GSAA | HBS – Page 4

Influenza
Isolation: Droplet
Duration: 7 days after illness onset or until 24 hours after resolution of fever and respiratory symptoms, whichever is longer. Immunocompromised pt remain on for duration of hospital stay.

COVID-19
Isolation: Enhanced Respiratory (contact, droplet, eye protection)

Asymptomatic or Mild Illness
10 davs after symptom onset or date of positive result, with
improvement of symptoms and resolution of fever for > 24 hours without the use of fever- reducing medications. No
repeat test required

Severe or Critical Illness
At least 10 and up to 20 days from symptom onset or date of positive result, after resolution of fever for at least 24 hours without the use of fever- reducing medications) and improvement of other symptoms and repeat negative test results. No repeat test
required after 20 days

Subset of Severely Immunocompromised
At least 20 days from symptom onset or date of positive result. Test- based strategy with negative test results prior to removal of isolation precautions. Consult ID/IP team to
review in acute care setting

RSV
Isolation: Contact
Duration: during hospitalization for pediatrics and immunocompromised individuals.

Regional Transfer Center

By Viet Tran

On January 4, 2024

In How To, Protocols

For any patient that needs transfer for higher level or specific care…please call 855-327-0509 to initiate the process. This service team operates 24/7, and will coordinate all aspects of care to streamline the transfer. This replaces the prior method of PCC/House Supervisor initiated transfers. If you forget the number, it can be found on ClinConnect under “All KP Patient Transfer Center”. Cortext can be subsequently used for follow-up communication or to confirm ETAs, after the initial request via phone.

HBS Holiday Party 2023

By Viet Tran

On December 19, 2023

In Photos

COVID Isolation Guidelines

By Viet Tran

On November 4, 2023

In Announcements

– Removed consideration for prior COVID-19 vaccination or booster status for determination of isolation, quarantine, or indications for testing.

– Increased testing frequency after exposure to three tests within 7 days.

– Changed the length of isolation for COVID-19 patients with moderate illness to 10 days.

– Changed the length of isolation for COVID-19 patients with severe to critical illness to at least 10, and up to 20 days, depending on resolution of symptoms including fever and repeat negative test results. Definition of severe-critical illness are included below.

– Updated re-testing recommendations after initial COVID-19 diagnosis to begin consideration for re-testing with symptoms or new exposure after 30 days from initial diagnosis.

The updated guidance is published in the IP Clinical Library.

E-Prescribe for DC to SNF

By Viet Tran

On October 16, 2023

In How To

Workflow for Sure Scripts

Confirm with PCC the name of the accepting SNF facility.
Open a note and use the smartphrase .SNFPHARMACYFINDERNCAL, then click F2 to select service area, GSAA, then select the accepting SNF facility.
In the discharge navigator, go to ‘Reconcile Orders’, then select the 2nd option, ‘Write Home Health, Hospice, DME, Home IV’ section to place and sign orders (NOT sign and held)
Enter your order for controlled medication as usual, with sig and amount.
Go to right lower part of the screen to change the discharge pharmacy
Select ‘All’ option, enter the name and city for the pharmacy, then confirm and select the correct corresponding pharmacy for accepting SNF facility
Confirm that the pharmacy name has been changed, then click ‘Sign Orders’
To confirm receipt of the prescription by the pharmacy, go to ‘Review’ à ‘Meds’, select the controlled medication. In the preview detail window, it should show ‘Receipt confirmed by pharmacy’
-Workflow for non-controlled medication remains the same for the time being. They are placed, signed/held in the first part, ‘Reconcile and Write Discharge Orders’, of the discharge navigator. Just make sure that the ‘SNF’ option is used for the Rx Fill Mode, in the Discharge Info tab.

Letters Activity

By Viet Tran

On September 27, 2023

In How To

Just a reminder that with the Fall Upgrade on 9/23, the LETTERS ACTIVITY is no longer be available. To complete patient letters, everyone will use Communications instead.

How do I get to Communications?
You can use Chart Search to access it. Type ‘Comm’ in search bar on left side and select ‘Communications’

How do I use Communications?
Select ‘New Communication’
Enter ‘CMR’ in Choose Letter section, click the magnifying glass to search, and then select ‘CMR DMV CONFIDENTIAL MORBIDTY REPORT’

Click on ‘Details’ to see Reason for Letter, which should be set automatically to ‘CMR – Not online’ . This option ensures that the letter will NOT be sent/available online in patient’s KP.org account.

Select ‘Print +/-Online’ in the Recipient & Routing section. You will see the patient’s name in the ‘To:’ field with ‘Print Locally’ option. This just means that the letter will be printed locally, will NOT be sent to patient.

Select ‘Print Now’ option on the right lower corner and select the local printer to print the letter

KPHC Downtime

By Viet Tran

On September 7, 2023

In Announcements

KPHC Full Outage – Saturday, September 23, 2023, 1:00 AM – 2:30 AM. Please use down time forms during this time.

DEA Training Requirements

By Viet Tran

On September 7, 2023

In Education

In addition to the CME offerings sent to us earlier on, You may also use your UpToDate or the NEJM link below. UptoDate will automatically store your CME credits and serve as proof of completion.

NEJM link

UptoDate

KPPACC Exclusion Criteria

By Viet Tran

On August 20, 2023

In Protocols

Behavioral / Regulatory Barriers

Requiring methadone for addiction
Peritoneal dialysis
Patients who present a threat to the safety and well-being of other patients
IV/IM psychotherapeutics required in last 48 hours (except extended release)
Physical restraints required/in use in last 48 hours
No capacity and no decision-maker
Hospice benefit elected
Eating disorders (Primary diagnosis for current admission)
Patients refusing all medications and care
COVID-19+ isolation patients who are combative/not redirectable/wander

Medical / Nursing Behaviors

CRE/CRO spectrum +
Cardiac Rehabilitation required
Ventilator-dependent
Bi-pap to Trach Oxygen >7L/m or FIO2> 30%
IV cardiac medications
COVID-19+ isolation patients who also require isolation for another organism

Heart Failure Initiative

By Viet Tran

On August 20, 2023

In Announcements

Just a reminder that the kick off is coming 8/21/23
No new information since the presentation by James last month.

In brief:
Please use CHF orderset.
Please use CHF DC specific drop down menu in summary.
CHF DCI still not available as of today per region. Will update once it is available. Please use current .DCU with current drop down CHF instruction as appropriate.