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Sedation Flowsheet for Cardioversions & Bronchs! 

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Sedation Flowsheet for Cardioversions & Bronchs! 

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Inpatient Sedation Narrator Tipsheet 11.2.20 (1)

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We have updated our Progressive Care Guidelines, previously called ICB Guidelines. Please review and become familiar with this document.

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Coming soon....we will have straight cath kits that are a closed system so you will be able to straight cath without worrying about getting urine everywhere! These kits look almost identical to our foley kits and will be available in multiple sizes as well as with coude options!

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July 22, we will begin utilizing the in room lab label printers. This will require scanning the patient wrist band and QR code on the printer prior to printing labels. See the attached tipsheet for step by step instructions

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New and improved tipsheet for CNA required documentation for patients on 1:1s and/or restraints!

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IV Catheter Conversion to ICU Medical Product - TUESDAY, JUNE 17

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IV Catheter Conversion to ICU Medical Product - TUESDAY, JUNE 17

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On June 17, we will transition our current IV catheters to the ICU medical equivalent. There are roadshows being performed by the vendor for the next 2 weeks. Matt & Noah are SuperUsers if you have any questions or need any help!

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🌟Vicki🌟

Here's why Vicki was nominated this month:

"She works hard, doesn’t complain, gives great care"

"For always offering to lend an extra hand!!"

"She's always a pleasure to work with!"

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Shout out to Alyssa for creating this wonderful A-line tipsheet!

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Curos Cap to ICU Medical SwabSleeve/SwabCap

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Curos Cap to ICU Medical SwabSleeve/SwabCap

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We have transitioned from Curos caps to the ICU medical equivalent. See the attached tipsheet for more information.

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This tipsheet reviews some common questions about central lines as well as the appropriate documentation required for central line blood draws

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Beginning 4/2 we will be receiving Cefepime 1 & 2g vials with the Rio Drug Reconstitution Device. Please refer to this quick reference guide or ask Erika if you have questions with how to utilize this device. You will only be responsible for the activation/reconstitution steps.

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We are converting the Gaymar warming/cooling system to the Altrix. See the attached quick reference guide.

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Dr. Cevasco is going to begin utilizing the Prevena wound vac on MSIs, this small, portable device is fully disposable after 7 days. See this quick reference guide for troubleshooting and more information

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Hot off the press, a one-page tipsheet about IUC removal pathway is a good reference post foley pull. There are some fun facts at the bottom!

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Voiding Trial Pathway Tipsheet_1.7.25 FINAL

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Did you know, for some transplant patients we can draw blood work in place of a biopsy? Review the attach PPT as quick reference for the HeartCare labs

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9.13 How to Use the Neuralert Monitoring System

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Some of us are familiar with the WAVE bed which we used prior to the Agiliti bed. We are switching vendors for these air fluidized specialty beds. You need to enter a patient's height & weight for the mattress to be effective.

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If you're administering any IV medication through a glass vial, you often have to vent the IV tubing. Review this attached tipsheet for details how to do so or as a senior staff member!

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Utilize this tipsheet for the required preparation and documentation for stable bedside CVC placements

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Looking for a tipsheet on TR bands? Check out the policy instead!

"Radial Compression Device Following

Transradial Percutaneous Catheterizations or

Interventions"

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Medline Hudson RCI AquaPak Setup Instructions

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Please always review the PennMedicine Formulary as the source of truth but here is a source of additional information.

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The VAD team created a VAD implant d/c checklist of all education and equipment needs that patients must meet prior to discharge. These should be attached to all VAD carts (this is the first page). The second page is a discharge checklist created by Coco to keep track of education milestones. This is in addition to documenting in PennChart

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A helpful tipsheet for a wide variety of beds you may see as well as an escalation chart!

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Review this tipsheet for more information about Mepilex products and Z-flex Boots!

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Don't forget to alarm all patients for the first 24 hours on the unit or until they gain your trust!

** anyone who has EVER been on a 1:1 has earned an alarm for the entire length of stay **

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If your patient is on a PCA please utilize this tipsheet for RASS and I&O documentation

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On 1/31 we will be transitioned to new a-line tubing. Please refer to the quick reference guide as needed and try to attend an in-service as they occur on the floor.

