Hi everyone,
I missed an EROC update last month. It was in the binder, but not posted on the blog, I apologize. Good news though! IV tubing is now good for 96 hours, unless it is something we change daily like TPN, or if it is an intermittent line. This means if you disconnect a line and cap it to save for future use, that line is only good for 24 hours. To prevent disconnecting lines, we should be using an extra stop cock at the end of our lines for bolus meds and blood draws. Children's Hospital is questioning this new policy since we often disconnect lines for brief periods to change small gowns. I'll let you know when I have more info. Our kids stay connected the majority of the time, so the main changes for us are 1) use stopcocks more frequently, 2) lines are good for 4 days, and 3) if we happen to have an extra secondary set or medline that does not remain connected at all times, it must be changed every 24 hours.
IV Tubing
Here are the updates from our last meeting:
Linen Utilization: Decreasing unnecessary linen use
Guidelines
Patient/Family Handout
iStat QC: we will have to learn how to perform iStat QCs. More information to come after I am trained
Hypoglycemia Revisons: More drop-down choices in McKesson for accurate documentation
New Spine Surgery Consent Form
CAUTI: Lots of new info to come as the CAUTI prevention guidelines/policy are revised and finalized
Perineal Care: at least Qshift! Did you know: peri area should be cleaned with soap and water or baby wipe (not comfort bath) prior to cleansing with betadine when inserting a urinary catheter?? I didn’t!
NDNQI: Identifying at risk patients: Please be sure to identify patients at risk for skin breakdown with the iceberg stickers. They can be ordered from central: ESI 48390
NDNQI 2013 Survey Results
Code Cart Drawer 3: Two bags instead of one to prevent waste when supplies expire
See me with any questions. Thanks!
Erin
I have read and reviewed the updates.
ReplyDeleteSarah Jane Rudolph
I have read and reviewed EROC updates. Anna Mechem
ReplyDeleteI have read and reviewed EROC updates. Jaime Maskill.
ReplyDeleteThanks Erin!
I have read and reviewed EROC updates.
ReplyDeleteTrel Terry
I have read and reviewed all the EROC updates
ReplyDeleteKatherine Baldwin
Read...quick question regarding the IV tubing and bag changes. Can you review what fluids need changed daily vs 72hrs. (Precedex, 2:1 Hep. in particular), and also, why is it ok for me to change IV solutions daily/Q72 and "break that connection" to change a bag, but disconnecting,cleaning connection sites and reattaching to place a pt. gown on requires a whole new tubing and bag change?
ReplyDeleteAnd 1 comment regarding skin assessment...it has become part of the quarterly assessment when I do data collection for NDNQI to look back and see if a pts skin care issue was PICU acquired or acquired from a different unit/home. The only way to assess that is to look and see if anything was documented on admission to our unit. If it was not, and the pt has a current skin care issue, then it counts against PICU. This is most important when we are getting pts transferred to us (esp NICU I've noticed)and they may come with some break down. If not noted on admission to us it counts against us in the future.
I have read and reviewed the EROC updates.
ReplyDeleteMichelle Liechty
I have read and reviewed EROC updates. Thanks Erin!
ReplyDeleteBrooke Nitterhouse