IsolationQuickReferenceGuide_ AV_PPO Updates

Thanks for continuing to raise issues for acute care gemba.  A few recent issues and follow up:

1. Flu vaccine delaying discharge as have to perform med rec again.  Thanks to Shanna Perales and the informatics group this is FIXED.  If you order a flu vaccine after doing discharge med rec you will not have to re-reconcile the vaccine.

2. Other IS issues recently FIXED – printer in resident lounge, computer screen in Heme Onc call room.

3. Stanford Webmail not working on LPCH computers – this was a hospital wide issue and should be FIXED when using both internet explorer and google chrome.

4. Blood Pressure cuffs for discharge – this is a very complex issue being addressed at an administrative level.  It continues to come up now and again and we realize it is a discharge barrier.  Thanks for your understanding as the process and procedure is worked out.”

“Lucile Packard Children’s Hospital Stanford recognizes the value that California’s medicinal marijuana law brings to some patients with serious medical conditions. State and federal regulations are still in research and review by the hospital but at this time there are no legal or regulatory requirements for hospitals or physicians to authorize or accommodate use of medical marijuana or its derivatives in a patient care plan. In addition, according to state law physicians can provide recommendations, but not prescriptions, to patients for the use of medical marijuana to treat medical symptoms.

What this means for YOU:

• Inhaled or vapor forms of medical marijuana is prohibited in this hospital.

• The Nurse cannot be in possession of the product. The product should only be within the family’s possession at all times.

• The unit cannot secure the product. Locking in our med carts and/or lock boxes on the unit is not acceptable.

• Pharmacy will never dispense/tag the product. Like you all, they are not licensed.

• The doctors can place an “MD to RN Communication” order for the given product. Stating the product, its use, and to be administered by family ONLY.

• This product should never show up on the MAR. The ordering physician should not place a Non-Formulary medication order.