This document provides guidance for nurses on documentation procedures and medication administration. Key points include: TB and other medication solutions expire 30 days after opening and must be dated; diabetic supplies must include safety devices and blood sugar results must be documented; the MAR must have no holes and be initialed for insulin/blood sugars or disciplinary action may occur; verbal orders require signature; weight/vitals will now be the nursing staff's responsibility; and blood draws will transition to being done by Med-Lab, not KDH. Nurses must sign and date that they read and understood the information.
Presentation given by Noreen Cushen-Brewster & Heather Howman of NHS Great Yarmouth and Waveney Integrated Care System at the Improving access to seven day services event. Crawley 11 March 2015.
The CNL student created a PowerPoint presentation about the scope of practice for a Patient Care Technician. It was presented to UAB School of Nursing staff, faculty and students in June 2011.
Considerações Brasscom aos padrões de auditoria – GT AuditoriaBrasscom
A Brasscom parabeniza o Ministério do Planejamento, Orçamento e Gestão e demais órgãos que compõem o grupo de trabalho, GT Auditoria, pela iniciativa de dialogar com o setor produtivo na busca do melhor entendimento para a implementação das diretrizes traçadas pelo Decreto nº 8135/2013.
Presentation given by Noreen Cushen-Brewster & Heather Howman of NHS Great Yarmouth and Waveney Integrated Care System at the Improving access to seven day services event. Crawley 11 March 2015.
The CNL student created a PowerPoint presentation about the scope of practice for a Patient Care Technician. It was presented to UAB School of Nursing staff, faculty and students in June 2011.
Considerações Brasscom aos padrões de auditoria – GT AuditoriaBrasscom
A Brasscom parabeniza o Ministério do Planejamento, Orçamento e Gestão e demais órgãos que compõem o grupo de trabalho, GT Auditoria, pela iniciativa de dialogar com o setor produtivo na busca do melhor entendimento para a implementação das diretrizes traçadas pelo Decreto nº 8135/2013.
FEDOROV, A. FILM CRITICISM. МOSCOW: ICO “INFORMATION FOR ALL”. 2015. 382 P.Alexander Fedorov
1. FILM CRITICISM. 2. FILM STUDIES. 3. MEDIA LITERACY. 4. MEDIA EDUCATION. 5. MEDIA STUDIES. 6. FILM EDUCATION. 7. STUDENTS. 8. CINEMA. 9. FILM. 10. MASS MEDIA. 11. STUDY AND TEACHING.
This section is designed to assist patients and their loved one in coping with the hardships of living with chronic illness while, understanding the impact that stress can have on their disease. Managing stress can result in a improved quality of life, improved self-esteem and has a positive effect on lupus flares.
Global Medical Cures™ | Your Glucose Meter
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Medical Orders for Life Sustaining Treatment (MOLST) Form [MOST/POLST/POST]Eleanor Tanno
What is a Medical Orders for Life Sustaining Treatment (MOLST) Form [MOST/POLST/POST]? This form is a two page cheat sheet that provides medical orders for doctors in the event patients are too sick to speak for themselves. This is one of the key end-of-life planning documents. The MOLST form includes the documentation for a Do Not Resuscitate (DNR) Order. The presentation is an overview of the MOLST form, as well as the medical interventions included on the form.
Guide to Gastrostomy Tubes, developed by a pediatric NICU nurse as an educational and take-home tool for patient families. (c) Rady Children\'s Hospital-San Diego, 2012
Urgent or Emergent - How Do You Decide? - Dr. Carrozza - Livingston Library -...Summit Health
When faced with a sudden illness or injury for yourself or loved one, trying to decide where to seek treatment can be a harrowing decision. Does the illness or injury warrant a trip to a hospital's emergency room, or should you seek care at an urgent care center? When should you seek treatment from your primary care physician?
FEDOROV, A. FILM CRITICISM. МOSCOW: ICO “INFORMATION FOR ALL”. 2015. 382 P.Alexander Fedorov
1. FILM CRITICISM. 2. FILM STUDIES. 3. MEDIA LITERACY. 4. MEDIA EDUCATION. 5. MEDIA STUDIES. 6. FILM EDUCATION. 7. STUDENTS. 8. CINEMA. 9. FILM. 10. MASS MEDIA. 11. STUDY AND TEACHING.
This section is designed to assist patients and their loved one in coping with the hardships of living with chronic illness while, understanding the impact that stress can have on their disease. Managing stress can result in a improved quality of life, improved self-esteem and has a positive effect on lupus flares.
