NAH Communication - January 2024

CHANGE SUMMARY

Change	Change Date	Change Summary	Benefits	Review/Approval
Discharge/Transfer Flags on Status Board	Jan 24, 2024	With this change, Discharge orders and Transfer orders will display in a separate column on the Status Board.	Decreases amount of space on status boards, removes admission orders that are not applicable for inpatients	MELT
Special Indicators on ED Tracker	Jan 24, 2024	A column will be added to several Trackers and ED patient lists to display Special Indicators (SI). The column will display any special indicators that have been added to the patient’s chart. Clicking on the SI column will open the summary page to view any additional information. WGH Triage/Waiting Room Tracker (ED) All Patients in Department Tracker (ED) FNHP ED All Patient List HSO Emergency Department List Lab Ed Patient List Medical Imaging EDM Tracker (go live date TBD) Pharmacy EDM Tracker DCCH/WLCH Triage/Waiting Room Tracker All Patients Tracker Pre Reg Tracker	Easily view if a patient has a special indicator Easily access addition information about special indicators	MELT
ED MedDir Suspected Stroke Order Set	Jan 29, 2024	A medical directive for suspected stroke will be available for use in ED. It has been built to replicate the paper medical directive located on SharePoint and does not include medications outside of fluids. How to Order Medical Directives tip sheet	Streamlines ordering process for nurses	ED Committee, MELT, PLC

Contact Plus Isolation Precaution	Jan 29, 2024	An option for “Contact Plus” isolation precautions has been added to orders and nursing assessments. CONTACT PLUS – applied when patient has diarrhea and/or vomiting AND gastroenteritis is suspected (e.g. Norovirus, C-diff) How is it different from Contact Precautions? Wash your hands with soap and water (preferred) Twice daily cleaning of high-touch surfaces Spore killing disinfectant required for C-diff – which includes hydrogen peroxide (please use to clean surfaces, and patient equipment if C-diff suspected) – these are labeled on the units in storage. See last page for addition information from IPAC	Allows for proper ordering and documentation of Contact Plus isolation precautions Improves patient and front-line staff safety	IPAC, MELT
Public Health Special Indicator	Jan 30, 2024	A new Special Indicator called Public Health will be available. The purpose of this special indicator is to improve communication between Yukon Communicable Disease Centre (YCDC) and YHC Emergency Departments. The special indicator will be managed by the nurses at YCDC. For those of you who work in the Emergency Department, more details as well as education resources will be sent directly from your manager.	Improves communication between YCDC and YHC	YCDC, ED, CHCAC, PLC, MELT
Admission Assessment Changes	Jan 31, 2024	Minor changes will be made to the Admission Assessment. A question regarding Oxygen and Suctioning set-up will be added and the following sections will be collapsed by default: Psychosocial History and Substance Use, Barthel Index and Baseline Data. The sections can be expanded as needed.	Simplifies initial view of assessment	Inpatient Committee, MELT
POCi Daily Frequency	Feb 5, 2024	Changes to POCi Daily Frequencies for Community Hospital’s. Daily POCi Laboratory orders will appear on patient's worklist in PCS as Care Item for specific frequency as ordered by provider.	Streamlines ordering	CHCAC, MELT, PLC

FOR INFORMATION

Item	Summary	Review/Approval
Breast Density Reporting to Patients	Starting January 2024, breast density will be directly reported to patients. The patient’s breast density category, along with related information, will be included in the results letter that patients receive from the Yukon Mammography Program following routine screening mammography.	Medical Imaging
Frequency for Nursing Update to PT/OT/SLP	The frequency for the "Nursing Update to PT/OT/SLP" Worklist item has been changed to 1900 and can’t be removed from the item.	Nursing
Room Number on FNHP ED All Patient List	The ED Room number will be moved from the secondary status board to a separate column on the status board.	FNHP
Lab Bundle Changes	The orders for Basic Metabolic Panel (BMP), Comprehensive Metabolic Panel (CMP), Liver Panel, and Extended Lytes Panel will now reflex each individual LAB order part of that panel.	Lab, PLC

If you encounter any issues or have any questions about these changes, please contact the support line at ext 8601 (internal) or (867) 393-8601 (external) or through JIRA at YHC-HELPDESK@wgh.yk.ca

Additional Information for Contact Plus

CONTACT PLUS – are applied when patient has diarrhea and/or vomiting AND gastroenteritis
is suspected (e.g. Norovirus, C-diff)

How is it different from Contact Precautions?

- Wash your hands with soap and water (preferred)
- Twice daily cleaning of high-touch surfaces
- Spore killing disinfectant required for C-diff – which includes hydrogen peroxide
(please use to clean surfaces, and patient equipment if C-diff suspected)
1. these are labeled on the units in storage.

Note: Use a Point-of-Care-Risk Assessment when there is a risk of splash or spray and wear
face and eye protection in these cases.

Remember: Keep sign posted until room cleaned – housekeeper will remove sign after
“discharge” cleaning is complete.

Refer to the following link here from Vancouver Coastal Health (VCH) for more information.

Contact IPAC for any questions / concerns 332-4173.