Change

Change Date

Change Summary

Benefits

Review/ Approval

Adding Associated Data to PRN Pain Medications on the MAR

July 20, 21, 22

• The last documented Temperature, Temperature source, Pain level, and Pain scale used will be viewable on selected PRN Pain Medications in the MAR in a small box called Associated Data.

• Associated data will guide the process for nurses to be able to recognize and avoid double documentation between the MAR and the worklist

• Having Associated Data in the MAR prevents the need for the nurse to exit the MAR and see the previously documented vital sign or pain assessment, and the ability to document within the MAR if needed

NAHLC

Adding MAR Pain Assessments to PRN Pain Medications

July 26, 27, 28

• MAR Pain Assessments are being added to effected Pain Medications

• Re-assessments will appear at 60 minutes on MAR, post administration of a prn medication. Tip sheet available here.
• Pain assessment and temperature can be documented, if not already documented in the worklist (check Associated Data).
• Prompts nursing to complete pain re-assessment.

NAHLC

Set Enable Ingredient/Dose Checking for IV/ALT Types to "Yes" in ED Module when scanning

July 25, 2022

• When you are not administering the full dose of medication in a vial, you will have to note the administered dose.
• Nursing will now be notified if the medication’s dose being scanned is not equal to what is ordered.
• If the Dose to be Administered does not match the Ordered Dose, then it will highlight in red.

• This functionality has been live in all other areas of the hospital; therefore, this change is to standardize the MAR functionality of the ED to all areas.

1Health Team and YHC leadership

“Reason Action Taken” Comment added to vital signs

July 15

• For all areas, the comment field “Reason action taken” has been added to the vital sign assessments under oxygenation

• If there are adjustments made to O2 administration, the reasoning can be commented here

1Health Team & YHC Leadership

Inpatient Flowsheet/ Clinical Panel

July 5

• A new Inpatient Flowsheet has been created to pull a variety of information into one view. The Flowsheet is located under the Flowsheet tab for physicians and the Clinical Panel tab for nursing.
• The flowsheet includes the following patient information: Vital Signs, Glucose, Bowel Movements, Labs, Imaging, Microbiology, Pathology, Provider Notes, Nursing Notes, Allied Health Notes, Medication Administrations, Intake & Output, CIWA and COWS.

• Flowsheets reduce clicks for physicians and nurses and provide one central location for viewing patient information

Inpatient Committee (June 22, 2022)

PLC (June 28, 2022)

DCCH/WLCH ED Access Change

August 4

• The ED/PCS access for nursing in DCCH/WLCH is being adjusted to allow proper display of ED patients

• New ED access is identical to previous, NO CHANGE in current use
• Trackers and Status boards in ED and PCS will now display the correct columns of data (I.e., colour schemes, room numbers)
• No more incorrect overlap of areas causing confusion
• ie. EDM for discharging ED patients and PCS for discharging Inpatients

Community Hospital CNL’s, 1Health team

Item

Summary

Review/Approval

1Health Yukon Project/Operational Update

See attached communications that was circulated June 15^th to all committee chairs at YHC to be distributed to staff for an update on 1Health committee structure, issue reporting and prioritization, communication, and the 1Health team. Also posted to the Nursing and Allied Health updates webpage.

1Health Team/NAHLC

Nursing and Allied Health Education Material

As of June 30, there is now a link in YHC Links folder to the Nursing and Allied Health website. All communications will be emailed out, and posted to this page.

The updates website includes a direct link to the Nursing and Allied Health Education website. New and updated TIP SHEETS will be added regularly

1Health Team/ Educators

Downtime

Nursing and Allied Health webpage contains links to all Downtime Resources including site preparation, quick reference guides, how to use iPeople, and more.

Decision was made at NAHLC to place the code to open the keyboard on the Network down computers in the Downtime Binders.

NAHLC, 1Health team, YHC IT

Maternity Assessment Updates

RH status is now visible from the patient’s secondary status board

MC Vaginal Exam now has comment boxes for dilation and cervical length so that ranges can be added

Oxytocin IM order post delivery no longer requires a co-sign

Maternity Outpatients was added to status board list options

MC Non Stress Test now allows for ranges to be documented

Maternity Subject Matter Expert/ 1 Health Team

Arterial Line Assessment

Arterial line assessment for waveform has been updated with the following options: Normal; Underdamped; Overdamped; Absent

Critical Care Committee; CNE’s

Implement Rollover POV accounts into Inpatient or SDC accounts

Following CIHI standards, when a patient is admitted or go to the OR directly from a POV visit, the current POV visit will roll over into an inpatient account without creating a separate account.

1Health Team, Registration, Surgical Services

Link to Care after Death Policy

Link to Care after Death policy is accessible through MEDITECH. Accessed by clicking on the globe icon attached to the Care after Death intervention. This improves access to the policy.

Director Clinical Practice & 1Health Team

Labetalol Continuous Infusion

As of June 28^th, this order is now available in LIVE.

Pharmacy and Critical Care