March 2023 - NAH Communication

Change

Change Date

Change Summary

Benefits

Review/Approval

Medical Directive: Pre-op Pediatric Analgesia

April 5

Medical Directive for Surgical Services – Pre-Op Pediatric Analgesia

Hold queue can be used to order Medical Directive for pre op visit, this includes:

The directive will flow to the nursing worklist for the nurse to enter the medication orders once the patient is weighed. The medication order will auto calculate the proper dose if the patient is weighed, and the weight is documented in the system.

When patient is weighed on return for OR nursing will give appropriate doses of pre op medications

Acetaminophen and Ibuprofen dosing will be calculated based on the patient's most current weight

PLC, NAHLC, Surgical Services,

CNE’s, MAC

New OR Slate for Surgical Services

April 5

A new OR Slate will start printing to Surgical

Services printers. Will print to:

MDR will also receive the new slate and will continue to receive it the day before at 0600.

Printing OR Slate Tipsheet

The new slate is customized for WGH to better enhance its usefulness for the Surgical Services department.

OR Manager

Create Override Reason for Not Scanning Wristband

Date to be determined

Drop down menu will now populate when nursing overrides scanning patient wristbands

Higher scanning rates and the potential to collect data to determine what the barriers are for scanning patient wristbands

NAHLC & Inpatient Committee

Item

Summary

Review/Approval

Scanning:”Picture,Wound”

Any images of wounds not related to the OR (e.g. provided by EMS) can be scanned under the new document type called PICTURE,WOUND.

Beth Henderson, Health Records

Caesarean Section Recovery Policy

On March 13, A Caesarean Section Recovery Policy was added to the

Anes Post C-Section Epimorph order set and is pre-selected. The policy will flow to the nursing worklist.

Mat Newborn Committee

ED Face sheet

A field for Triage Intervention has been added.

The contact section has been fixed, now being set up to display the first 2 contacts listed with max 2 phone#. For more contacts, if applicable, one needs to access the account info.

Dr.Chau