October 2009- SHARE - Huron Valley-Sinai Hospital

Diana Labumbard APN Carol DeVore CCTC Gayl Hubler ED Educator Cathy Grant CCTC
Nightingale Awardee
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Nurse of the Year
Elaine Hunter OR Pam Loszewski ICU Debbie Brennan HBC
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• Congratulations Corner
• ED Nurses Notes
• Nursing Education

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N u m b e r o f M e d i c a t i o n E r r o r s R e p o r t e d
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Medication Errors Comparison
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52
35
22 21
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Q1 Q2 Q3 (thru August)
2008 2009
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. . . brief updates
Harper Hospital
First Fill Pilot
The Adult Admission History now has an additional section – First Fill. This
section is located at the bottom of the form navigator. Harper Hospital is conducting
a pilot to capture a greater volume of patients for the First Fill Program.
An automated notification will print in the outpatient pharmacy when the
First Fill form is completed from the Admission History powerform. Since this
form is shared across the DMC all of the staff will see this change.
HVSH staff will not be using the First Fill section
at this time but rather continue to follow the current
process of having the Pharmacy Techs from
the Retail Pharmacy visit the patient on the unit
for their discharge prescriptions.
Once the pilot is complete each hospital will evaluate
the results of Harper’s pilot.
First Fill Assessment
Order generated when the First Fill
Assessment is completed
Drug Interaction
Safety Alert for Physicians
During medication order entry the physicians will now receive an alert when the drug
ordered can result in a severe drug interaction with a new or existing medication order.
When the “Decision Support Drug Alert” screen displays, the physician may choose to
discontinue the order or select an override reason from the available drop-down list or
enter a free-text reason.
Duplicate med is being ordered
Drug interactions between orders
currently on the profile and the drug
being ordered
Potential drug allergy to the med be-

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NIH Stroke Scale Improvements
The NIH Stroke Scale has been removed from several of the Admission and Ongoing Assessments
and now resides as a stand alone ad hoc form in the following folders - Adult
Assessments, Adult ED Services, Adult Critical Care and Acute Care (Med/Surg).
Scale definitions and instructions for evaluating the patient are accessible for each assessment
item on the scale. Also, the form enables printing of instructions to perform the “Best
Language” and “Dysarthria” evaluation.
Ordering an ECG/EKG
While several orders are listed in the order catalog that pertain to
an ECG only two of these orders are appropriate to request an ECG evaluation for the patient.
The order “ECG (MCOU) Request for HV” is to be used ONLY when the patient is to
have the ECG done while they are in MCOU. For all other patients, the order “ECG-
Request for” must be selected to appropriately notify the Cardio-Pulmonary Department via
a printed requisition. When ordering an ECG be sure to include the appropriate request date
and time. When ordering a routine ECG after 3:00pm, change the date and time field to the
next day and 7:00am.
STAT ECGs do not need to have their times changed, just the PRIORITY.
Blood Allergies
Blood and blood products can not be noted as an allergy in the EMR. In addition to recording all
of the known details about the allergy when selecting the option “Blood Products”, include a
comment to indicate the specific blood product as well, such as “Platelets”.
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Testing of Order Modify functionality for medication orders
Analysis of Admission, Transfer and Discharge Medication Reconciliation
and the patient discharge process
Core Measure Dashboard Upgrade
This will occur approximately every 6 months
DOWNTIME – Monday, 10/12/09 1AM – 5AM
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https://www.hvsh.org/
SHARE
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