Zynx Update March 2013

 

Updated Content


Plan of Care Updates (Immediate Attention Required)
For instructions, click here.

Withdrawn Evidence Links

  • Abdominal Aortic Aneurysm Repair

    • Postoperative/Discharge

      • Enteral nutrition administration

  • Acute Myocardial Infarction/STEMI

    • All Venues

      • Cardiac monitoring
      • Education, vasovagal syncope prevention
      • Fluid administration – IV
      • Hemodynamic monitoring
      • Intra-arterial pressure monitoring

    • Admission/Discharge

      • Patient transfer – stepdown unit

  • Alcohol Withdrawal

    • All Venues

      • Behavior-change stage assessment

  • Critical Care Management – Adult

    • All Venues

      • Cardiac monitoring

  • Critical Care Management – Neonatal

    • Admission/Discharge

      • Enteral nutrition administration
      • Enteral tube feeding management

  • Critical Care Management – Pediatric

    • Admission/Discharge

      • Altered mental status signs and symptoms assessment
      • Cardiac monitoring
      • Nonpharmacologic sleep promotion

  • Heart Failure

    • All Venues

      • Communication, transitional care

  • Newborn Management

    • Admission to Level I Nursery/Discharge

      • Anxiety risk assessment – parent/caregiver
      • Infant formula administration

  • Patient Problems

    • Venues: Restraint Use – Violent/Self-Destructive Behavior, Restraint Use – Violent/Self-Destructive Behavior (Starter Plan of Care)

      • Education, restraints

    • Infection – Risk of, Methicillin-Resistant Staphylococcus Aureus Infection

      • Anxiety characteristics assessment

  • Prematurity – Neonatal

    • All Venues

      • Education, home cardiorespiratory monitoring

Split Evidence Links

  • There are no split evidence links.


Other Updates
New Modules

  • Eating Disorders
  • Rehabilitation – Pulmonary
  • Transition of Care

New Evidence Topics

  • Abdominal Aortic Aneurysm Repair: Risk Factors
  • Alcohol Withdrawal: Emotional Support
  • Alcohol Withdrawal: Environmental Interventions
  • Alcohol Withdrawal: Nutritional Monitoring
  • Alcohol Withdrawal: Vitamin Supplements
  • Appendicitis/Appendectomy – Pediatric: Early Discharge
  • Appendicitis/Appendectomy – Pediatric: Protocol – Diagnostic
  • Bariatric Surgery: Indication
  • Colectomy: Blood Transfusion
  • Colectomy: C-Reactive Protein
  • Colectomy: Infection Control Program
  • Colectomy: MRI – Pelvis
  • Colectomy: Risk Assessment
  • Critical Care Management – Adult: Analgesics – Adjuvant
  • Critical Care Management – Adult: Antipsychotic Agents
  • Critical Care Management – Adult: Early Mobilization
  • Critical Care Management – Adult: Sedation Assessment Scales
  • Critical Care Management – Neonatal: Telemedicine
  • Diabetes/Hyperglycemia: Risk Assessment
  • Gastrointestinal Bleeding – Upper: Condition Volume
  • Gastrointestinal Bleeding – Upper: Specialty Provider
  • Heart Failure: Treatment Nonadherence Risk
  • Hysterectomy – Abdominal: Cost
  • Newborn Management: Infant Formula
  • Patient Problems: Discharge Planning > Care Transition Program
  • Patient Problems: Fluid Volume – Risk of, Imbalanced > Patient Education
  • Patient Problems: Nutrition Deficit > Nutritional Monitoring
  • Patient Problems: Nutrition Deficit > Preoperative Fasting
  • Patient Problems: Nutrition Deficit > Refeeding Syndrome
  • Patient Problems: Self-care Deficit – Bathing > Interdisciplinary Coordination
  • Patient Problems: Self-care Deficit – Dressing/Grooming > Interdisciplinary Coordination
  • Patient Problems: Self-care Deficit – Feeding > Cultural, Religious, and Spiritual
  • Patient Problems: Self-care Deficit – Feeding > Interdisciplinary Coordination
  • Patient Problems: Self-care Deficit – Feeding > Nutrition Promotion
  • Patient Problems: Self-care Deficit – Toileting > Interdisciplinary Coordination
  • Patient Problems: Urinary Elimination – Impaired > Environmental Interventions
  • Percutaneous Coronary Intervention: Readmission Risk
  • Perioperative Care: Hemodynamic Monitoring
  • Perioperative Care: Readmission Risk
  • Prematurity – Neonatal: Organizational Policy
  • Prematurity – Neonatal: Protocol – Retinopathy of Prematurity Screening
  • Rehabilitation – Cardiac: Interdisciplinary Communication
  • Rehabilitation – Cardiac: Medications for Prophylaxis
  • Rehabilitation – Cardiac: Outpatient Rehabilitation
  • Rehabilitation – Cardiac: Program Effectiveness
  • Rehabilitation – Cardiac: Risk Factors
  • Spinal Fusion – Adult: Preoperative Hair Removal
  • Standards of Care: Assessment

 

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Zynx Update does not address the addition, deletion, or modification of clinical rules, nor does it address the addition of items or the deletion of non–evidence-based items from order sets or plans of care. Zynx Update is intended for use by quality improvement personnel who can review the information provided to help decide if modifications should be made to existing order sets, plans of care, and rules, based on changes to the evidence.