Global Medical Cures™ | Your Glucose Meter
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Medical Orders for Life Sustaining Treatment (MOLST) Form [MOST/POLST/POST]Eleanor Tanno
What is a Medical Orders for Life Sustaining Treatment (MOLST) Form [MOST/POLST/POST]? This form is a two page cheat sheet that provides medical orders for doctors in the event patients are too sick to speak for themselves. This is one of the key end-of-life planning documents. The MOLST form includes the documentation for a Do Not Resuscitate (DNR) Order. The presentation is an overview of the MOLST form, as well as the medical interventions included on the form.
Guide to Gastrostomy Tubes, developed by a pediatric NICU nurse as an educational and take-home tool for patient families. (c) Rady Children\'s Hospital-San Diego, 2012
Urgent or Emergent - How Do You Decide? - Dr. Carrozza - Livingston Library -...Summit Health
When faced with a sudden illness or injury for yourself or loved one, trying to decide where to seek treatment can be a harrowing decision. Does the illness or injury warrant a trip to a hospital's emergency room, or should you seek care at an urgent care center? When should you seek treatment from your primary care physician?
There is a lot of confusion around Do Not Resuscitate (DNR) orders. This is a medical order that advises healthcare professionals not to attempt a cardiopulmonary resuscitation (CPR) on a person who has suffered a cardiac arrest. Healthcare workers, paramedics, and EMTs are required to attempt CPR on all people who have suffered a cardiac arrest unless a person has a DNR order. This DNR order must be available in the moment or else the assumption is that the person does not have one. This lecture will cover DNR orders and how to complete one.
Information FOR NEW PATIENTS to the Masonic Cancer Clinic coming to see Dr. Lou for cancer care. Info on logistics and what to expect at our first visit together.
Your Care Experience: Valve ReplacementBanner Health
To hear your heart valve isn’t working properly is frightening. In fact, not long ago, valve replacement would have meant open heart surgery. Thankfully, that’s not the case today, and especially not at Banner Health. Among the country’s leading practitioners of two new life-saving valve replacement procedures, Banner Health is committed to increasing your life expectancy and improving your quality of life. Our approach is much less invasive, leaving you less to worry about and more to live for. Your heart-healthy future starts here.
2. THINGS TO KEEP IN MIND
• TB solution EXPIRES 30 days after it has been
opened. Keep track of this. You can put it in
the calendar so that it isn’t missed.
3. CONTINUED
• As a general rule of thumb…..any meds (other
than pills) expire at 30 days of opening. This
includes flu vaccines.
• Make sure you are dating everything when
you open it. Not just on the package but the
actual container.
4. Diabetic Supplies
• Any time supplies are
ordered, they have to
send safety sharps and
safety needles.
• You have to document
all blood sugar results.
• We cannot have “house
stock” diabetic supplies.
• If the pharmacy does
not send safety
supplies, call them.
5. Documentation
• Initialing the MAR is mandatory. No holes can
be in the MAR. Blood sugars need initialed,
filled out, etc. If state finds a hole in the MAR
for insulin or a blood sugar, they can issue an
Immediate Jeopardy tag.
• Daily MAR audits will occur. If there are holes,
disciplinary action will occur.
6. Documentation Con’t
• Any verbal order in the charts must have an
MD or NP signature. If no signature, then no
chart. Place in mailbox in med room that is
designated for these.
• On the MARs, the residents’ code statuses
need to be on there. I hand wrote them in for
July and I hope that Omnicare will put them
on the August batch.
7.
8. More Documentation
• There are now forms called “72 Hour Observation”.
• This form is used for a Change of Condition. (ie: s/p fall, 911
being called with refusal to be transported, generalized
complaints with an assessment and no new orders.
• The regular Nurses’ Notes are for anything requiring longer
than 72 hour documentation.
9. Narcotic Count
• All narcotics will be counted with the on-
coming and off-going shifts every day. CNAs
are witnessing in counting of the narcotics.
• DO NOT forget to sign the count sheets.
10. Coumadins
• Make sure you are keeping track of any
Coumadin changes on the form that is
provided.
• This is critical to complete…….
11.
12. Beginning in July
• MARs and TARs will be in the same binder.
• Our nursing staff will be responsible for
completing the monthly weights and vital
signs as we are no longer allowed to have
hospice come in and do these. Our plan is to
make an activity out of this.
• All residents’ have to have a master signature
log with their MARS. These will stay with them
until they are discharged or deceased.
13. Nursing No-Nos
• We are not allowed to
draw blood.
• We are in the process of
getting Med-Lab to come
in and do our blood
draws.
• KDH will no longer be
doing our blood draws.
• We will let you know
when this transition
occurs.
• When a resident goes out
for a visit and meds need
to be sent, you have to
send the entire cards,
bottles, etc. No more
individual doses in
envelopes.
• There is a form for this.
14.
15. Nurses/ QMAs
Please sign and date below stating that you have
read and understood the content of this
information. Detach this page and return to ALD.
Name:___________Signature:______________
Title:__________
Date:__________