PROCESS IMPROVEMENT COUNCIL
Renee Delahoussaye (Chair) / Susan Catrair (Co-Chair) I
Falls:
- September 7th join Elsie for the Nurse Extender Lunch and Learn to thank them for helping out with their early am rounding and helping decrease the number of patient falls.
Nurse Extender Handoff:
- Present Nurse Extender handoff reportand ask for any recommendations to facilitate accurate, consistent patient information needed to provide high level of care.
- Engage CNA's as integral nursing care component, communication with primary nurse regarding daily plan of care.
Data Trends:
Total Falls - 51% Avg. Fall Reduction In June, July 2010
NDNQI Benchmark Comparison-Falls Per 1000 APD 3.4
May 25 Falls -Total Asst/Unasst.Falls Per 1000 APD2.7
June 13 Falls -Total Asst/Unasst. FallsPer 1000 APD1.4
A. Dominant Driver of Patient Falls - Patient Going to bathroom - Unassisted by staff
B.Looking to Implement "targeted toileting".
C. Identify risk associated with pain medication administration, time frame etc.
D. Prompt Interventionsassociated with increased risk factors.
E. Consider Fall Prevention Family Brochure on admission
Restraints:
- Training preparation is almost complete...the nurses will have 6 weeks to complete the training!
NPC:
- Group Disband
CMS:
- Heart Failure—All Green for the month of May
- AMI—All 100% for the month of May
- SCIP—Guess that "SCIPer” has started. Tickets will be picked up on September 10th. Gift basket will go to the person pulled that has guessed all surgeons correctly
EDUCATION COUNCIL
Ashley Bearb (Chair) /Aundria Cannon (Co-Chair)Current Events
Current Events
- The education council is in the process of evaluating the Critical Thinking test for nurses and deciding how to role the test out to the nursing staff.
- In the process of making sure that the med/surg nurses complete the Basic EKG course.
CLINICAL PRACTICE COUNCIL
Traci Boothe (Chair) /Shannon Broussard (Co-Chair)
Current Events
- We are in the process of getting Bright Yellow Stickers made for central line kits to help nurses remember that the dressings need to be changed EVERY SUNDAY!
- IS is in the process of making some changes to our DVT risk assessment process in hopes of making it more obvious when the patients has a DVT risk assessment score of 3 or higher so that the nurse can alert the physician.
- Prune Juice has been added to the list of dietary stock to order for the units.
- New Bladder Scanners have been ordered for the units. The reps will be going unit to unit to in-service as many nurses as possible on September 7, 2010, September 8th, and a 1/2-day on September 9th. Encourage the staff to attend the in-service!
- We are putting together a subcommittee, consisting of a representative from each dept, pharmacy, and quality, in order to improve our DVT, SCDs, and TED hose process! Stay tuned for more information on this.
RESEARCH COUNCIL
(meets 1st Thursday every month)
Carrie Gerard (Chair) /Rebecca Meaux (Co-Chair)
Current Events
- AIDET training will be coming end of September. After training is complete, rollout of Bedside Shift Report and AIDET will be continued on all units.
- Rapid Response Team - Methods to automatically alert the RRT using the "100's rule” by report faxed to ICU should started on August 23, 2010.
- Council will be deciding how to move forward with Family Iniated Rapid Response, giving Family members access to emergency number if they feel their nurse is not adequetly addressing family concerns regarding decline in patient condition is complete. Decision on how to move forward will be decided at next meeting.
- Wound Care process being reviewed by council and data compiled at this time. Education on staging wounds being reviewed. A decision will be made at next meeting if education should be rolled out to nursing units.
PROCESS PRIORITIES:
- Remember to communicate and educate your patients on fall prevention when conducting hourly rounding. Encourage them to call you for bathroom assistance.
- When getting patients ready for surgery, please place a Hover Matt under that patient if necessary for patient transfer. They are disposable and can be used on that patient during their entire hospital stay as long as it is not soiled.
