PIPD Update July 12, 2024

Kudos

• Shania for working ++ hard with her DKA overnight
• Brenna for managing a sick kid in unit 4 so well!
• Unit 2 nurses for managing many sick admits and transfers July 4 Nx
• Ruth and Bunch for being so speedy with transfers and admits July 5 Nx
• Unit 2 nurses for handling a very busy unit and helping each other out July 5 Nx
• Leif for being a 10/10 resource nurse on very busy nights!
• Residents Caitlin and Devynn for managing a very busy unit so well!
• To all staff that helped July 6 and 7 Dx when UA/USW were very short

Job postings - the next batch of postings should be coming any day now via the new system in MyConnection. Since there is a backlog in postings we doing know exactly when they will show up and from what we've seen the new system is very different. If you are looking for a position please start to get familiar with the site now and start looking for our postings as we're not sure if we will get a notice of when they go up.  

Infection Prevention - we need to remind everyone about some recent misses and even though we're outside the viral season, diligence with IPAC practices is critical. This week 3 units in RUH are on COVID outbreak. 

• missed MRSA admission testing despite patient meeting criteria. This means screening wasn't done as it should be with every admission for every patient
• missed droplet/contact precautions for 2 days despite patient being symptomatic. 
• 2 hospital acquired cases (parainfluenza and rhinovirus) in unit 3 from the beginning of July. 

Hand washing, admission screening, PPE use, and enforcing precautions are required day-to-day activities for everyone. 

New Resource Material for Pediatrics: Check out this great online Educational resource for Pediatric Diagnosis and care.  This works best on a desktop computer.  See posters around the unit for the QR code.

SCM  - Lab work:  Did you know there is a drop down for Pediatric Common Diagnostic Specimens Order set?  Check it out next time you have an entire page of orders.

NEW PCA MORPHINE/DILUADID – Just a reminder that the Morphine and Dilaudid Bags for the CADD PCA’s are supplied by pharmacy, and in Pyxis.  We originally had sent a memo stating that the bag needs to be changed Q24H.  After more discussion with the committee and pharmacy team, we can continue with our previous process of PCA and Epidurals bags and change when empty.    Please Empty bags in the Cactus system, and document in Pyxis.  Information about the Morphine and Hydromorphone Bags for PCA use can be found in the PCA binders.

Cactus Narcotic Disposal System:  Please remember to only dispose medication liquid, pills, or patches.  A cactus was found to have medication packages as well as a glass vials in it.   Please use appropriately.  Questions, ask Tanzly or Cherie

CVAD – Please continue working on your Pediatric Central Venous Access Device e-learning on My Connection.  The new Central Line policy goes live July 23.  

N95 Fit testers - we are looking for people who want to be fit testers for the unit. This is a great opportunity for some worked hours for part-time staff. Please talk to Jon or Fiona about this.  Here are upcoming training dates: