7/24/2014 RE: Learning Opportunities - Davis, Aurora

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RE: Learning Opportunities
Agreed. Thanks Aurora for sending this out. As Kyle said, it's always helpful for staff to hear from their
peers from time to time instead of us!
Annsley J Buffington RN, BSN, OCN
Clinical Nurse Educator
Oncology, Bone Marrow Transplant, Gyn-Onc
720-848-4940
Annsley.Buffington@uchealth.org

The Department of Professional Resources improves lives by empowering healthcare professionals to
influence quality care through education, discovery and navigation of change.


From: Hammond, Kyle R
Sent: Friday, March 14, 2014 3:39 PM
To: Davis, Aurora
Cc: Buffington, Annsley J
Subject: RE: Learning Opportunities

Aurora,

I think this looks great. I really appreciate you taking the time to share these teaching moments and I think staff
always appreciates a peer perspective.

Thanks,

Kyle Rose Hammond, RN, BSN, OCN
Clinical Nurse Educator
Bone Marrow Transplant and Oncology Units
Kyle.Hammond@UCHealth.org
720-848-0422

The Department of Professional Resources improves lives by empowering healthcare professionals
to influence quality care through education, discovery and navigation of change.
Buffington, Annsley J
Sat 3/15/2014 3:53 PM
To:Hammond, Kyle R <Kyle.Hammond@uchealth.org>; Davis, Aurora <Aurora.Davis@uchealth.org>;
7/24/2014 RE: Learning Opportunities - Davis, Aurora
https://pod51038.outlook.com/owa/#viewmodel=ReadMessageItem&ItemID=AAMkADJmODRkNzU1LWY2MDAtNGYwYS1hZDViLWQ2ZWI2ZDg0NDEyMwBG 1/3
RE: Learning Opportunities
I knew less than half of these. Thanks for taking the time to share.
aam
From: Davis, Aurora
Sent: Friday, March 28, 2014 11:24 AM
To: UCH-AIP 11th Onc RN
Subject: Learning Opportunities

All,

I've had some concerns with a few items on recent shifts that I think are a great opportunity for some
teachable moments. A few things in particular are potentially information that hasn't been passed along to
all our new hires and/or new graduate nurses. The following are some unit-wide policies that you may not
be aware of...but have unfortunately been the subject of recent PSNs.

1. All active BMT patients should have a disposable stethoscope in their room. One of our own nurses,
Lindsey Spencer, did a study several years ago showing that stethoscopes are a source of infection and
can carry contamination between patients. Individual stethoscopes for all BMT and neutropenic patients
help prevent this. This is an admitting RN responsibility, just like setting up SCDs and teaching pts about
their IS.

2. Alaris pumps need to be in the current month's dataset and the proper care area. The main screen
of your Alaris pump will always display the dataset and care area. It is the RNs responsibility to make sure
everything is updated and correct. You can do this by turning the pump completely off, then saying "yes" to
"new patient?" when you turn the pump back on. (Just remember to clear your volumes, first.) Remember,
your pump may not program correctly with out this being updated.

3. Chart maintenance should be completed on all your patients every shift. This means getting rid of
old, outdated orders, but also getting rid of space-clogging orders like those for supplies or transport.

4. A patient who is receiving tube feeds and lispro should be dosed according to the "receiving
calories" table. Check your administration instructions to be sure, but usually a patient receiving tube
feeds is considered to be receiving calories, even if they're not taking in PO intake.

5. Tubing expires at midnight on the day of the sticker. So, if tubing is stickered for Sunday, it means it
expires Sunday night at 2359. It is night shift's responsibility to change expired tubing. If a patient is not
receiving IVF, new tubing does not need to be hung, but the old tubing must still be thrown away.
Malcom, Amy
Fri 3/28/2014 11:28 AM
To:Davis, Aurora <Aurora.Davis@uchealth.org>;
7/24/2014 RE: Learning Opportunities - Davis, Aurora
https://pod51038.outlook.com/owa/#viewmodel=ReadMessageItem&ItemID=AAMkADJmODRkNzU1LWY2MDAtNGYwYS1hZDViLWQ2ZWI2ZDg0NDEyMwBG 1/3
RE: Learning Opportunities
Glad Kyle approved that email. Also glad you took the time to write it up. I just had a patient who was
more than two weeks overdue for a port flush, and last night I fixed two pumps that were set to critical
care. Grumble grumble angry face.
Peace,
Ian Neff, RN, BSN, OCN
Cl i ni cal Nurse/Rel i ef Charge Nurse
Bl ood & Marrow Transpl ant and Oncol ogy/Medi ci ne/GynOnc
From: Davis, Aurora
Sent: Friday, March 28, 2014 11:24 AM
To: UCH-AIP 11th Onc RN
Subject: Learning Opportunities

All,

I've had some concerns with a few items on recent shifts that I think are a great opportunity for some
teachable moments. A few things in particular are potentially information that hasn't been passed along to
all our new hires and/or new graduate nurses. The following are some unit-wide policies that you may not
be aware of...but have unfortunately been the subject of recent PSNs.

