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W&W
Important Dates
NUTS & BOLTS
People
IT Updates and News
100
% of all vaginal deliveries done by learner in Aug 2011
81.25%
100
We all doing this very EARLY on Sept 30th.
Combined Surgical Services MMI
100
The insurance company was arguing no coverage for my antepartum pt but backed off when I clearly explained this.
What happened over the last 24 hrs?
100
The New Medical Director for 4E
Dr. Dennis McWeeney
100
The EFM/Toco form does/does not have Categories now.
does!
200
L&D was # __ for Hand Hygiene Compliance
#9
200
It is NATIONAL __ WEEK SEPT 18-24th
NATIONAL SURGICAL TECH WEEK IS SEPT 18-24th
200
We are doing all this to prevent infections during C/S's (1-5).
1. Betadine scrub with the hand brush. 2. Continue doing the betadine prep with Duraprep. 3. Continue to use silver dressing but as provider preference, continue to change the top glove at the subq, continue to close the subq, and continue abx prep with Azithro. 4. We will start the Ancef study soon: randomized prospective look at 2000 v 3000 mg Ancef pre-op for obese pts. 5. We will change nothing for at least the next 6 months unless our infection rate requires a change
200
The top 5 to enter lab data in the OB-Record included one recent and one "distant" former resident.
1. Bennett M. Spetalnick 298 <-distant; 2. Leilani Smieja 208; 3. Josh Kellett 200 <-recent; 4. Linda Hughlett 171; 5. Deborah Wage 159
200
Tenncare Sterilization and Hysterectomy Consent Forms are/are not needed if the pt had a BSO already.
ARE! Hysterectomy consent forms should be signed prior to surgery, but can be signed the day of surgery. Prior sterilization does not negate the need for an ASH Consent form for hysterectomy, and failure to obtain prior to or at the time of surgery delays the submission of the claim for payment for VMG as well as VUMC.
300
She did not perish despite her parachute problems.
Athena Young
300
The OB PCC meets the 1st, 2nd, 3rd or 4th M-F every month.
3rd Tues monthly
300
Format and Timing of Daily Rounds is changing a little
The MFM chief will give sign out to the MFM attending at some point between 6:45-6:50. MFM rounds will not involve the entire team. The chief will give the MFM attending a brief update on all of the MFM patients and a photocopy of the written signout before leaving. The MFM attending update can occur outside of the rounding room if necessary so as to not disrupt patient handover.
300
Our current ED resident is __.
Jessica Wilson
300
ACOG's position on treating partners for STI's.
ACOG Committee Backs Expedited Partner Therapy for STIs
400
Estimated FY2012 Deliveries:
4534 <--Built on two months of record setting numbers, and is almost certainly higher than is truly estimated
400
The Peripartum QA meeting is the 1st, 2nd, 3rd or 4th M-F every month.
4th Tues monthly
400
4E nurses are doing a wonderful job of documenting the EPDS tool on our pp pts, but __% of our pts with >=13 are not recieving a consult __% of our pts with "thoughts of harming self" are not receiving a consult.
29% of our pts with >=13 are not recieving a consult. 37% of our pts with "thoughts of harming self" are not receiving a consult. Not necessarily bad, but documentation needs to be improved. There seems to be more of a comfort level with certain providers actually talking over this subject with their patients, but there is no documentation saying the patient declined to be seen by SW. There appears to be some comfort after talking with them, educating them on increasing signs to watch for, without initiating a consult.
400
The best at EFW included the very best, a resident; the second best a faculty MD; 3rd a SON CNM; 4th a SOM-CNM; 5th another faculty MD; and 6th another resident
Written By #of Admission Notes Average Difference 1. MEGAN WILSON 27 232.75. 2. RICHARD LOTSHAW 27 238.14. 3. MELISSA ALLRED 89 246.25. 4. LEILANI SMIEJA 36 247.93. 5. WILL LEE 32 256.76. 6. KAREN WOOD 83 266.24
400
The Handover tool has changed.
If the pt is a MFM/transport pt, resident practice pt, or private faculty pt being seen by the residents, then the resident writes the usual Peripartum Note and DOES NOT complete the faculty the Handover check boxes at the bottom of the Peripartum Note…those are now completed by the attending in the attestation. The resident sends the Peripartum Note to the attending who attests it using the new L&D Handover tool in the yellow drop down.
500
August Deliveries set a new record of:
August Deliveries: 369 (New Record)
500
Wednesday, Oct. 12, will be...
“Flulapalooza”
500
The role of the 3rd/4th Yr.Resident (most senior PGY)/Attending during an OB-ET event
i. Functions as the team leader & leads the code response. ii. Positions themselves near the head of the bed. iii. Dismisses OBET members from an event when it is determined they are no longer needed.
500
She is the new L&D nurse manager.
Amy Trammell, new L&D nurse manager September 12th
500
The "Timing of Indicated Late-Preterm and Early-term Birth" is/is not changing based on this Green J. article.
IS!