Showing posts with label Hospital Protocols. Show all posts
Showing posts with label Hospital Protocols. Show all posts

Friday, February 18, 2011

7 Best Practices For Hospitals and Social Media | Hospital Financial and Business News

Kevin Troutman is a partner at Fisher & Phillips LLP in Houston and serves as the chair of the firm's Healthcare Practice Group. Additionally, Mr. Troutman has more than 17 years experience in healthcare management positions, once serving as the senior HR manager for 22 hospitals in five states. Mr. Troutman outlined seven best practices for hospitals to consider regarding social media and hospital employees.

1. Update your policy to include social media. Roughly one-third of employers have enacted policies that address employees' use of social media sites, says Mr. Troutman. While this number is growing, employers still aren't catching on as quickly as expected, especially since sites such as Facebook or Twitter will never phase out but only evolve. "Hospitals need to address social media — they can't just proceed as though they don't exist," says Mr. Troutman. He said most hospitals already have strong confidentiality policies in place, but these need to be amended to include specific parameters for social media use.

2. Decide how much restriction employees will face while at work. Some hospitals have enacted prohibited social media policies for employees, while others have restricted their use all together. While this decision may vary from hospital-to-hospital depending on the work environment, Mr. Troutman shares some general advice. "Encourage employees to minimize the use of personal websites or personal activity while they are on work time. You have to recognize that, once in a while, employees will need to send a personal e-mail. But generally, the policy should be this: while at work, you do work. "

3. Train supervisors so they don't inadvertently create problems. In the ambiguous realm of friending, private messages and wall posts, supervisors need to anticipate potential problems regardless of their intention. For instance, a supervisor sending a friend request to a lower level employee could set up potential claims of fraternization, harassment, or — in extreme cases — stalking. Mr. Troutman shared an instance where a supervisor signed into a Facebook account under another username to look up an employee's social media activity, which could be considered defrauding the employee or invading his/her privacy.

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Released hospital patients' many unhappy returns

Patients who are released from the hospital too early or without proper planning and instructions often wind up back in the hospital after a few days, a problem that's costly to taxpayers and distressing to patients.

A study released today calculated that reducing hospital stays by a single day for Medicare and Medi-Cal patients in California adds up to $227 million a year.

An estimated 81,000 Medicare patients in California - or 20 percent - end up back in the hospital within 30 days of being discharged for some reason related to the same condition, the study found.

"Right now, when you go to the hospital, it's the do-it-yourself model. It's up to you to figure out what to do," said David Grant, author of the study for the California Discharge Planning Collaborative, a group of labor, senior and other advocacy organizations.

Patients, especially those who are elderly and lack social support, are often readmitted because they don't understand their discharge instructions, fail to take their medications or have complications that they can't handle.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Monday, January 31, 2011

Institute For Safe Medication Practices

Newsletters Professional Development
Consulting Services Self Assessments
Educational Programs Consumers

NEW Standard Concentrations of Neonatal Drug Infusions
FDA and ISMP List of Drug Names with Tall Man Letters
Guidelines for Standard Order Sets
Tool to assess risk in community pharmacy
Quarterly Action Agenda (Free CE)
High-Alert Medication List
Updated Confused Drug Name List
Community Pharmacy Medication Safety Tools and Resources
 
Articles of Interest
List of Products with Drug Name Suffixes
Error-Prone Abbreviation List
Pathways for Medication Safety
ISMP Guidelines
"Do Not Crush" List
Improving Medication Safety with Anticoagulant Therapy
ISMP and Doctor's Digest iPhone app.
More Tools...

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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856-415-9617, (fax) 415-9618

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Thursday, January 13, 2011

CMS 30-minute rule for drug administration needs revision, ISMP.org

In our June 17, 2010 newsletter, we covered a precarious topic best known as the “30-minute rule”—a requirement in the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation Interpretive Guidelines to administer scheduled medications within 30 minutes before or after the scheduled time (see pages 174-175 at: www.cms.gov/manuals/Downloads/som107ap_a_hospitals.pdf). In our July 2010 nursing newsletter, Nurse Advise-ERR, we asked frontline nurses who are most directly affected by the 30-minute rule to weigh in on the issue by completing a short survey. And WOW, did they ever! More than 17,500 nurses responded to our survey, providing more than 8,000 additional comments (see Table 1 on page 2 of the PDF version of the newsletter), making it very clear that the issue is of great significance to nurses.

Respondent profile and compliance rates
Almost half of the responding nurses work on medical/surgical units, and the other half work in critical care, telemetry, or specialty inpatient units. Most nurses feel that the 30-minute rule is unsafe, unrealistic, impractical, and virtually impossible to follow. Approximately three out of four respondents (70%) told us their organization enforces such a policy. Of these nurses, only five of every 100 (5%) were always able to comply with the policy, while more than half (59%) were infrequently or only sometimes compliant (see Graph 1 on page 6 of the PDF version of the newsletter). Why nurses find it difficult to comply with the 30-minute rule was expressed by many (see Table 2 on page 3 of the PDF version of the newsletter), including a nurse who sent a pragmatic yet eloquent account of a Day in the Life of a Nurse (see Sidebar that follows this article). 

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
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http://www.nursingentrepreneurs.com
http://www.nursingexperts.com

Wednesday, January 5, 2011

Hospital care easier, faster with standing orders - CNN.com

My patient one day, a spry 80-year-old, started to cough and feel short of breath during a blood transfusion: classic signs of a transfusion reaction. I stopped her IV, but she needed a steroid to bring her breathing back to normal.

Unable to reach her primary physician, we called in a rapid-response team. An ICU doctor, respiratory therapist, two ICU nurses, a nurse anesthetist, and MDs and RNs from the floor all rushed into the room . . . . to authorize giving my patient this one needed drug.

The patient did not need rescuing, just a dose of solumedrol, and I could have given her that dose, without wasting the time and energy of multiple nurses and doctors, if we had a protocol, or "standing order," in place in my hospital for treating transfusion reactions.

A standing order is a kind of treatment algorithm used in hospitals to expedite care. Protocols are designed by doctors and nurses, implemented by nurses, and are typically used either in specific emergencies or to deliver routine care. A protocol for treating low blood sugar is an example of treating an emergency; putting silver nitrate in a newborn's eyes counts as routine.

Protocols make a lot of sense, according to Nancy Foster, vice president for Quality and Safety Policy for the American Hospital Association. The AHA supports the use of standing orders because, Foster says, "Standardization is an effective way to make sure we do the right thing for the right patient at the right time."

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.legalnursingconsultant.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingcasestudy.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com