The Student Practice team would like to inform all students and faculty instructors about the revisions to several Pre-Printed Orders (PPOs) and forms, which may impact their practice areas.

What's happening?

The Student Practice team would like to inform all students and faculty instructors about the revisions to several Pre-Printed Orders (PPOs) and forms, which may impact their practice areas. These revisions are as follows:

Document 

Revisions 

Impacted Programs/ Professions/Networks

Effect Date

Enteral Nutrition – Adult in Acute Care – Pre-Printed Order

  • Enteral formula names

Physicians, Pharmacists, Dieticians, Nursing

 January 31, 2018

7 Day Resident Observation – Form

  • Section G (Activities of Daily Living) was removed
  • A few individual items were added or deleted
  • Some items were reworded or reformatted for increased clarity

Residential Care

March 1, 2018

Least Restraint: Residential – Clinical Practice Guideline

  • Body of the clinical practice guideline is simplified
  • PIECE framework is added
  • Written agreement/consent is updated
  • A decision tree, daily and long term monitoring tools, and form for removal of restraint are added.

Residential Care

March 27, 2018

Constipation Management – Pre-Printed Order

Monthly Bowel Movement Record – Form

  • Simplified descriptions of the lactulose and polyethylene glycol pathways to enable prescribers to more easily visualize the interventions involved in each step of the pathway.
  • A statement of contraindication to receiving fruit laxative or prunes in any resident who is on potassium-restricted diet.
  • The requirement for the nurse to record the usual bowel movement pattern and the bowel movement days on the medication administration record.
  • A new method for recoding the resident’s bowel movement pattern by way of a calendar format.

Residential Care and Assisted Living

North Sites: 
March 28, 2018

South and East Sites: April 11, 2018

Hip Fracture: PRE-Operative – Pre-Printed Order

  • Fresh Start booklet, tick box option to provide pre-operatively
  • 25-hydroxyl D vitamin levels added to routine blood work
  • Criteria for insertion of foley catheter (tick box option for foley is unchanged)

Surgical Network, Nursing, Orthopedics, Physiotherapy

April 5, 2018

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 these impact students and faculty instructors?

Students and faculty instructors who are completing student placements in Fraser Health 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 access these PPOs and forms via FH Pulse when they are on Fraser Health sites.

Questions?

Please contact the Student Practice Team at student.placement@fraserhealth.ca.


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