Nutrition Care Manual

Did you know that we have a great dietary information resource, right on the computers? Click on the "BCH Web Applications" icon on any unit computer. In the list of applications, you will find the "Nutrition Care Manual". It has information about the diets and how they relate to disease processes. You can navigate the manual via tabs at the top, or by searching.

The hospital and surrounding clinics have 2 subscriptions to this manual. If you find yourself "locked out", it may be due to too many people trying to access it at once. Just try again in a few minutes.

Clinical Round-Robin, Hands-on Practice

Sorry for the late notice on this one!

(Tomorrow) July 23
7a-3p
Foothills Leo Hill Conference Center

Topics:

• Mediport Access Skills
• New Central Line dressing change kit
• Drawing blood cultures
• Stat Lock practice
• PCEA pumps
• Feeding tube tips, preventing clogs
• Diabetes boxes, Glucometer practice

A series of clinical "round robins" will be held monthly. This is a great chance to update your competencies. Look for future schedules here, Mox/email, and on the unit.

Campaign to Improve Blood Transfusion Outcomes

BCH is looking to improve outcomes in patients undergoing blood transfusion. We know there are risks involved, but what do we really know?

• 1 or 2 of every 100 blood transfusions result in some form of transfusion reaction
• The chances of acquiring an infection increases by 50% with each unit of allogenic blood transfused
• 1 in 350 transfusions is associated with transfusion-related circulatory overload (TACO), which can lead to respiratory problems, HTN, and lung disease.
• 300-500 deaths occur each year from transfusion-related acute lung injury (TRALI).

The Blood Utilization Steering Committee is devising ways we can all work together to update our practices in blood transfusion. Look in the Scoop and here on the blog as more information is available.

Legalities in Documentation Class

If you were unable to make it for this class, Emily (the nursing education coordinator) is compiling the notes so that you can take a look at them.

Skills Lab next week!

Don't forget, Skills lab will be held next Tuesday and Thursday!

Meditech upgrade begins this October, Mox exits in July

As you may have read in The Scoop, our Meditech software will begin the first phase of upgrade October 1, 2009. The project has been dubbed NORMA, which stands for No One Runs Meditech Alone. The goal is to achieve a fully electronic medical record. The project is slated to take 5 years total. The federal government is requiring hospitals to have fully electronic medical records by 2014.

In other technology news, we will bid farewell to the Mox mail system this summer (approximately July). The Mox email system will be replaced by Microsoft Outlook 2007. All persons with an "@bch.org" email address will automatically be converted to Outlook so that the hospital will only be using one email method. With Outlook, you will have a global directory of hospital email addresses to select and send emails to (which is much easier than the current system). Outlook will also provide a calendar which will help you keep track of meetings or other important events. The calendar will also allow you to see who is busy and who is free.

Policies in Mox will be moved to an online Internet portal system called SharePoint. SharePoint will keep track of the changes in policies and alert you when changes are made. SharePoint promises to be more user-friendly when searching for policies. SharePoint will be the central location to view important announcements and access the latest edition of The Scoop.

In the meantime, you are encouraged to clean out your Mox inbox and delete whatever files you do not want. This will make the transition from Mox to Outlook much easier and less time-consuming.

Key dates:

• July 2009 - Mox replaced by MS Outlook, Mox Policies replaced by SharePoint.
• October 2009 - Meditech MAGIC, Client/Server functionality will be replaced. This includes Admissions, Lab, Pharmacy, Imaging, Order Entry, Billing, Materials Management, and everything else that works off Meditech today.
• 2010 - OR will replace their current system, PICIS, with new online clinical documentation.
• 2011 - Online Nursing documentation and medication dispensing.
• 2012 - Physician order management and clinical documentation.

More information and training will be coming up in the months ahead.

Class Offering: Basic/Intermediate EKG

Dates: May 14th (0900-1700) in HBB, and May 15th (0900-1400) in GWA. Another session will be held September 3rd & 4th.

Cost: Free for class, $25 for workbook. You cannot clock in for this class.

Focus: Beginners, those who are "rusty" with their rhythms. 35 rhythms are covered, as well as their causes and treatment. You can attend both days of the class; those taking this class as a "refresher" can attend both days or just the second day.

Registration: Call Cardiopulmonary @ ext. 2095. If you register, but are unable to attend, please call to cancel your spot so that others can sign up.

Questions: Mox Curtis Stringer (who is teaching this class)

Class offering: Care of the Patient with Acute Coronary Syndrome

Care of the Patient with ACS will be offered on Tuesday, April 28th from 0900-1500 in the BCH conference center. Sign up through Vicki C. @ ext. 2074.