1. All active BMT patients should have a disposable stethoscope in their room. One of our own nurses,
Lindsey Spencer, did a study several years ago showing that stethoscopes are a source of infection and
can carry contamination between patients. Individual stethoscopes for all BMT and neutropenic patients
help prevent this. This is an admitting RN responsibility, just like setting up SCDs and teaching pts about
their IS.

2. Alaris pumps need to be in the current month's dataset and the proper care area. The main screen
of your Alaris pump will always display the dataset and care area. It is the RNs responsibility to make sure
everything is updated and correct. You can do this by turning the pump completely off, then saying "yes" to
"new patient?" when you turn the pump back on. (Just remember to clear your volumes, first.) Remember,
your pump may not program correctly with out this being updated.

3. Chart maintenance should be completed on all your patients every shift. This means getting rid of
old, outdated orders, but also getting rid of space-clogging orders like those for supplies or transport.

4. A patient who is receiving tube feeds and lispro should be dosed according to the "receiving
Neff, Ian S
Fri 3/28/2014 11:58 AM
To:Davis, Aurora <Aurora.Davis@uchealth.org>;
7/24/2014 RE: Learning Opportunities - Davis, Aurora
https://pod51038.outlook.com/owa/#viewmodel=ReadMessageItem&ItemID=AAMkADJmODRkNzU1LWY2MDAtNGYwYS1hZDViLWQ2ZWI2ZDg0NDEyMwBG 1/3
RE: Learning Opportunities
Thanks Aurora for sending this out!! It's fantastic and helps make my educator job a bit easier;)
Annsley J Buffington RN, BSN, OCN
Clinical Nurse Educator
Oncology, Bone Marrow Transplant, Gyn-Onc
720-848-4940
Annsley.Buffington@uchealth.org

The Department of Professional Resources improves lives by empowering healthcare professionals to
influence quality care through education, discovery and navigation of change.


From: Davis, Aurora
Sent: Friday, March 28, 2014 11:24 AM
To: UCH-AIP 11th Onc RN
Subject: Learning Opportunities

All,

I've had some concerns with a few items on recent shifts that I think are a great opportunity for some
teachable moments. A few things in particular are potentially information that hasn't been passed along to
all our new hires and/or new graduate nurses. The following are some unit-wide policies that you may not
be aware of...but have unfortunately been the subject of recent PSNs.

1. All active BMT patients should have a disposable stethoscope in their room. One of our own nurses,
Lindsey Spencer, did a study several years ago showing that stethoscopes are a source of infection and
can carry contamination between patients. Individual stethoscopes for all BMT and neutropenic patients
help prevent this. This is an admitting RN responsibility, just like setting up SCDs and teaching pts about
their IS.

2. Alaris pumps need to be in the current month's dataset and the proper care area. The main screen
of your Alaris pump will always display the dataset and care area. It is the RNs responsibility to make sure
everything is updated and correct. You can do this by turning the pump completely off, then saying "yes" to
"new patient?" when you turn the pump back on. (Just remember to clear your volumes, first.) Remember,
your pump may not program correctly with out this being updated.

3. Chart maintenance should be completed on all your patients every shift. This means getting rid of
old, outdated orders, but also getting rid of space-clogging orders like those for supplies or transport.
Buffington, Annsley J
Sat 3/29/2014 4:04 PM
To:Davis, Aurora <Aurora.Davis@uchealth.org>;
7/24/2014 RE: Learning Opportunities - Davis, Aurora
https://pod51038.outlook.com/owa/#viewmodel=ReadMessageItem&ItemID=AAMkADJmODRkNzU1LWY2MDAtNGYwYS1hZDViLWQ2ZWI2ZDg0NDEyMwBG 1/3
RE: Learning Opportunities
This is greatkeep for your portfolio. It demonstrates your commitment, expertise and leadership on the unit:)


Jamie Nordhagen, RN, BSN, OCN
Associate Nurse Manager
Oncology & Bone Marrow Transplant Unit
University of Colorado Hospital
720.848.4972

"UCH Nursing. Quality. Excellence. Always.


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From: Davis, Aurora
Sent: Friday, March 28, 2014 11:24 AM
To: UCH-AIP 11th Onc RN
Subject: Learning Opportunities
Nordhagen, Jamie
Thu 4/3/2014 3:01 PM
To:Davis, Aurora <Aurora.Davis@uchealth.org>;