Learn about new clinical decision support tools.

What’s happening? 

The Student Practice team would like to inform all students and faculty instructors about a number of new Clinical Decision Support Tools (CDSTs) that may impact their practice: 

 

Tunneled pleural catheter for pleural effusions – pre-printed order - effective October 17,2018

  • Tunneled pleural catheter for pleural effusions – pre-printed order

  • Highlights

    This tunneled pleural catheter pre-printed order (PPO) is for physicians to provide safe pleural drainage orders, including for palliative patients. It highlights the safety parameters and monitoring of pleural drainage via tunneled pleural catheter (i.e. ASEPT) including drainage frequency, amount, characteristics, and safety alert to stop drainage.

  • Practice changes

    Please discard any other PPOs for pleural effusion drainage using a tunneled catheter.

  • Impacted programs, professions, networks
    • Palliative Care Program
    • Surgery
    • Thoracic
    • Nursing
    • Physicians including General Practitioners
    • Intervention Radiology
    • Home Health
    • Lung Health Clinic
  • Education and implementation

    All pleural catheter drainage orders will be prescribed using this PPO document, which will be available on ‘Web FormImprint’ as well as through print shop. 

Falls: Home health and community care – reduction of falls and related injuries – clinical practice guideline - effective October 16, 2018

  • Falls: Home health and community care – reduction of falls and related injuries – clinical practice guideline

  • Highlights

    This guideline supports best practice for falls and injury reduction in home and community care by:

    • Identifying key practice resources in Fraser Health.
    • Identifying key community and provincial information sites for clients, families, and clinicians.
    •  Linking Falls and Injury Reduction and Safe Client Handling best practice recommendations,
    • Providing information to support risk identification and evidence-based interventions.
    • Describing interprofessional and profession specific roles in falls and injury prevention within the team members in home and community care.
    • Outlining communication processes to share identified risk and recommended interventions with service delivery partners in community.
     
  • Practice changes

    No practice changes.

  • Impacted program, professions, networks

    Home health clinical network

  • Education and implementation
    1. Locate and review the Home Health Falls and Injury Reduction page on FH Pulse.
    2. Locate and review the Safe Client Handling in Home Health site on FH Pulse.
    3. All Fraser Health health care providers will have Fall and Injury Reduction education content included in their initial orientation. Content will vary according to role and scope of practice.
    4. Annual review: All staff will complete the Fraser Health Falls and Injury Reduction online module on LearningHub.
    5. Guidance, support, and expertise are available through the Fraser Health Patient Safety and Injury Prevention Team who partner with Home Health and other programs to provide services.
    6. As part of the implementation of this clinical practice guideline, employees in the Home Health program are required to complete the Practice Accountability Quiz.
     

Falls: Emergency – reduction of falls and fall-related injuries – clinical practice guideline - effective October 17, 2018

  • Falls: Emergency – reduction of falls and fall-related injuries – clinical practice guideline

  • Highlights

    All adult and pediatric patients accessing services in an Emergency Department (ED) in Fraser Health are at risk of falls and possibly sustaining an injury. Additional risk factors due to the unique challenges within EDs may increase a patient’s likelihood of a fall with our without an injury. Identification of fall risk factors will guide care through use of universal fall precautions and applicable additional interventions.

    How to assess for risk of falls in the ED:

    1. ED nurses to assess all patients for risk of falls during their initial assessment
    2. Document that “Falls RISK Assessment” has been completed by checking the first box on the Emergency Nursing Assessment Record (ENAR) or ED focused Assessment. This is an accreditation standard.
    3. Check all identified risk factors and that Universal Precautions are in place.
    4. If additional precautions are added, document in nurse’s note.
     
  • Practice changes

    No practice changes.

  • Impacted programs, professions, networks
    • Nursing
    • Physicians
    • Nurse Practitioners
    • Allied Health
    • Support teams working in Emergency
     
  • Education and implementation
    1. Education for Registered Nurses, Licensed Practical Nurses (LPNs), and care aides will be provided by the site Clinical Nurse Educator (CNE).
    2. As part of the implementation of this clinical practice guideline, employees in the ED are required to complete the Fraser Health Falls and Injury Reduction – Introduction (Online) module.
     

Why is this important? 

Fraser Health considers the patient experience in all parts of the health system. This includes the development and revision of policies, Clinical Decision Support Tools, forms, and Pre-Printed Orders. Our goal is to provide quality care that is sensitive and responsive to patient needs, preferences, and beliefs.

How will this impact students and faculty instructors? 

Students and faculty instructors are expected to apply any necessary changes in their practice to ensure that patients, clients, and residents continue to receive safe and quality care. Students and faculty instructors can only access these CDSTs via FH Pulse when they are on a Fraser Health computer on a Fraser Health site.

Questions?

Please contact the Student Practice Team.


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