Central Line Updated Education

Central Line Updated Education

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How to Document Discontinuation of Central Line

▪ Select field titled Activity Discontinued *Note: Length information continues to have the carry forward logic for guidance.

Note: Be sure to address the Last Dressing Change and the Last Needless Connector Fields, as these too have carry forward logic.

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▪ Scroll down to the Removal section ▪ Click Removal Reason ▪ Check No Longer Indicated

▪

Select Direct Pressure Method

▪ When selecting Manual- Duration minutes will open

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Central Vein Access

Patient Education

▪ Access using the tool bar- access Patient Education or Patient Education component of the mPage

▪

Select BH Custom folder

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Search using key word Vascular Select all appropriate material

▪

▪

Sign and print

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Insert Central Line and PICC Orders

There are new required fields

▪

Locate and identify new fields

▪ Notice that the Consult PICC at NOCO facilities have updated

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NICU has a new NICU PICC Placement Subphase.

New order for NICU PICC RNs now titled “Insert NICU PICC .

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Neo NICU PICC Placement Subphase

Use new subphase with new order & task for Documentation

▪ Locate Neo NICU PICC Placement in view window

▪

Select Insert NICU PICC order

▪ Address Primary Indication field (Required)

▪ After signing all appropriate orders, the Task is now visible in Care Compass ▪ Highlight task ▪ Select document

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This action opens to iView’s Activity View/Docset. (See above)

To capture the correct date and time of insertion:

▪ Select the icon to Change Task Documentation Time

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▪

Validate correct date and time

▪

Select OK

Time column should reflect the correct time of insertion.

▪ Begin creating the dynamic group for Central Line located in the grey field

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Required fields remain for Label

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▪ Click blue text to explore reference text ▪ Selecting green check mark located in upper left corner

The Central IV Activity will remain a required field. The new Central IV Primary Indication will also be a required field.

▪ Select highlighted blue text to explore ▪ Complete documentation ▪ Sign The information will flow to the Lines/Tubes Drains mPage.

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Resource Sheet:

Adult. Pediatrics Education

▪ Notice that Lines MPTL continues to have Order and Order Detail ▪ Primary Indication is visible

▪ The order continues to connect to Set of Fields for Documentation (docset)

Note: It is essential to change the Task Documentation Time, as this is key to calculating the line days.

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▪ Enter correct date/time to capture correct documentation time

▪

Begin creating dynamic group

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▪

Label details changed

▪ IV Access type updated New IV Tunnel and Non-Tunneled required field and Site/Laterally now combined.

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New detail called: Additional information available- but not required

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In set of documentation (docset), activity will remain required. Added new field, titled Primary Indication, as a required field.

There is also a new field titled Secondary Indication. This is a new field is not required.

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The measurement field groups together to document when applicable.

The new field titled: Central IV Lumen Number is new and associated reference text for guidance.

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When inserting or assisting with insertion of a Triple Lumen Central Line

▪

Select 1,2,3

▪ Other fields will open to document accordingly

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The flush amount will continue to calculate. The total amount will continue to calculate and flow to I&O.

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Documentation continued.

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Documentation, regarding procedure is grouped.

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Fields are new with reference link. There is also a help guide.

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This new field is to help Clinicians in making sure all hardware is intact or removed. e.g., Guidewires

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The above fields pertain to CVP if applicable.

Once signed, information will continue to flow to other chart locations.

Ex. Acute View – in the Summary Tab

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▪

Nursing View

Above image highlights Lines/Tubes/Drains Summary.

Above image depicts Clinical Leader Organizer.

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Above image depicts Multi-Disciplinary Rounding Worklist.

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Demonstration Videos and PowerPoint

CVAD Assessment (Demo)

CVAD Dressing Line (Demo)

CVAD Discontinuing Central Line (Demo)

CVAD Insertion of Central (PowerPoint)

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