Medicine and Health Sciences Commons^™

Carry Your Candle...And Light The Way, Tiffany Omann-Bidinger, Deb Eisenstadt, Jenelle Brekken

Nursing Posters

The initial goal and purpose of this symposium was to develop a structured leadership class to prepare support charge nurses for the challenges they face in today's healthcare environment. Using a transformational leadership framework aligned with the Professional Practice Model (PPM): The Compass, a content outline was developed for the charge nurse's role. The focus was based on the charge nurse's role using the following components: autonomy, accountability, critical thinking, crucial conversations, innovation, productivity, coaching and mentoring, healthy work environment principles and shared governance. This would ultimately optimize the Neuroscience/Spine Unit and Inpatient Rehabilitation Unit charge nurse's professional function.

The Hidden Impact Of The Functional Independence Measure, Joyce Belanger

Nursing Posters

An integral piece to Rehabilitation is the Functional Independence Measure (FIM). All staff having a love/hate relationship with FIM scores. How do you make your staff understand the importance of FIM?

Improving Nursing Skills In Caring For Culturally Diverse Patients, Jenna Czech

Nursing Posters

The purpose of this project is to improve nursing competency in caring for culturally diverse populations within St. Cloud Hospital through nursing education and initiation of a care plan related to Limited English Proficiency (LEP) patient populations.

Building The Foundations Of Practice Of The Lpn And Cma In Ambulatory Care, Renee Doetkott

Nursing Posters

The practice of the RN is well defined and supported across the profession. But, there is little published information supporting the practice of the LPN and MA in ambulatory care.

Exploring Community Associated Clostridium Difficile, Patricia Dumonceaux Msn, Rn, Cic, Phn, Dana Schmidt Rn

Nursing Posters

Clostridium difficile (C. difficile) is a life threatening bacteria spread in spore form through diarrhea. C. difficile effects approximately 500,000 people annually (CDC, 2016). From 2009-2016, the incidence rate of C. difficile in Minnesota* has increased from 50 to 227/1000,000 persons, with 58% of cases considered community associated** (CA), 17% healthcare facility onset (HCFO), and 25% community onset-HCFO (MDH, 2016). MDH 2016 data indicates C. difficile is being transmitted within healthcare and community settings and among patients primarily greater than 65 years of age, with 54% of CA cases using antibiotics during the 12 weeks prior to positive specimen (2016).

Benefits Of Bedside Report, Golden Fisk

Nursing Posters

Bedside report is part of the nursing handoff policy at St. Cloud Hospital. This research was used to identify benefits of bedside reporting to present to staff to reinforce the importance of following this hospital policy.

Optimizing Documentation For Inpatient Nurses, Melinda Freund

Nursing Posters

For nurses (P) that document motor strength on the assessment flow sheet, will a new prototype for documentation (I), compared to the current system (C), reduce confusion (o) as to where motor strength should be located?

Project Goals: decrease double documentation , decrease confusion, improve end-user satisfaction, improve patient outcomes, improve ability to mine data.

Stop: No-Suicide Contracts, Paul Friebe

Nursing Posters

The purpose of this evidence-based project is to reduce the number of suicide attempts by identification of at risk patients with the Adult and Adolescent Mental Health Units (MHUs) through implementation of the APNA Psychiatric-Mental Health Nurse Essential Competencies for Assessment and Management of Individuals at Risk for Suicide as compared to the use of No-Suicide Contracts (NSCs).

Post-Stroke Bladder Management, Oniria Gillenwaters

Nursing Posters

Urinary incontinence is commonly observed in patients recovering from a stroke. Bladder management and nurse-led interventions such as timed voiding, and double voiding, may be helpful to decrease the risk of urinary tract infections and incontinence episodes in these patients.

Care Transitions For Hospital To Home: Ideal Discharge Planning, Jeanne Friebe

Nursing Posters

To increase patient satisfaction with the discharge process based on patient's readiness; for patients with uncomplicated vaginal and Cesarean birth through the application of the IDEAL model.

Ebp: House Wide Education, Melinda Jennings

Nursing Posters

The purpose of this evidence-based practice project is to improve the content and quality of Computer Based Training (CBT) education and reduce the average CBT module time, through the application of evidence-based guiding principles for CBT content and development, compared to previous practice of ineffective guidelines.

Clinical Research: Evaluation Of Healing Touch's Effect On Coronary Artery Bypass Grafting (Cabg) Recovery, A Randomized Study, Bridget Klein, Kirsten Skillings, Roxanne Wilson Phd, Rn, Kathleen Sowada, Teresa Jahn, Jessica Thoma

Nursing Posters

This study is assessing the efficacy of Healing Touch on patients receiving Coronary Artery Bypass Grafting at St. Cloud Hospital. A single previous research study determined Healing Touch, when added to standard nursing care, can significantly reduce anxiety and length of stay in patients undergoing CABG procedures.

Reducing Dialysis Tunneled Catheter Blood Stream Infections, Sharon Hoffman

Nursing Posters

To reduce bloodstream infections related to tunneled dialysis catheters through implementation of aseptic, sterile dressing changes completed by RN's.

Irrisept: Redefining Irrigation, Nicole Koening

Nursing Posters

IrriSept is the only FDA-Cleared device that delivers a pressurized solution containing Chlorhexidine Gluconate (CHG) for cleansing and debridement. As a final rinse, prior to closure in surgical procedures, IrriSept has the potential to help reduce SSIs and associated treatment costs. IrriSept was developed with the goal of becoming the "Standard of Care" and improving patient outcomes.

