Posted on14 May 2013.
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feedback on Blood Bank orders under Patient Care orders (booked orders):
1. patient care areas do not order the following tests:
-Blood type on donor blood
-Type and crossmatch, AHG
-Type and crossmatch, immediate spin
2. The following tests are ordered by patient care and are not on your list:
-hemolytic disease of the newborn evaluation
-neonatal type and screen
-neonatal packed cell order
-neonatal Fresh frozen plasma order
-neonatal platelets order
-neonatal cryoprecipitate order
-cold agglutinin titer
-Transfusion reaction investigation
-packed cells order
-leukoreduced packed cells order
-leukoreduced irradiated packed cells order
-fresh frozen plasma order
-leukoreduced single donor platelets order
-leukoreduced irradiated single donor platelets order
-fetal screen or post partum Rh immune globulin evaluation
-antenatal(28 weeks) Rh Immune globulin evaluation
-Rh immnune globulin evaluation(after trauma, bleeding, etc)
3. The following tests have updated names:
-IAT, indirect coombs – now called antibody screen or indirect antiglobulin test
-Coombs, direct – now called direct antiglobulin test
-Rho antibody titer – should just be antibody titer because patient care doesn’t always know what the antibody is that must be titered.
-All the orders that start with “transfusion” may be used by nursing to enter charges for transfusion. The blood product order that comes to the lab is for the actual product not the transfusion, so each product must be built as well for example:
-packed cells order
-fresh frozen plasma order
-single donor platelets order
Thank you for your interest in the Nutrition content for CHI’s Clinical Standardization project.
Nutrition content was developed by a group of Dietitians during Phase 1 of the project back in November 2010. The content has already been through the review and comment period and is now closed for comments. You are able to review the content on this website. If you click on Clinical Standardization at the top of this page, then Phase 1, Ancillary Content, and scroll down you will see the Nutrition content posted.
Again, I appreciate your interest. Please let me know if you have any questions.
Would like to participate when clinical nutrition section addressed.
Good afternoon. My facility will be applying to become a Bariatric Center of Excellence by 12/31/11. The accrediting bodies (ASMBS/SRC) are very specific on documentation regarding standardized patient care. This includes clinical paths/care plans specific to bariatric patients. This documentation will be done by the nurses in the hospital. Is there anyone addressing this issue?
Jill, thanks for your question. Speciific bariatric patient documentation has not been addressed, yet. We did put it on our list of content gaps identified that need to be considered but are focusing on the foundational organizational model content first. When we establish this content team, will let you know.
The opening pagelists:
Phase II design teams will develop content from January 17–February 18, 2011 for:
Clinical Care Plans
Emergency Department Nursing and Clinical Documentation
Emergency Department Physician Documentation and Computerized Physician Order Entry (CPOE)
Perinatal Clinical Documentation
Pharmacy, to include Medication Administration, BCMA and Medication Reconciliation
I haven’t been able to find anything on Medication Reconciliation under the Pharmacy content briefs. Have I missed that section? If so, could you direct me to the location?
Thank your for your comment regarding medication reconiliation. Unfortunately the pharmacy team did not get to review medication reconciliation content during our face-to-face meetings. We have a call scheduled for March 3rd to address Medication Reconciliation. You should see content posted the week of March 7th.
Are there plans to include standadized documentation of all the direct care safe practices from the NQF within our new Cerner or Meditech programs?
Great to get your question, as I am sure there are many that will wonder the same thing. We are designing our content to include data fields in our builds of both Meditech 6.0 and Cerner to allow for reporting on all Core Measures, Joint Commission National Patient Safety Initiatives and any other regulatory agencie requirements that can be addressed with reportable data based on documentation. As we all know this is a huge benefit of real time documentation into a system and the ability to do concurrent audits and reports to allow proactive work rather than retrospective analysis. I hope this answered your question. If you need more information please feel free to contact me or Ann Shepard via email.
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