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Pain Goal & Functional Pain Assessment Documentation Update

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Pain Goal & Functional Pain Assessment Documentation Update

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Neurosurgery Cheat Sheet for Overflow patients - WITH NOTES

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Is there a CSF leak?? -- this will not always be identified in the OR but it will change drain management.

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Required Documentation After a Patient Fall

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Required Documentation After a Patient Fall

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Click this link to review a tipsheet for the required documentation after a patient fall.

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Jack & Kelly starting 11/9

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UPDATED Dec 2023 9 CAMPUS SCHEDULING RN GUIDELINES

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Utilize this tipsheet if you are unsure where you should dispose medication. Different bins are disposed of different ways so you need to use the proper bin to ensure the pharmacuetical waste is handled properly.

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Feel free to utilize this report sheet that Drew uses!

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You can now use InterDry on patients you see fit! This is a special order item so please let Erika know if you need some!

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How to find out what we are doing for your patient's wound: 

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How to find out what we are doing for your patient's wound: 

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-Check for our weekly skin email: We are usually here and updating plans every Tuesday.

-Check in your patient's notes. We put care recs in skin notes, under "wound note" category or a "consult note". (Will be by Myself, Dylan, Nat, or Keara)

-Check for wound care order sets in their chart: Under the nursing category of orders, there should be wound care order sets placed with details of topical product, cleansing technique, and frequency of dressing changes.

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All patients need a 2 RN Skin Check documented in epic within 24 hours of arrival! We are also required to document the focused pressure point assessment for all three designated areas (sacrum, B/L heels). Easiest way is to simply remember to complete a 2 nurse head to toe check and both document while in the room 😎

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This is helpful if trying to decide what else you can do/use to prevent wounds on our high risk patients!
It breaks down methods by each individual category of the Braden assessment.

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This link takes you to the EBP group sharepoint. There's a million different powerpoints and resources from previous wound care speakers for the hospital skin champions.
Topics found: topical products, staging wounds, documentation and photo taking, prevention, and more!
It is a bit dated, but the hospital co-chairs are in the process of revamping it so it will be more user friendly and updated soon, but still a lot of useful things on it now!

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This resource was created by the VAD team and should be attached to all VAD carts.

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Starting 6/20 there will be a new "Cardiac Surgery Care Plan" which was built specifically for the post-op cardiac surgery patient. This should be automatically added to all patients with providers use the post-operative order sets. The hope is to limit the need to add/document under the "physiological care plan"

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Cardiac Surgery Care plan and Education June 2023 - extended version

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Starting 6/19, cardiac surgery will follow this Narcan Dispensing Pathway for patients with OUD

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Pull up this video to practice CodeWriter documentation. Be sure to select MOCK CODE at the end!!! DO NOT FILE AS A REAL CODE!!

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In the event your patient needs to be transferred to the ICU please utilize this email template to send an email to the clinical emergencies team. Ensure that you encrypt the email, there are steps on how to encrypt in this document.

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Bounceback Email Template & Steps to Encrypt

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Ostomy Supplies in HUP Materials Management - revised Sept 2022 - Ceraplus w-o tape

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Please use this as a tool weekly to discuss progress with the orientee.

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Cardiac Surgery Video Education QR code 

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Cardiac Surgery video education QR code (1)

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Give yourself credit for reviewing the cardiac surgery videos with your patient. Write a note and type ".hvsl" and click the appropriate video description (post-op vs. pre-op) and a note will automatically populate!

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Utilize this template to facilitate teaching the nursing portion of PT group

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Discharge Instructions for Patients & Families

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Discharge Instructions for Patients & Families

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Chest Tube Post Pull Tip Sheet UPDATED 9.2024

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Feel free to utilize MMP & Emily's insulin infusion tracking tool from their residency project!

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Blood Glucose & Insulin Administration Tip Sheet

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Blood Glucose & Insulin Administration Tip Sheet

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Review this tipsheet as a refresher on blood glucose monitoring and insulin administration