TRALI - What you need to know!

What is TRALI? It is an acronym for Transfusion-related Acute Lung Injury. If you haven't heard much about it, you will soon! Peggy has more education about it in the pipeline. In the meantime...an introduction:

"TRALI should be suspected in all cases of dyspnea and hypoxia temporally related to blood transfusion. Dyspnea due to bronchospasm associated with allergic/anaphylactic reactions can be readily identified based on the accompanying urticarial rash. Dyspnea associated with pulmonary edema after transfusion may result from TRALI or from transfusion-associated circulatory overload (TACO). Differentiation between TACO and TRALI is important from patient treatment and blood donor management perspectives. Recently an algorithm was developed to help eliminate clinicians and researchers in managing patients with respiratory symptoms associated with blood transfusion. Hydrostatic (TACO) and permeability (TRALI) pulmonary edema may coexist. Hence, evaluation by a critical care specialist may be necessary."

Reference: Blood Bulletin, July 2006. Volume 8, No. 2

Class Offering - Documentation and Legal Issues

"Thorough Documentation: The Best Evidence of Care"

April 8, 11:30 am to 1 pm

Gene Wilson

BCH will hosting a speaker who is an expert at legal issues in nursing documentation. This class will provide nurses with an overview of legal implications of documentation and practice. Our speaker will help you identify "pitfalls" in documentation and practice, list four elements that establish professional negligence, and discuss liability issues in practice and documentation.

Any questions can be directed to Emily W. at ext. 2379.

New PCEA pumps coming!

Broadway will be receiving new PCEA pumps soon that are already in use at the Foothills campus. They are touted as "more user friendly" than the current pumps. Training sessions will be held to allow you to familiarize yourself with the new equipment:

• Monday, April 13, 7-11 am in Gene Wilson B
• Wednesday, April 15th, 2-6 pm in Homer Ball

If you are interested in or designated to be a "super-user", the training session for that will be Monday, April 17, 8-10 am in Gene Wilson A.

Contact Emily W (Nursing Education Coordinator) at ext. 2379 if you have any questions.

Diabetes Education Classes for Pts

Starting in April, BCH will hold a bi-weekly Diabetes update class. These classes are informal, taught by a Certified Diabetes Educator. They are open to patients, families, and healthcare providers. Registration is not required and you may attend as many classes as you want. The classes will be held throughout the year on the 2nd and 4th Mondays of each month. The upcoming schedule is as follows:

• April 13th and 27th, 1-4 pm in Homer Ball
• May 11th and 18th, 1-4 pm in Homer Ball
• June 8th, 4-8 pm in Gene Wilson A
• June 22nd, 1-4 pm in Homer Ball
• July 13th, 4-8 pm in Gene Wilson A
• July 27th, 1-4 pm in Homer Ball
• August 10th, 4-8 pm in Gene Wilson A
• August 24th, 1-4 pm in Homer Ball

Fall and winter classes will be held the 2nd and 4th Monday per month at the Broadway campus. Please encourage your patients to attend these classes. If you have any questions, please Mox or call the Nursing Education Coordinator, Emily W., at ext. 2379.

Blood Transfusion Safety Class for RNs

"Nursing's Emerging Role in Blood Management and Transfusion Safety" is being offered for all BCH RNs on Tuesday, March 10th. It's only an hour long - from 11:00 am to noon, in Gene Wilson A. The discussion will be about institutional best practices for improving the safety of blood administration. CEUs will be available. Any questions can be referred to Emily @ ext. 2379.

Continuing Education Offerings for RNs

Here are some opportunities for continuing education (CE) for nurses. Fill out the registration forms and return to Kim. BCH is taking care of the fees for classes, as well as compensating you for your time (wahoo!).

CO Patient Crisis: Identify the Signs and Symptoms Before the Patient Crashes Seminar
(click on the link above to access registration form)
Tuesday, March 17 8:30 am to 4:30 pm
Hotel Boulderado

Managing Cardiac Issues in the Acute and Critical Care Patients
Thursday, April 16 8 am - 5 pm
Foothills Campus Leo Hill Room
(click on picture below to show form on its own page, then print).

Annual BCH Safety Fair

Just a friendly reminder that the Annual BCH Safety Fair is
March 16 &17
THIS IS A REQUIREMENT FOR YOUR ANNUAL COMPETENCIES.
There will be 12 stations, so plan on two hours.
Please direct all questions to Melissa
Thank You