IrriSept has a wide range of activity against gram positive and gram negative bacteria, fungi, and viruses. It has demonstrated antimicrobial efficacy and persistence in laboratory testing.

Heart Failure Follow Up Phone Calls, Melissa Lampert, Anne Major

Nursing Posters

Increase the number of 72-hour post-discharge follow-up phone calls for patients hospitalized with a primary diagnosis of heart failure.

This is a quality measure required for Joint Commission Heart Failure Certification and also to maintain American Heart Association Gold Plus Status.

Central Line Policy Updates, Hanni Lyon, Sara Maciej, Alea Stanger

Nursing Posters

The policy changes reflect the current guidelines and standards used to prevent central lines and associated bloodstream infections and its complications.

Introduction Of A Yellow Flag List In A Call Center Setting, Allyson Mezera

Nursing Posters

Improve work processes of newly established triage/scheduling call center by creating a nurse driven yellow flag list that supports RN scope of practice, improves access to care, and an overall goal of reducing total cost of care.

Proper Hand Hygiene Practice In The Clinic Setting, Wendy Middendorf

Nursing Posters

The use of proper hand hygiene in the clinic setting is critical for infection control and prevention of nosocomial infections.

Orthostatic Blood Pressure Monitoring, Carla Olson

Nursing Posters

To apply the evidence of orthostatic blood (O B/P) pressure monitoring techniques as compared to inconsistent O B/P monitoring. Enhance the knowledge and skill of staff completing O B/P to promote consistent technique and reliable assessment data. Identify and modify order sets which include O B/P monitoring to ensure the order is written for use based on the evidence.

Collaboration To Improve Care Of Oncology Patient, Kara Panek, Melinda Jennings

Nursing Posters

It was identified that there were opportunities to enhance the care of the inpatient oncology patient when they were not on the Medical and Oncology Unit. Upon completing leadership rounding, patients identified that they did not receive consistent oncology specific interventions when they were transferred to a higher level of care.

Enhancing Retention For Patient Care Assistants: Effective Strategies To Implement To Reduce Turnover, Tiffany Omann-Bidinger

Nursing Posters

Develop and implement a hospital-wide, evidence-based recruitment and retention program to reduce turnover rates for Patient Care Assistants (PCAs).

I.D.E.A.L. Transition Plan, Colleen Porwoll

Nursing Posters

The purpose of this evidence-based practice project is to increase the number of discharges prior to noon by using the IDEAL discharge planning tool with noncomplex total joint replacement patients and maintaining score of discharge phone call follow up. "Were you aware of the discharge plans and felt prepared?"

Rn Case Manager Case Consultation, Nancy A. Schug

Nursing Posters

Purpose:

Apply the Collaborative Care Management Practice Model to address:

• Complex transition planning
• Clinical progression
• Readmission risk

Promote professional growth

Increase knowledge of the ACMA Scope and Standards of Practice for RN Case Managers.

Preceptor Class Evaluation & Redesign, Katherine A. Schulz

Nursing Posters

In August 2016, Education Committee identified need to comprehensively evaluate Preceptor Class for curriculum structure, content, teaching modalities, etc. Preceptor Class Subgroup was formed to lead evaluation efforts.

Decreasing Unnecessary Pharmacy Cost In The Cath Lab, Scott M. Scepaniak, Kristi Patterson

Nursing Posters

AngioMax is a single dose heparin alternative introduced in 2002 that is used in cardiac patients undergoing percutaneous intervention (PCI). Bivalirudin costs $377 per dose; heparin is less than $15 per dose. Noting practice variations, the Cath Lab set out to eliminate unnecessary pharmacy cost for PCI patients by:

• Using current literature to inform clinical care
• Standardizing practice
• Using data to track and guide implementation

Music Heals: Therapeutic Music To Reduce Pain And Anxiety In Adult Icu Patients, Kathleen Sowada

Nursing Posters

To decrease pain and anxiety in adult intensive care unit patients through the use of therapeutic music as compared to no music intervention.

Integrating Holsitic Care Modalities Into An Inpatient Physical Rehabiliation Program, Kathleen Sowada

Nursing Posters

The purpose of this pilot project was to determine the feasibility of incorporating integrative therapies, including acupuncture, into the plan of care of patients undergoing physical rehabilitation in an inpatient setting, and to improve outcomes and patient satisfaction.

Medication Assessment In The Older Adult: Using The Beer's List, Gretchen Zunkel

Nursing Posters

• Describe appropriate pharmacologic principles of medication use in older adults
• Review Beer's List Criteria (American Geriatric Society)
• Identify inappropriate and/or overlooked medication for the older adult
• Share with BH Unit staff, patients, families

Overcoming New Hire Obstacles With An Individualized Rn Orientation In The Critical Care Area, Heather D. Blais, Melissa M. George, Jessica M. Thoma

Nursing Posters

To improve RN new hire orientation in the Cardiac Care Unit (CCU). Research reveals we tend to assign two patients to a new hire too early. They may not be able to safely care for two acutely ill patients, causing both the new hire and preceptor to become frustrated.

Conversion Disorder, Ann Summar

Nursing Posters

Conversion Disorder:

• Neurologic symptoms that are inconsistent with a neurologic disease
• Symptoms cause distress and/or impairment
• No radiological or laboratory findings for symptoms
• May have poor outcomes without proper treatment