8/11/2014 Learning Opportunities - Davis, Aurora

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Learning Opportunities
Aurora,
I really appreciate the time you take to assemble these emails. Your attention to detail is wonderful and I
think is of significant benefit to our staff. The complexities and demands of inpatient healthcare are
daunting, and your explanations and clarification of so many important topics is very helpful. Some of it is
review for me, but still crucial and appreciated, yet there are a lot of gems included that I had not been
aware of. And with many new staff who are trying to absorb all the policies and changes in policy, these
emails are refreshing and I am sure very helpful for them as well. Your topics are concise and to the
point. In fact I keep all of these emails (in my file "Staff Education") for future reference! I hope you
consider a permanent charge nurse position at some point.
Many thanks, we are fortunate to have you,
Dana
Dana Ayer, RN, MSN, OCN
Relief Charge Nurse
Supply & Equipment Liaison 11th Floor
I 131 Radiation Room Liaison 11th Floor
Medical & Surgical Oncology, Hematology, Bone Marrow Transplantation
Dana.Ayer@uchealth.org
720 848-4275
Ayer, Dana
Thu 7/31/2014 7:04 PM
To:Davis, Aurora <Aurora.Davis@uchealth.org>;
8/11/2014 RE: Learning Opportunities #6 - Davis, Aurora
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RE: Learning Opportunities #6
Thanks Aurora, always something to learn:)
From: Davis, Aurora
Sent: Saturday, July 26, 2014 10:05 AM
To: UCH-AIP 11th Onc RN
Subject: Learning Opportunities #6

Hi, everyone! Ready for some more learning opportunities? Then let's get it started in here! Woo-hoo!
1) Look under the FYI link in your patient's EPIC chart to see whether a patient needs premeds before
blood products. Only BMT patients with a history of two or more reactions to blood products need to
receive Benadryl and Tylenol as a premed to prevent transfusion reactions. This history should be noted as
a flag in the patient's FYI link. If you know your patient has reacted in the past and it is NOT already noted
under the FYI link, you can create a flag to make others aware. The FYI link can be found as a hyperlink in
the patient's name banner above "Code Status".

Also, transfusion premed orders should NOT be administered for reasons other than transfusion except
with the okay of an NP or MD. So no giving that Tylenol for headaches or fever unless your provider gives
the go ahead.

2) Check a one hour post platelet by printing a sticker using the release button. After replacing
platelets on a BMT patient, protocol dictates that you check a platelet level one hour after the infusion is
complete. As part of that protocol, there's an existing PRN order for a platelet count. Find the order by
going to "Order Review-->Active Non-Meds-->Platelet Count (frequency: PRN)," select it, then click the
"Release" button located at the top of your orders. It will create an order for a platelet count and give you
a hyperlink to print a label on your Patient Summary. No need to enter a new order! (FYI, this method also
works for those Q6H PRN PTTs for heparin drips.)

3) Pain Education sheets are now available in Spanish. I know you all adore those orange Pain Patient
Education tools, and you can now get them in Spanish for your patients. The lovely Cathy has ordered
them, and they're available at the PSC desk per your request.

4) You can order a type and screen sticker at the same time you order blood to be cross
matched. When you order PRBCs and the patient does NOT have an active type and screen, if you click
the box next to that option it will allow you to order your T&S at the same time. Then you can draw the
T&S and send it off to the blood bank. Once they receive it, they will immediately begin processing the
type and then go straight to adding on the cross match. No need to late add it after the type comes back.
Franklin, Matthew
Wed 7/30/2014 7:42 PM
To:Davis, Aurora <Aurora.Davis@uchealth.org>;