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I Heard It Through The Grape Vine, Terri McCaffrey 2015 CentraCare Health - St Cloud Hospital

I Heard It Through The Grape Vine, Terri Mccaffrey

Nursing Posters

Purpose Statement: Patients who are informed and active in their care are more likely to follow recommendations. Providers play a vital role in accomplishing positive communication with cleft team and families.


Inpatient Rehabilitation Unit Specific Orientation, Joyce Belanger, Becky Kastanek 2015 CentraCare Health

Inpatient Rehabilitation Unit Specific Orientation, Joyce Belanger, Becky Kastanek

Nursing Posters

CMS has specific requirements for all Inpatient Rehab Facilities. Data collection in the form of FIM "Functional Independence Measure" is one of them. Due to these requirements, it was felt that we needed to provide further education to our new hire staff from all disciplines.


Tipping The Sacred Cow: Hospital-Wide Implementation Of Bedside Report, Bonnie Rozycki, Katie Schulz, Naomi Schneider, Mary Leyk 2015 CentraCare Health

Tipping The Sacred Cow: Hospital-Wide Implementation Of Bedside Report, Bonnie Rozycki, Katie Schulz, Naomi Schneider, Mary Leyk

Nursing Posters

Purpose Statement: The purpose of this project is to implement bedside report hospital-wide in order to improve patient satisfaction scores.


Improving Scip-4 Glucose Measures, Melissa Fradette 2015 CentraCare Health

Improving Scip-4 Glucose Measures, Melissa Fradette

Nursing Posters

A performance improvement project was initiated to increase the Surgical Care Improvement Project (SCIP) glucose measure compliance. Order sets were modified to standardize glucose monitoring frequency and initiate insulin infusions. A previous practice of double documentation (manual and glucose meter interface documentation) were abstracted as 2 separate results. When glucose interfacting became an option, the practice of manual entries did not stop. The use of manually documented results for decisions failue to prompt interface confirmation; non-validated results do not interface. The plan: implement order set changes; eliminate manual documentation; and rely on interfaced measures to make clinical decisions.


Medical-Surgical Certification - You Can Do It!, Mallory Mondloch 2015 CentraCare Health

Medical-Surgical Certification - You Can Do It!, Mallory Mondloch

Nursing Posters

Nursing certification is an official recognition of a nurse's knowledge and expertise within an area of specialty practice. Nurses value certification as it contributes to personal accomplishment and satisfaction. Certification is valued not only by the individual nurse, but also by patients. It has been correlated with increased patient satisfaction scores and improved quality of care. Some of these positive patient outcomes include decreased fall rates and decreased mortality and failure respond rates. Evidence has shown that certification enhances staff nurses empowerment, subsequently decreasing turnover and increasing retention. Enhanced feelings of personal accomplishment, personal satisfaction, and validation of specialized knowledge, …


Giving Time Back: Implementing A Electronic Nursing Protocol For Skin Care, Amy Gorecki, Sue Omann, Kim Schuster 2015 CentraCare Health

Giving Time Back: Implementing A Electronic Nursing Protocol For Skin Care, Amy Gorecki, Sue Omann, Kim Schuster

Nursing Posters

Purpose Statement: To improve the accessibility of evidence based skin care interventions for the clinical nurse without the need of a CWOCN consult.


Implementing A Tiered Pain Protocol In The Total Knee Arthroplasty Patient, Heidi Meyer, Kelen Sohre, Tamara Welle 2015 CentraCare Health

Implementing A Tiered Pain Protocol In The Total Knee Arthroplasty Patient, Heidi Meyer, Kelen Sohre, Tamara Welle

Nursing Posters

Objective: Address the culture of pain management with physicians and nurses utilizing a tiered pain protocol in conjunction with non-pharmacological approaches to achieve improvement in pain satisfaction to a tolerable level.


Patient Education Barriers, May Schomer, Hannah Newhouse 2015 CentraCare Health

Patient Education Barriers, May Schomer, Hannah Newhouse

Nursing Posters

Introduction: Our survey answers corresponded closely to the research data found. The typical barriers included time, subject knowledge, patient education needs assessment, setting for teaching and nursing teaching skills.


Pneumonia: Ongoing Efforts To Improve Outcomes, CentraCare Health 2015 CentraCare Health

Pneumonia: Ongoing Efforts To Improve Outcomes, Centracare Health

Nursing Posters

Background: Original improvement efforts emphasized correct antibiotic, early mobilization, adequate hydration, and early and ongoing oxygen weaning. Ongoing efforts include: early mobilization, obtaining room air sats on admission, early and ongoing oxygen weaning, and patient education.


Reducing Readmissions For Newborns With Hyperbilirubinemia, Kristi Patterson 2015 CentraCare Health

Reducing Readmissions For Newborns With Hyperbilirubinemia, Kristi Patterson

Nursing Posters

Purpose Statement: The purpose of this project is to reduce 30 day readmissions rates by 20% for normal newborns with hyperbilirubinemia on their index admission by utilizing the AAP clinical practice guideline including: utilizing the AAP nomogram based on age in hours, screening prior to discharge, and implementing the recommended interventions at discharge.


Treating Early Sepsis Outside Of The Icu Using A Bundle Of Interventions, Jennifer Burris 2015 CentraCare Health

Treating Early Sepsis Outside Of The Icu Using A Bundle Of Interventions, Jennifer Burris

Nursing Posters

To decrease cost and length of stay for sepsis patients by standardizing treatment in the progressive care units (PCUs).


