Ky's Corner: August 6th, 2020
Miso Scoop: Misoprostol Orders Now Same at HH and SMH
#OB, #eRecord, #Policy
Thanks to the hardwork of our Clinical Councils at Highland and Strong, the Misoprostol orders and dosing at the two institutions are now the same. This move is evidence-based and will benefit our learners, as they will see the same orders given, regardless of hospital.
Misoprostol 50 micrograms every 4 hours
Further details on Misoprostol administration can be found on Policy Stat.
Pixys Sticks: PPH Hemorrhage Kits Now Tracked and Stored in Pixys
Our homemade PPH kits were so popular that other units started asking for them! Given their popularity, pharmacy has asked us to move the kits into the Pixys machines, where they can be properly counted, re-stocked, and tracked.
If you need a PPH kit, nurses are able to get them from the Pixys machine. Using this method, nurses can avoid retrieving each individual PPH-relevant medication from the Pixys machine.
Attendance Mandatory: Attendings Must See Every Patient in OB Triage, Including NSTs
Long Hair, Don't Care: Personal Surgical Cloth Caps Come Back August 10th
The SMH clinical council recently approved an amendment to policy 8.21 (Attire required for invasive sterile procedures).
As a result of this amendment, personal cloth surgical caps/bouffants may be worn during sterile procedures.
Though we have been piloting this on a small-scale over the past month, The policy change does not go into effect until August 10th.
Caps must be removed and laundered after each day that they are used or if they become visibly soiled
Caps must be laundered through hospital-provided laundry service (i.e. they may not be washed at home)
Turnaround time for caps can take up to one week, so you may want to purchase several caps
Drop off and pick-up of caps will be in the “mask store” near the main OR desk in the basement (B-2358)
Write your name on the laundry bag with permanent marker
Obtain a numbered medallion from mask store staff and place into the bag
At drop off:
Place your laundry bag into the green bin outside the mask store
Write your name and tag number in the log book outside the mask store
You will be emailed when your caps are returned
You may pick them up at the mask store
Get SMArt: Spinal Muscular Atrophy (SMA) Carrier Screening
ACOG endorsed routine screening for SMA a couple of years ago
Most insurances have finally agreed to cover it, which makes it much more feasible to offer to all patients.
Prior to the current pandemic, Reproductive Genetics had initiated the process through the URMC Lab of condensing SMA and CF carrier screening into a single requisition - this has been postponed.
Attached you will find provider guidance on SMA screening
SMA has been added to the New OB smartset checklist, with a link to the correct order in Epic, as well as a patient information handout.
For those of you who do not use the smartset, you can find the correct order there and favorite it for future reference or inclusion in your personalized order sets.
Please feel free to reach out to Dr. Monique Ho or any of the Repro Genetics counselors for assistance.
MyPath of Least Resistance: Required MyPath Trainings
Upcoming MyPath Training Due Dates:
Annual ‘Preventing Harassment and Discrimination’ Training due September 30th
Mandatory In-Service Education Program [All Employee] (2020) due September 30th (Extension due to Covid)
Faculty Self Report due August 31st
Gno More GNOSIS: Introducing Relias Learning
The Relias platform, previously known as GNOSIS, has completed its system upgrade and ready for use
Relias, the learning management interface has integrated and enhanced the former GNOSIS courses that URMC and MCIC have become so accustomed to using
Just like GNOSIS, Relias has a personalized learning method with script concordance theory that will develop individualized learning based upon an initial pre-course assessment.
Your username is your previous GNOSIS username, for most it is your URMC email address.
Generic password: Welcome1 (case sensitive)
The Fetal Heart Rate and Uterine Contraction Monitoring Course (previously titled, Fetal Monitoring and Assessment Course) by Tuesday December 1, 2020.
Staff members who already successfully completed the required Fetal Monitoring Course prior to June 30, 2020, have met their annual requirement
P.S - DSS: Remember to Sign the DSS Day of Surgery Form
#OB, #Surgery, #Family Planning, #Billing
If you do a BTL or hysterectomy, please remember to sign the DSS “day of” portion and scan into Haiku.
Print form from media. (for c/s, most of the time the nurses do this and it is in the chart)
Confirm the patient still wants it, and sign “day of” section
Scan form back into media using Haiku, labeled as “DSS day of surgery signed consent” (If you don’t know how to do this, please ask).
There has been a rash of forms not being completed or lost, and this prevents the entire global from being submitted. If we don’t submit before filing dates, we lose the entire global.
If Mollie’s team is missing the form, she will reach out the divisional AA’s to have them contact you and let them know that these are missing. You can then print/sign/scan to get it back to them.
Email with questions
What is the name of the new system that has replaced GNOSIS?
When are the Annual ‘Preventing Harassment and Discrimination’ and
Mandatory In-Service Education Program Trainings due on MyPath?
Where are the SMH PPH Kits stored now?