2017 Annual Nursing Report

EXEMPLARY PROFESSIONAL PRACTICE

New Equipment and Software Upgrades LGHM is committed to providing nurses with the necessary tools and equipment to do their job, and ensure safe, quality care for our patients. Many upgrades were implemented in 2017 to help make our nurses’ day-to-day activities a little easier. EBCD Evidence-Based Clinical Documentation (EBCD) went live in November, 2017. EBCD is a new way of thinking about clinical documentation and creates a patient-centric record in MEDITECH. This record guides and informs the provision of safe, effective and efficient care by the interdisciplinary team and produces data to evaluate the care of individuals and patient populations. LGHM implemented EBCD to increase nursing time at the bedside, improve communication of patient information through streamlined and shared documentation, improve patient safety and satisfaction, and to provide more meaningful and concise clinical documentation. New Vital Sign Machines In April, our facility began using 22 new Welch Allyn Connex Spot Monitors for vital signs measurement and Modified Early Warning System (MEWS) scoring. The monitors allow for automatic vitals and MEWS scoring to be sent to the Electronic Medical Record (EMR) from the point of care. While this technology is not new to LGHM nurses, all were excited about the upgrade and the machines’ speed. Pyxis ES As part of an HCA Capital Division rollout, the LGHM Pyxis ES software conversion in June, 2017, brought to the nurse simple, efficient, and safe workflows that are patient-focused. A few highlights this software brings to the care arena include: • Workflow efficiencies with single sign-on • Ability to find patients anywhere in the facility • Fewer steps to remove a medicine • Ability to quickly locate meds throughout the facility

• Discrepancy screens provide more details for easier resolution • Availability of more medications in MedStation ES with less time wasted hunting for meds and pertinent information • Medication safety enhancements, such as duplicate patient name alerts, expanded dispensing information, interactive notification of undocumented waste, and override med checked against profile IV Pumps

In November, 2017, LGHM received 184 Baxter Sigma Spectrum Devices. These pumps are smaller and lighter and are designed to be safer for our patients with an average of 97 percent usage of the drug library. A human factors simulated-use study with sigma spectrum pumps revealed a 99.1 percent overall success rate across all user groups. The IV pump conversion was led by nurses in the facility and resulted in 80 percent or greater of staff on each unit trained prior to go-live.

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