Date / Time / Location: Aug. 15, 2013, 2-3pm, 5053/54, MCE, North Tower / Next Meeting: Sept. 5, 2013, 2-3pm, 5053/54 MCE, North Tower
Chair: Vickie Thompson, Karen Hughart
Attending: Stephanie Philo, Kathy Burns, Nancy Rudge, Kristen Berutti, Aaron Hirsch, Betty Diane Adcox, Jessica Newman, Sheree Lee, Shelly Padgett, Venus Manuel, Deborah Ariosto, Vickie Thompson
Meeting Objectives:
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
Request #, Who/Time / Relates to Care Category: / Topic / Discussion / Follow-up
R0052063 Abigale Luffman, 15 min. / Skin / Add Stryker In-touch/with isogell mattress to Braden Beds. Use of this bed can now be documented in HED but it cannot be ordered in the Braden. Would like to have it added there.
We have been doing analysis for several months (with input from WOC nurses and others) about feasibility of moving Braden Skin Risk screening into HED. The CRC has been documenting their Braden screen in HED for some time. We will demo this and ask for feedback from the group about pros and cons of making this changes. / 1. Discussed putting Braden scale in HED:
-score will auto-calculate
-auto-populate “at risk” scores
-scores will flow to StarPanel
-pressure ulcer stages (pictures) will be available in the Links section
-resources (creams, boots, cushions) discussion about pictures being available on the unit cells with the supplies
-Indicator will still work / -Nancy will contact Sonya Moore on work she is leading on interventions by Braden section i.e.; Sensory, Nutrition, Activity, Mobility, Friction/Shear
-NIAC approval of Braden Scale in HED
R0052488 & R0052484 Deborah Ariosto, 15 min. / All Care Categories / 1. MD and Midlevel Provider notification fields. Inactivate the MD and Midlevel provider communication and NameProvider Nrfd fields on all tabs.
2. Move comments to Notify section. Eliminate the comments section on all tabs. Move the comment, comment #2 and comment #3 to the notify section.
(See proposed change below.)
· How are Comments 1, 2, & 3 used in your area?
· Do you see Comments charted that should be annotations to a result or Patient Summary? / 1. Discussed Notify/Critical Result section: / -Remove the words Critical Results
- Change Notify to Notifications
-Add Comments to the end of the list
-Add Radiology to the drop down list of “Reason Notified”
-Eliminate the Comments 1, 2, 3 sections in the Assessment tab
Nancy Rudge, 10 min. / 1. Medication
2. Other / Informational:
1. Updates to the recently given warnings for scheduled med administrations went into production on 8/7. (We updated the PRN med orders back in April.) This update was for scheduled medication orders. The warning times were reviewed and approved by MUSIC committee. Basically, the recently given warning messages are specific to frequency of the order rather than a blanket 1 hr warning.
For example, a medication ordered to be given q24hrs will generate a recently given warning until 16 hrs post administration.
A medication order to be given q6hr will generate a recently given warning until 4 hrs post administration. The too early/too late warnings are not affected by this change.
2. Problems Identification and Care Plan Tab changes will roll out on VUH units Sept. 4. / 1. HED team has received a few calls that medications ordered two different ways for the same patient have acted “odd”.
-If the RNs receive any out of place warnings they should let their CAPS know, who will then let the HED Analysts know
2. We are still on target for the 9/4/13 go-live in VUH.
10N, R0041964, 10 min. / Other / Add an additional column for Bed Number to right side of Inpt. Whiteboard screensaver (in addition to the Bed Number that anchors the left side). (see below)
We discussed in 6/6/13 meeting and the group suggested pursuing the following ways to free up room to add a bed number column to right side of Whiteboard screen without making the Whiteboard wider:
1. Decrease the space required for Attending MD column by listing just last name, first initial.
2. Decrease the space required for the Orders column by displaying “Orders” vertically instead of horizontally.
We have validated with the developer that both changes are possible. Do we proceed with this?
We have also validated that it is possible to display a Pathway from clicking on Pthwy on Whiteboard column. Would staff value/use that? (see below) / No objections
No objections / Proceed
Proceed
All, 10 min. / Updates and announcements & questions from participants. / Next meeting 9/5/13
Proposal is to display under Attending column Last name and first initial only and to display Orders vertically instead of horizontally so orders columns can shrink. These changes would allow a right side bed column without compressing other columns.
Would you like to be able to open and view a E-docs Pathway saved for the patient from the Inpt. Whiteboard?