PIPD Update March 6, 2026

 🌟 Peds Unit Weekly Update 🌟

First – A Big Thank You!
A huge thank you to everyone for the hard work you continue to put in every day. Your teamwork, willingness to support each other, and the way you mentor and orient new staff truly makes a difference on our unit. We see the extra effort you are putting in while things are busy, and it is greatly appreciated. Thank you for continuing to show up for each other and for our patients!

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🚨 Quick Hits – Need to Know

Named Replacements
Please ensure you are following the guideline of having a named replacement who is the same level or higher than your position. Exceptions can only be approved in rare circumstances. This helps ensure the unit remains appropriately staffed and supported.

Extended Absence Leaves
If you have a planned surgery or anticipate being away for longer than one week, please contact management directly. Staff Scheduling is intended for short-term absences only, so longer leaves need to be discussed with management so we can ensure appropriate coverage and planning.

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🦠 Infection Prevention Update – Lice
IPC policy does not allow us to post “hairnet” signs. We now have generic precaution signs that ask individuals to speak with the nurse before entering the room. These signs may also be used for other situations where staff need information prior to entering a room (for example lice or additional precautions not listed on standard posters).

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🛁 Tub Room Update
Good news — Epsom salts are now available in the tub room. They have been divided into smaller batches in orange-topped containers for easier use.

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📋 Clinical Care Reminders

Admission Documentation
Please remember to complete height and weight on admission whenever possible. This is important for accurate assessments and care planning.

Intake & Output
Please ensure ins and outs are updated regularly. Even simple entries such as “lunch tray” or “snacks” are helpful. We have recently experienced discharge delays due to incomplete I&O documentation, so your attention to this makes a big difference in patient flow.

Oxygen Weaning & Monitors
Just a reminder that oxygen can be weaned overnight when appropriate. If a monitor has not been ordered, please do not place your patient on one unless it has been ordered or is clinically indicated.

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👩‍⚕️ Student Preceptors Needed
We are once again looking for student preceptors for the spring/summer session. A huge thank you to those who have previously taken on this role — our unit helps build amazing future nurses because of your guidance and support. If you are interested in precepting again (or trying it for the first time!), please let us know.

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⭐ Shout-Out Opportunity
If you see a coworker doing something great — helping a new staff member, supporting the team during a busy shift, or going above and beyond — send it our way! We’d love to recognize more of the great work happening on the unit.

·         Thank you to Carly for the bingo idea and treats, Jenna for organizing sweaters, Kyle & Sara for the survivor fun!

Thanks again everyone for everything you do to keep our unit running and our patients well cared for! 💙

Sharon & Kelly. 

CNE Update

CORRECTION to Feb 28th blog: C1 Medications continue to be a Level 2 & above RN skill. 

(correction has already been made to the Feb 28th blog and is information is now accurate)

Follow the recommended PPE to ensure all staff on Peds can safely administer C3 & C2 medications (except Blina & IV tacrolimus).  

IV Trays

IV netting will now be cut to size by nurses as needed. A box of size 2 and size 4 IV netting will be beside the tray in the med room.

IV Trays have been re-organized in all the med rooms. 

IV boards - our aides have made a bunch of new boards that are in Walmart and Mini-Walmart. The disposable infant IV boards are on the IV cart in Clean Supply.

Reminder: IV boards wrapped in white gauze are not disposable. Place in dirty service room when done with it.

NG Sumps

NG Sumps must be flushed q4h to the "air port" and the "gastric contents port". This is a nursing standard. You must document the water flushes on the Fluid Balance. Air flushes and water flushes must be documented in nursing charting (long hand). 

Check out the S-drive q-card 🠊 NG Salem Sump

NG or NJ Bridle

We only have size 5/6Fr and 8/10Fr bridles. If the patient requires a larger NG/NJ/Sump than a 10Fr, we do not have a Bridle to secure it. Using a too small Bridle can compress the tube so the tube will not function as intended. 

Pump Library Updates: because your reports do make a difference!

NEW drug lines on the IV pumps:

1. acetaminophen

2. ceftobiprole (antibiotic)

3. dalbavancin (antibiotic)

4. doxycycline (antibiotic)

5. golimumab (monoclonal antibody, for ulcerative colitis)

6. Humate-P (anti-hemophilic factor/von Willebrand factor complex)

7. IDArubicin (antineoplastic)

8. isavuconazole (antifungal)

9. levOCARNitine (ammino acid, essential for fatty acid metabolism)

10. Lyovac (for black widow spider envenomation)

11. ravulizumab (monoclonal antibody)

12. rifAMPin (antibiotic)

13. Wilate (anti-hemophilic factor/von Willebrand factor complex)

Changed/modified drug lines on IV pumps:

1. fluconazole - changed limits to differentiate koading doses from maintenance doses

2. levETIRAcetam - changed limits on "LOAD" to facilitate 5 minute infusions for status epilepticus

3. metroNIDAZOLE - changed limits to improve safety

5. No Drug Selected - added Clinical Advisory note to alert user to submit a safety report and submit a change request form. When you submit the safety report, send Tanzly/Cherie an email with the drug name, dose, patient name, room number and why you had to run as No Drug Selected. We will submit the change request form.