Medicine and Health Sciences Commons^™

Strategies To Improve Rn Communication Hcahps, Karen Montoro, Bsn, Rn, Ne-Bc

Department of Nursing papers and presentations

BACKGROUND

The impact of value based purchasing on reimbursement based on HCAHPS is a reality that Heath Care Organizations need to address. This Quality Improvement Project was designed by the CNO, Vice president of Nursing and the Nurse Manager to oversee the project. The decision was made to utilize an existing group of frontline staff who were engaged in efforts to improve patient satisfaction. This RN Communication Team met monthly beginning in March 2015.

Improving Outcomes By Optimizing Sleep Opportunities In The Critically Ill Neuroscience Patient, Marie Wilson, Bsn, Rn, Ccrn, Cnrn

Department of Nursing papers and presentations

Purpose

The purpose of the Neuroscience Intensive Care Unit is to provide specialized quality care to a high acuity and vulnerable critically ill population with the desired outcome of health improvement. It would appear that the goal for both Neuroscience Intensive Care Units and “sleep” would be one of healing; however it is also well documented that routine sleep disturbances due to either deprivation or disruption in neuroscience critical care units negatively affects patient outcomes.

Further exploration of sleep architecture, physiologic responses that occur during sleep and factors contributing to a lack of qualitative and quantitative sleep in critical care …

The Effect Of Breathable Under Pads To Decrease Hospital Acquired Pressure Ulcers: A Nurse Resident Project, Sara Meshino, Bsn, Rn, Bridget Trefz, Bsn, Rn

Department of Nursing papers and presentations

PURPOSE

To reduce the rate of hospital acquired pressure ulcers (HAPU), in June 2013, a large urban academic medical center switched from non-breathable to breathable under pads for incontinent patients lying on either a standard bed (low risk patients) or low-air-loss mattress (high risk patients). Standard pressure ulcer prevention measures were maintained. Staff on two oncology units sought to determine the effectiveness of breathable vs. non-breathable under pads in reducing the rate of HAPU and UAPU.

An Organization-Wide Service Improvement Approach, Jennifer Jasmine Arfaa, Phd, Mhsa, Cynthia Line, Phd, Nora Kramer, Msn, Rn, Karen Montoro, Rn, Richard D. Blob,, Maria Francesco, Jaime Stazi, Rn, Elisabeth Kunkel, Md, Susan Krekun, Md, Lizanne Mason, Rn, Kathy Evans, Rn, Lorraine Weikel, Rn, Ann D. Clark, Ms, Otr/L, Ray Wisniewski, Teresa Heavens

Department of Nursing papers and presentations

APPROACH TO PROBLEM SOLVING

High priority index questions from HCAHPS and Press Ganey surveys, including overall ratings, communication with RNs and MDs, hospital environment and response to concerns and complaints, were targeted for improvement. These high priority indices served as the basis for redesigning Patient Services using a multi-faceted approach to improve patients’ experiences.

At Thomas Jefferson University Hospital (TJUH), high performance on the Patient Experiences of Care Survey has been driven by a successful multi-tiered approach to patient services:

·Hospital leadership guided and implemented new approaches to ensure excellence in patient services is an ever-present and obtainable goal

·Physician …

Pneumonia Pathway Effects On Hospital Readmission Rates, Maribeth Kelly, Msn, Rn, Pccn, Raymond Malloy, Mha, Rrt, Brian Glynn, Bs, Rrt

Department of Nursing papers and presentations

Purpose

There are inconsistencies in treating inpatients with community acquired pneumonia (CAP) and providing adequate post

discharge follow-up contributing to significant hospital readmission rates and increased health care costs. Our null hypothesis for this study was that the use of a pneumonia care pathway will have a significant effect on hospital readmission rates.

Implementing An Rn-Driven Proactive Roaming Rapid Response Team, Elizabeth Avis, Msn, Rn, Ccrn, Pccn, Marybeth Foy, Msn, Rn, Nicholas Collins, Bsn, Rn, Ccrn, Kristine Irvin, Rn, Lois Grant, Rn

Department of Nursing papers and presentations

Poster presented at: UHC Annual Conference 2012, Orlando Florida.

Goal: Redesign RRT to create a permanent team of RNs and an RRT focused on patient care and improving RRT process.

Stroke Education In The Chinese Community: A Nurse Resident Project, Laura Beans, Bsn, Rn, Roisin Harvey, Bsn, Rn, Jonathan Lee, Bsn, Rn, David Lincul, Bsn, Rn, Gina Ramos, Bsn, Rn, Jodi Schantz, Bsn, Rn

Department of Nursing papers and presentations

Objectives:

To educate an urban Chinese community by creating a stroke prevention program that increases awareness of the disease.

To educate an urban Chinese community about stroke risk factors, stroke warning signs, and how to reduce modifiable stroke risk factors.

Health Information Technology (Hit) And Chemotherapy Management, Diane Abisaleh, Rn, Bsn, Msn

Department of Nursing papers and presentations

• Cancer is the 2nd most common cause of death, accounting for 26% of all deaths.
• Chemotherapy errors can potentially lead to significant harm or death
• 1 out of every 50 chemotherapy orders, results in serious death
• Lack of HIT support for workflow increases error

Partnership Between University Clnical Skills/Simulation Center And Nursing Staff Development-New Products, Mary Bent Mangano, Msn, Rn, Cns, John J. Duffy, Rn, Msn, Ccrn, Cnrn

Department of Nursing papers and presentations

There is a growing evidence in the nursing literature about the effectiveness of clinical simulation as a powerful teaching/learning strategy. This wealth of research attributes simulation's effectiveness to its design that creates an environment where "students become active learners, abandoning memorization for accessing knowledge, and thinking and applying learning in context rather than providing answers to fact-based test" (Jeffries, 2007). A simulation suite provides a "safe, supportive environment that allows students to learn a variety of complex skills in a stress-free environment" (Ghiglieri, Ruiz, & Vasudevan, 2007). Creating this environment requires meticulous planning to details. The learner must have a …

Effective, Efficacious, And Safe Nurse Driven Dysphagia Screening, Robin Fry, Bsn, Rn, Cnrn, Marie Wilson, Bsn, Rn, Ccrn, Cnrn, Carey Heck, Ms, Msn, Rn, Acnp-Cs, Ccrn, Cnrn

Department of Nursing papers and presentations

Introduction:

With 795,000 people suffering strokes and more than 140,000 deaths annually, stroke is the third leading cause of death in the United States.

Dysphagia screening can reduce stroke complications, such as aspiration, and can decrease delays in nutritional support. Decreasing nutritional support delays can improve patient outcomes.

The Impact Of Gi Inpatient Nursing Rounds On Patient Procedure Cancellations, Barbara Alpini, Rn, Cgrn, Elise Dorr-Dorynek, Rn, Bsn, Crrn, Cgrn

Department of Nursing papers and presentations

Abstract:

Research on rounding among hospital providers demonstrated the fundamental value in the practice. If rounding is of value in surgical, medical, and other areas, it is logical to hypothesize that structured rounds would be useful for other nursing units, such those performing special procedures. Structured rounding between GI nurses and colleagues on inpatient units could enhance preparation and efficient care of patients, decrease same day cancellations, and increase RN satisfaction with communication. Analysis using a Z-test demonstrated some support for a reduction in canceled procedures. Nurses also reported satisfaction with this new rounding procedure.