant for therapeutic treatment.

Treatment order generates a nursing order for anticoagulant education.

PROCESS

Provider orders anticoagulant for therapeutic treatment.

Treatment order generates a nursing order for anticoagulant education.

Patient Education MaterialsEducation order incorporated into the OPC and Whiteboard alerts.

Nurse documents education in HED, in the anticoagulation section of the education record.

OPC will reflect that education is complete. A star note by pharmacy will also update the whiteboard to indicate completion.

Patient Education MaterialsEducation order incorporated into the OPC and Whiteboard alerts.

Nurse documents education in HED, in the anticoagulation section of the education record.

OPC will reflect that education is complete. A star note by pharmacy will also update the whiteboard to indicate completion.

COMPETENCY CHECK-OFFS

AugustSeptOctNovDec

Jacki Ashburn

Update coming next month, Jacki is at Handles With Care Instructor Training

Chris Ruckman(Manager Update)

• KUDOS• Smooth Moves Class only 1 injury since

the Smooth Moves Super user class• Retention Committee looking for new

members: contact Brad T. or Ali G.• VUPD securing weapons / drugs• Flex In / Out No flexing while on PIC

Continues….

• Lab Tubes remember to invert 5 times to prevent micro clots from forming, this is causing an error in blood values

• EMTALA air or ground transportation own by hospitals ie: LifeFlight or Event Medicine

• PAPRs have move to cabinet in EMS bay• Exec. Order President Obama who ever a

patient deems a visitor is allow to visit

Continue….

• Sitters duties• Huber Needle new kits coming with huber

needs in the kits and other size will be single packed

• Salary IncreasesJob Code- Adjustments• Any employee, regardless when you started at Vanderbilt, who is not at the minimum hourly rate for your specific job code will be

moved up to the minimum rate regardless of your current status in the Emergency Department. You will not receive both the job code adjustment and the annual evaluation raise. You will receive which one of the two is greater.

Non-Complaint / PIC Employees• If you are currently above the minimum job code hourly rate and you are non-complaint or on PIC and you wish to get a raise then you

will need to complete any items that have not been completed. Once completed then you will need to notify your respective charge nurse so they can notify Chris so pay increase can be made. If you are on PIC, then once you have come off of PIC then it is your responsibility to notify Chris that you have come off of PIC and a pay increase can be made. The raises will not be retroactive.

Continue…..

• Breakfast with Chris Aug. 12th 7:15am-9am• New Hand Sanitizer

• Senior Medical Student shadowing RNs• Reminder Chris is on Vacation 7/16-7/24/11

Variance Report• RNs 2 FT days; 3 FT nights; 1 PT Mid-shift

– Nurses Coming: 1 FT / 2 PRN in July ; 5 FT / 2 PRN in August

• Paramedics No FT Vacancies; – 3 PRN start end July

• CP 1 FT Nights– Care Partners Coming: 3 FT and 1 PT coming August

• MR 1 FT Days

• MHS (2) position

Hand Hygiene- May 2011

RNs 75%ED Attending 67%ED Residents 67%Paramedics n/a%PCTs 67% OVERALL PERCENT 65%

Hand Hygiene- June 2011

RNs 59%ED Attending 100%ED Residents 100%Paramedics 100%PCTs 67% OVERALL PERCENT 72%