Name of Group/Meeting: Nursing Informatics Advisory Committee (formerly HED Advisory Committee)

Date / Time / Location: January 17, 2013, 2-3pm, 5053/5-54, MCE, North Tower

Next Meeting: February 7, 2013, 2-3pm, 5053/5-54, MCE, North Tower

Chair: Sara Turcotte & Vickie Thompson

Recorder: Elma Bunch

Attending : Deborah Ariosto, Kristen Berutti, Arlene Boudreaux, Elma Bunch, Kathleen Burns, Jennifer Campbell, Lydia Colley, Jenny Cotton, Karen Hughart, John Hughes, Sylinda Littlejohn, Eva Montgomery-Lewis, Jessica Newman, Bill Raines, Carrie Reale, Nancy Rudge, Vickie Thompson, Sara Turcotte, Cheri Wood

Meeting Objectives:

1. Information sharing on new features & training and implementation plans if applicable

2. Decision making on new enhancements

3. Begin to identify significant enhancements needed (for future prioritization).

AGENDA

MINUTES

Who/Time

Topic

Summary / Decision

Next Steps

Karen

5 minutes

Daily weight indicator- discussion needed with staff to learn if an indicator for daily weight would be a useful tool on multiple units. This has been requested by 8 north to meet a need. Do others need a reminder for patient weights. It quickly becomes complex because of individual patient requirements and variable unit standards. It requires work by technical teams and prioritization dependent on the number of users for whom it would be applicable.

Revisit in order to get feedback from units

No indicator needed

Will continue to use OPC

Deborah

5 minutes

Medication Administration Associated Results (MAAR): Warfarin & Pain Assessments

Revisit in order to get feedback from units regarding pain assessment to keep or remove

Will attach pain assessment to Admin Rx opiods/pain meds

Will start 1/29/13

Sara/All

10 minutes

Sheree Lee met with her group and came up with a suggestion for the turn/reposition documentation

Our decision was Side to side movement >1 x/hr Side to side would mean the patient was on a different body part. This is to describe children who are restless and in motion and adults that are turning back in forth in bed when restless

Revisit in order to give feedback from Sheree Lee adding unassisted to above phrase

Everyone is in agreement with add the word unassisted to the description.

From Sheree Lee

Will start 1/29/13

Sara/Kristen

2 minutes

ED will be adding an option under pain drop down that will be visible for all. Adding see ED orders in StarPanel will allow inpatient nurses to more clearly locate medication documentation for patients who received treatment in the ED.

Informational

Will start 1/29/13

Rachel Kromer

8 south

R0030653

5 minutes

Could we have a line in HED Line management under PICC and CVC that says, "Daily Assessment of Need" like we have for foley catheters?

Intentionally not added since the work would land on nursing and it is a provider function to reassess. Foleys are part of a nurse driven protocol and it is appropriate to have the daily assessment of need. Will have to check with Barbara Martin.

Karen/Deborah

10 minutes

Discussion of shift planner tool

1 page display

Will pilot on a unit from VCH, VPH, VUH

John David Hughes

PCICU

R0030184

5 minutes

request for inject cap chngd on OPC from John David Hughes (asst. manager PCICU)

Add the date of the last time "Inject Cap Chngd" was checked for CVCs and PICCs in Lumen Interventions in Peds Asmnt/Intervention tab in HED to "Active Lines" information on OPC. ( Please see screenshot attached )

No change needed to OPC

Click on show all results value in HED and it will display the date the last time inject Cap changed.

Nancy

5 minutes

Discussion about art line documentation - moving to line management build

Exploring options it is not ready to show

Important to know that all items using the line management method of documenting (hour glass with start and stop fields) MUST be ended. These dates are reported as line days and are skewed with IVs (and other documentation) is not correctly ended in documentation.

Other dashboards shared from starpanel actions menu including vascular access, wound management, and priority problems.

Sara/All

2 minutes

Updates and announcements

none

Sara/All

5 minutes

Opportunity for questions from audience participants

none

Page 1 of 4