video1.0<iframe src="https://www.loom.com/embed/f091d547fc5046fda12c57c820dc5383" frameborder="0" width="1920" height="1440" webkitallowfullscreen mozallowfullscreen allowfullscreen></iframe>14401920Loomhttps://www.loom.com14401920https://cdn.loom.com/sessions/thumbnails/f091d547fc5046fda12c57c820dc5383-f0427e75f9fb7888.gif3590.074The meeting introduced the nurse manager liaison team and reviewed clinical expectations for documentation, communication with pharmacy partners, pumps and supply handling, and compliance in NursePlexus. Key decisions included adding a sixth nurse manager liaison, onboarding a national nurse educator, distributing nurse phone lists for restaffing, and reinforcing documentation and HIPAA requirements. Next steps are that leadership will send the presentation and nurse phone lists, implement mass case notifications through NursePlexus, and provide education resources in the platform. ### Introductions and attendance 0:00 - Tara Goettl requested that the meeting record which nurses are present and asked that attendees mute themselves to reduce background noise. - Tara Goettl assigned Brooke to help keep a log of attendees and asked participants to put their names in the chat so a list can be maintained. - RodneyGB Clements introduced the meeting as a clinical power hour and thanked attendees for joining from across the country while noting this meeting was the first in some time. ### Nurse liaison introductions 5:44 - Tara Goettl introduced herself as the National Director of Nursing and stated she oversees the nurse manager liaison team that currently includes five liaisons and that the organization is recruiting a sixth liaison. - Christina Logan, Paige Mowatt, Amy Haggerty, Lacy Minyard, and Jessica Wyatt each introduced themselves and described their regions and relevant experience in infusion nursing. - Andra identified herself as the health information manager responsible for medical records and HIPAA, and Erica identified herself as the documentation manager responsible for note review, QA, and QI. - RodneyGB Clements announced that Paula Larky will start next week as a national nurse educator and described plans to develop R&E universities as a modular training program to aid transition into home infusion nursing. ### Clinical documentation procedures 15:30 - Tara Goettl instructed nurses to notify pharmacy partners promptly when something changes during a visit and to contact the pharmacy before reaching out to physician offices unless advised otherwise by the pharmacy. - Tara Goettl emphasized that nurses must verify labels and the actual order in NursePlexus rather than relying solely on intake entries and must follow pharmacy orders closely. - Tara Goettl directed nurses to use progress notes for substantive communications so the notes can be tracked and sent to pharmacy, and stated that quick notes are not an appropriate substitute for progress notes. - Tara Goettl explained that restaff requests hinder staffing and asked nurses to proactively offer alternate days or other nurses who can cover, to email the re-staff address when changes occur, and to edit visit dates in NursePlexus rather than cancel when possible. - RodneyGB Clements said nurse phone lists will be compiled and distributed in the next few days or week to help nurses coordinate restaffing and cover shifts. ### Pumps and supplies handling 26:07 - RodneyGB Clements and Tara Goettl described variability in pump types and pharmacy expectations, noting some pumps arrive programmed and locked while others require nurse programming. - Tara Goettl instructed nurses not to reprogram pumps without involving pharmacy and to request updated pump programming worksheets when changes occur so documentation matches pharmacy records. - Tina Whetstone required that nurses document who they spoke to in the comment section of the nurse's note when pharmacy approval or reprogramming occurs. - Tara Goettl and Tina Whetstone said nurses must notify pharmacy when using car stock supplies, must not remove patient supplies from the home, and must not use or document the use of saline or other clinical supplies from a vehicle because storage conditions are unknown. - Tara Goettl stated that patients report on arrival and departure times and asked nurses to chart in real time in the home or driveway rather than charting later at home so in-and-out times are accurate. ### Nurseplexus and compliance 37:10 - Tina Whetstone announced that all Start of Care paperwork must be completed in NursePlexus and that consent must be obtained and signed before touching a patient. - Tina Whetstone instructed nurses to keep their NursePlexus profiles up to date with skills, licensure, and specialties because intake uses those fields to match nurses to cases. - Tina Whetstone and Tara Goettl stated that medication profiles are required at start of care and for each new cycle of factor patients, and that nursing notes must be submitted within 48 hours and corrections returned promptly to meet pharmacy expectations. - Tina Whetstone mandated that orders be submitted as PDFs rather than photos and that nurses must not change order expiration dates or upload orders themselves, and Tara Goettl asked nurses to send orders to nurse manager liaisons to be entered by staff. - Tina Whetstone and Tara Goettl reiterated HIPAA rules, warning that emailing or texting patient-identifying information from personal accounts is not permitted, and stated that NursePlexus will be used to mass-text available cases in the coming weeks. - Tara Goettl asked nurses to respond to staffing texts even when unavailable to avoid being deprioritized for future referrals and explained that timeliness and responsiveness affect referral volume from pharmacy partners.