Other Nursing Commons^™

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

Copd Management And Role Of The Nurse Coach: Increasing Referrals And Participation In Pulmonary Rehabilitation, Carol Upcraft, C. Hoover, Joy Plamann, Jessica Oman

Articles

Chronic obstructive pulmonary disease (COPD) remains a significant cause for hospitalization and with complex management issues upon discharge a significant portion are being re-admitted within 30-days of first hospitalization. The beneficial effects of pulmonary rehabilitation (PR) in the management of COPD is well documented but continues to be underutilized as an important management strategy to reduce hospital readmissions. Transitional care programs which include nurse coaches, have immerged to empower patients to manage their disease and facilitate transitions through multiple care environments. Little is known about the efficacy of such programs on referral and participation in PR and subsequent reductions in …

Quality And Quantitiy Of Patient Sleep In The Hospital: Perceptions And Measures, Karen Chalich Rn

Nursing Posters

Inadequate sleep may result in physical and cognitive dysfunction. During hospitalization, interruptions from excessive noise, lights, and interruptions contribute to poor quality sleep. Patient and nurse reports of perception of sleep quality differ, with few studies comparing perception to measured quality and quantity of sleep. This non-experimental study compared patient and nurse perception, quality, and quantity of hospitalized medical patient's sleep.

Reduced Cost And Decreased Length Of Stay Associated With Acute Ischemic Stroke Care Provided By Nurse Practitioners: A Single Primary Stroke Center Experience, Leah Roering Np, Michelle Peterson Np, Muhammad Shah Miran Md, Melissa Freese, Kenneth Shea Md, M Fareed K. Suri Md

Nursing Posters

Nurse practitioner (NP) have a wider role in modern stroke centers providing quality evidence based care to patients with both in and outpatient settings for acute ischemic stroke (AIS) and transient ischemic attack (TIA) patients. We studies the outcome measures, length of stay (LOS) and cost before and after implementation of nurse practitioners as the primary medical provider in a community based stroke center.

Quality Leadership Academy: Cauti Reduction Project, Melissa Fradette

Nursing Posters

Plan:

In the fiscal years of 2014 and 2015, 31 out of 66 (47%) catheter-associated urinary tract infections (CAUTIs) were acquired in patients with neurological diagnoses. This led to increased costs, decreased reimbursement, and hospital-acquired condition penalties. A thorough review of CAUTIs revealed 15 of the 31 (48%) were attributed to insertion practices; infections were acquired within 6 days of urinary catheter insertion. Eleven of the 15 (73%) were inserted in the operating room (OR).

Public Policy And The Legislative Process, Sheila A. Leander, David F. Walz

Book Chapters

No abstract provided.

Beacon Journey: Improving Patient Outcomes: Reducing Adverse Drug Events Using An Inter-Professional Team Approach, Laurie Annett, Nicole Higel-Backes, Jaclyn Hoppe, Michelle Huffman, Teresa Jahn, Bridget Klein, Jessica Mackedanz-Johnson, Kirsten Skillings, Jayna Theis, Jessica Thoma

Nursing Posters

Literature states that the use of sedation regimens that include routine reversal of benzodiazepines or narcotic agents are not recommded. An inter-professional team concurred that planned reversals would no longer be the standard of practice for patients post post-procedural sedation. An inter-professional team analyzed the use of reversal agents, reviewed literature related to sedation and analgesia by non-anesthesiologists, and proposed recommendations for practice changes.

Best Practice For Core Charge Nurse Orientation And Leadership Development, Melissa Fradette

Nursing Posters

Purpose Statement: Develop and implement evidence based, standardized orientation and leadership development for core charge nurses (CCN) compared to current unit-based orientation which has inconsistent content and structure.

Heart Huddle: Increasing Cohesiveness In Ccu And Cvtu, Ashley Douvier

Nursing Posters

The American Association of Critical Care Nurses identifies six standards for a healthy work environment, two of which are skilled communication and true collaboration. CCU and CVTU are two separate units staffed by one Charge RN. A need to improve communication and collaboration has existed throughout both units. Thus, Heart Huddle has been developed. The objective of Heart Huddle is to bring cohesiveness to CCU and CVTU through improving communication and collaboration, which is imperative to a healthy work environment.

Finding The Missing Pieces: Comprehensive Cerebellar Assessments With Cytarabine Administration, Tara Hinnenkamp

Nursing Posters

A study conducted at the University of Maryland Greenebaum Cancer Center found that one in four nurses felt there were widespread inconsistencies with cerebellar assessments. One of every two nurses felt the current assessment was incomplete and the patient may be suffering as a result. Nurses need to have the means to accurately and consistently assess and document neurological changes noted with Cytarabine administration.