Sustaining Pressure Ulcer Prevention: Implementing A Skin Champion Model, Jennifer Burris 2015 CentraCare Health

Sustaining Pressure Ulcer Prevention: Implementing A Skin Champion Model, Jennifer Burris

Nursing Posters

Purpose Question: Will an evidence-based skin champion model in the ICU improve nursing knowledge and perceptions about pressure ulcer prevention and reduce hospital acquired pressure ulcers?


Using Core Competencies To Help Staff Remain Proficient, Mary Leyk 2015 CentraCare Health

Using Core Competencies To Help Staff Remain Proficient, Mary Leyk

Nursing Posters

Problem: Implement a competency program that engages staff compared to usual computer-based training modules. Objective: Design a multi-modal competency program for bedside nursing staff.


Shifting The Paradigm Of Classroom Nursing Orientation, Mary Leyk 2015 CentraCare Health

Shifting The Paradigm Of Classroom Nursing Orientation, Mary Leyk

Nursing Posters

Purpose Statement: The purpose of the Evidence-Based Practice Nursing Orientation Project is to find evidence to support a change in teaching strategy for newly hired RNs (both New Grads as well as experienced nurses), from the current process in order to improve outcomes of clinical competence, independence and nurse confidence, and retention.


What The Heck Is Value-Based Purchasing??, CentraCare Health 2015 CentraCare Health

What The Heck Is Value-Based Purchasing??, Centracare Health

Nursing Posters

Medicare has changed the way hospitals get paid. The new payment program is called Value-Based Payments (VBP). VBP is made up of two parts: incentives & penalities.


Utilizing A Protocol To Reduce Post-Operative Urinary Retention In Total Joint Arthroplasty, Gina Anderson-Malum, Naomi Schneider 2015 CentraCare Health

Utilizing A Protocol To Reduce Post-Operative Urinary Retention In Total Joint Arthroplasty, Gina Anderson-Malum, Naomi Schneider

Nursing Posters

Foley catheters have not routinely been used for our total joint patients for many years, leading staff to bladder scan and straight catheterize patients postoperatively. Bladder scanning and catheterization were identified as an inconsistent practice. Patients were commonly straight catheterized when nurses determind bladder scan volume and time of last void; yet the amounts for both and decision to catheterize were inconsistent. Also, the clinical evaluation and treatment was inconsistent among physicians. Variations in practice included rationale for a urology consult, use of medications for urinary retention, and documentation. Baseline urinary retention condition codes ranged from 8-18%, which led our …


Assessing The Cultural In Culturally Sensitive Printed Patient-Education Materials For Chinese Americans With Type 2 Diabetes, Evelyn Y. Ho, H Tran, Catherine A. Chesla 2015 University of San Francisco

Assessing The Cultural In Culturally Sensitive Printed Patient-Education Materials For Chinese Americans With Type 2 Diabetes, Evelyn Y. Ho, H Tran, Catherine A. Chesla

Communication Studies

Type 2 diabetes affects Chinese Americans at an alarming rate. To address this health disparity, research in the area of cultural sensitivity and health literacy provide useful guidelines for creating culturally appropriate health education. In this article, we use discourse analysis to examine a group of locally-available, Chinese and English language diabetes print documents from a surface and deep structure level of culture. First, we compared these documents to research findings about printed health information to determine if and how these documents apply current best practices for health literacy and culturally appropriate health communication. Second, we examined how diabetes as …


Mobile Nurse Practitioner: A Pilot Program To Address Service Gaps Experienced By Homeless Individuals, Joan Alviar Fraino 2015 The University of San Francisco

Mobile Nurse Practitioner: A Pilot Program To Address Service Gaps Experienced By Homeless Individuals, Joan Alviar Fraino

Nursing and Health Professions Student Research and Publications

An estimated 2.3 to 3.5 million individuals are homeless in the United States, many of whom have chronic medical and mental illnesses. Underserved individuals who are homeless experience gaps in services, resulting in poor health care outcomes and readmission to the hospital setting, often presenting in crisis through the emergency department. The financial state of hospitals is negatively impacted by the burden of patients returning to the hospital due to unresolved issues. The current article presents the role of a psychiatric-mental health nurse practitioner as part of a pilot program, Opportunity Village Mobile Health, that provides a comprehensive approach to …


Nursing Annual Report Fy14-Fy15, Children's Mercy Hospital 2015 Children's Mercy Kansas City

Nursing Annual Report Fy14-Fy15, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services for Fiscal Years 14 and 15 (July 2013-June 2015) at Children's Mercy Kansas City.


Cognitive-Behavioral Therapy, Robert H. Rice 2015 St. John Fisher University

Cognitive-Behavioral Therapy, Robert H. Rice

Nursing Faculty/Staff Publications

Cognitive-behavioral therapy (CBT) is the merging of behavioral and cognitive therapies that mostly focuses on working with the client in the present. Although there are many approaches to CBT, there tend to be some common features. For example, CBT is generally a directive approach to psychotherapy that helps clients to challenge their problematic thoughts and to change the behaviors associated with those thoughts. In addition, most approaches to CBT are structured and time limited and include some type of homework where the client can practice the cognitive and behavioral strategies learned in the therapeutic setting. This entry focuses mostly on …


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