We've Got a LATTE Goin' On!

CHG bathing

In an effort to improve our C-section infection rates, we started having our scheduled C-section patients pick up a CHG kit in August to use the night before and morning of their procedure. Just a reminder, when your patient arrives to the unit for their C-section, we should ask "Can you please tell me what time you used the CHG to clean your skin before arriving here today?". Minimum requirement is one shower. If the patient has not completed this, they can either shower then if there is time, or you can use two packages of CHG wipes to bathe them if time is an issue. Please make sure this gets documented in the pre-procedure checklist.

CareFusion ClipVac Sucks Hair Away to Prevent Contamination

Hair clipping in barber shops and salons is cleaned up with a neat sweep-up, but neatness is not the standard in clinical environments, and especially around operating rooms. To help prevent bits of hair from flying all over the place, CareFusion has released a little vacuum that attaches to the company’s surgical clippers that sucks away hair as it’s being shaved off.

The company claims the ClipVac device captures 98.5% of the hair being clipped, which should help keep pre-op rooms clean and prevent contamination from tiny particles that may otherwise take flight along the air currents of the surgical unit.

For any surgery patient that needs to have clipping done in the OR or for those patients who have excessive amounts of hair, we will now use the ClipVac to shave them. After completing the shave prep, the entire tubing and blue cap section gets discarded, the clipper head goes in the sharps container, and the base of the vacuum pump and the clipper handle get wiped down with a purple-top wipe.

Education Updates

~Management of Pharmaceutical Waste PiL to be completed ASAP

~APS/GNOSIS modules 46,47, and 48 and EFM Core Modules 1-4 must be completed by 12/31/15. (See below for the titles of the Core Modules required)

~Panda Warmer FailSafe In-service 12/15, 12/16, and 12/17. ALL RNs MUST ATTEND one of these in-services. You can still sign up! If you attended the In-service in October, you do not need to repeat it.

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OBED EMS Arrival

If you receive a patient directly from EMS, you need to collect three things on the OBED triage form. We need to have the Ambulance/EMS service name (drop down options), the Ambulance #, and the Squad #. See below for a screen shot.
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Bathroom Key

Most of you know already, but the Bathroom Key has been loaded into the L&D Pyxis machine. It can be found by inventorying "BR" or "BR Key". All of our patient bathrooms have an easy flip latch, but the hallway bathrooms would need to be opened with the key in an emergency.

Pyxis Discrepancies

Please make sure you notify your charge nurse if you create a discrepancy in the Pyxis. These need to be cleared out by the end of each shift. Last week we had an epidural key discrepancy for over 72 hours. While this was not a medication, we can still be fined up to $10,000 by the state if the discrepancy is unresolved for longer than 24 hours.

Medication Education

Thursday, Dec. 17th, 3-4pm

Tiger B

Quick Medication Education December 17th

Any time between 3-4pm in Tiger B

Come Learn for 5 minutes or the whole hour!

Discard tubes for IV starts

Most of you attended the BD in-service on lab draws last week. Lazania has provided us with discard tubes to use when drawing labs from an IV start as a pilot for the hospital. You will use the discard tube (see pictures below) as your first tube, collect 3mL of blood, and discard. Then draw the rest of your tubes in the order shown. If you were unable to attend the in-service or have further questions, please see Beth or Holly.

Staff Elevator Shut-down

Tuesday, Dec. 15th, 5am to Friday, Dec. 18th, 11pm

Staff Elevators (near cafeteria)

The staff elevators near the cafeteria will be shut down from 12/15-12/18 while they work on finishing the connection to the new tower. You will still be able to access the stairway or the staff elevators near the ER during this time.

Care4 Downtime

Wednesday, Dec. 16th, 1-3:15am



During Care4 Downtime, please make sure to run the paper strip until the Care4 Downtime is complete.

Please refer to the below scenarios on how to use Fetalink during the Care4 Downtime.

1. Moms who are ASSOCIATED PRIOR to Downtime:

During the Downtime:

· Bedside and the Central Surveillance Monitor: Names, initials and fetal strips will continue to display.

· If you take mom off the monitor during Downtime: DON’T FINALIZE, JUST DISASSOCIATE.

· Archived Fetal Strips: Are NOT available during this downtime.

· Extended View: Only the last 24 hours of fetal strips display.

· Fetal Strip Annotations: Post to Care4 once Care4 is available again.

2. New moms that come in for Fetal Monitoring DURING the Downtime:

· DON’T Associate Mom in P2DA (neither by barcode scanning nor patient search).

· Just connect Mom to the Fetal Monitor.

· Annotate Start Time on the paper strip when mom placed on the fetal monitor.

· Central Monitor will display these moms by room, but not by patient name (initials).

· Annotate Stop Time on the paper strip if you take mom off the fetal monitor.

After the Downtime: Care4 available again

1. Fetalink: Close/Exit, then Restart Fetalink.

2. Moms who were Associated PRIOR to Downtime & Disassociated During Downtime:

· Finalize these fetal strips.

3. Moms that came in for Fetal Monitoring DURING the Downtime:

· Retroactively Associate:

· Use P2DA to Retroactively Associate mom using the Start Time noted on her paper strip.

· Retroactively Disassociate & Finalize: If you finished monitoring mom during the downtime:

· Use P2DA to Retroactively Disassociate mom using the Stop Time noted on her paper strip.

· Finalize the fetal strip.

NOTE: Retroactively Associate and Retroactive Disassociate can be done in the same P2DA window.

· Be sure to Finalize.