Improving Bedside Ecg Monitoring In Telemetry, Teresa Jahn, Jennifer Lang, Jaclyn Hoppe

Nursing Posters

To improve accuracy of bedside ECG (EASI lead) monitoring through accurate placement of electrodes and proper skin preparation.

Etc Code Stroke Improvement, Melissa Fradette, Jessica Miller

Nursing Posters

There was a 42% increase in median times for patients receiving alteplase (tPA) within 60 minutes from 48 minutes in Q3FY13 to 68 minutes in Q1FY15. Research indicates every 15 minute delay in stroke treatment, the odds of good outcome decreased by 10%. During two day rapid improvement event team members and content experts used process mapping to identify waste in current state ETC Code Stroke process and determine countermeasures to eliminate waste and improve throughout.

Improving Transitions Of Care For Newborns Requiring Home Phototherapy Through Innovation & Collaboration, Carla Bieniek, Kristi Patterson

Nursing Posters

Improve transitions of care for newborns requiring home phototherapy by providing skilled nursing services through Home Care and changing the phototherapy modality from the BiliBed to the BiliSoft which provides more intense home phototherapy & is easier to administer.

Inpatient Rehabilitation Performance Improvement: Skin Care And Guidelines, Golden Fisk

Nursing Posters

To improve skin integrity care as well as use of hospital policies and guidelines within Inpatient Rehabilitation.

Integrative Therapy Program: Evaluation And Implementation Of Aromatherapy In An Inpatient Setting, Wendy Wheeler

Nursing Posters

Purpose Statement: The purpose of this project is to implement integrative therapies, such as aromatherapy, in addition to current nursing interventions. Goal is to improve patient experience and outcomes and enhance the patient/nurse relationship.

Mindfulness Program At Work, Chelsie Bakken, Kathleen Mahon, Kristi Patterson

Nursing Posters

Develop and implement a mindfulness based stress reduction program that is easily accessible, effective, and utilized by staff to improve care quality and positively affect the wellbeing of CCH employees.

Moving Weekly Team Conference To Bedside, Joyce Belanger

Nursing Posters

CMS has specific requirements for all Inpatient Rehab Facilities. Weekly team conferences on the patients is one of the requirements. Team members required are Dr, LSW, PT, OT, SLP and RN. Our Practice Nurse (RN) attended conferences, as she has working knowledge of the patient. Our challenge was to get the bedside nurse, instead of the practice nurse, to attend the weekly conference.

National Database Of Nursing Quality Indicators, May Schomer

Nursing Posters

National Database of Nursing Quality Indicators (NDNQI) was launched by American Nursing Association (ANA) in 1998, with an initial set of ten quality indicators that assessed the quality of patient care. The continued mission of the NDNQI's is to improve patient care and safety by providing evidence based national research to nurses by comparing nursing care data and the connection this data has on patient outcomes. A relationship between patient outcomes and nurse staffing practices was noted, but further data collection was needed to appraise the quality of nursing care on each hospital unit in order to assess, evaluate and …

Optimal Perioperative Management Of The Geriatric Patient, Sherry Sonsalla

Nursing Posters

Purpose: Review best practice guidelines, perform a gap analysis, and provide recommendations for areas of opportunity for geriatric surgical patients.

Reducing Overnight Vital Signs, Jill Libbesmeier

Nursing Posters

As delirium has been identified to increase functional decline, cost per patient day of hospitalization, and length of stay, previous delirium work has been completed at St. Cloud Hospital. Changes in sleep pattern and sleep environment have been identified as a cause of delirium. The purpose of this project is to change frequency of vital signs on Med 1, Med 2, and Medical and Oncology, allowing for increased uninterrupted periods of sleep to help reduce delirium rates; in turn reducing average length and cost of stay.

Protecting Patients From Hospital-Acquired Infections, Ann Backes

Nursing Posters

Goal: Implement chlorohexidine (CHG) bathing for patients on the Medical and Oncology Unit with a central venous catheter and/or urinary catheter in addition to existing prevention measures to reduce catheter associated urinary tract infections (CAUTIs) and central line associated bloodstream infections (CLABSIs), because increases in CAUTIs and CLABSIs were seen despite various unit and hospital prevention strategies in place.

Opening An Observation Unit, Emily Zempel

Nursing Posters

The definition, benefits, and structure of an observation unit within a hospital.