PROCESS IMPROVEMENT COUNCIL
Renee Delahoussaye (Chair) / Susan Catrair (Co-Chair) I
-"Targeted Toileting” pilot started October 25th on 6th floor.
-Be on the lookout for the Family/Patient falls educational brochure. It will be given to all patients upon admit.
-The Utilization of the Nurse Extender Report began Monday, October 25, 2010
Core Measures June 2010:
AMI-4/6 measures met
CHF- 3/4 measures met
SCIP-7/8 measures met
Pneumonia- 3/6 measures met
Ashley Bearb (Chair) /Aundria Cannon (Co-Chair)Current Events
CLINICAL PRACTICE COUNCIL
Traci Boothe (Chair) /Shannon Broussard (Co-Chair)
--Working ona Bowel Management Protocol.
--Subcommittee formed for DVT rapid process improvement. We are currently working with Surgery, Central Supply, Pharmacy, Quality, Med-Surge Units, and PACU in hopes of improving our DVT process and preventing DVTs and PEs throughout the hospital.
--Meeting with Education Department, Education Council, and Practice Council to start the testing on Mosby's Policy and Procedures.
--We are currently researching nursing peer review process, and information will be distributed as soon as it is completed and approved.**
(meets 1st Thursday every month)
Carrie Gerard (Chair) /Rebecca Meaux (Co-Chair)
--AIDET training was done on September 27 and 28. Rollout of Bedside Shift Report and AIDET to all patient care areas will be discussed at next meeting.
--Rapid Response Team
-Methods to automatically alert the RRT using the "100's rule” by page to RRT pager started in October. Email also goes to both clinical supervisors in ICU. ICU RRT will responsed to patients that meet the 100's Rule just like a regular RRT. Please assist them when they arrive on the floor.
- A Sub-Council has been formed 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. Family and patient education will be provided. Education for Staff in form of power point in progress.
--Wound Care process being reviewed by council. Education on staging wounds has been reviewed. Working with education to make information available to all nurses on Pressure Ulcer Staging. Researching best practice on frequency of documenting Braden Scale.***
--Nursing staff, please remember to call cardiac rehab for all MI/CHF discharges at ext # 8395 or 8396. If a discharge arises when cardiac rehab is not in-house, you must conduct a "discharge time out” with another nurse on your unit.
--Continuing to evaluate Mosby Annual Competencies to determine the best way to transition to a more computer based "Nursing Skills Assessment" for 2011.
--Continuing to evaluate Critical Thinking Diagnostic Implementation for nurses. A couple of our members will be completing the evaluation this month and will share information about the time and personnel involved so we can make a recommendation about how to roll this out for staff nurse evaluation.
--Updated the Orientation Checklist that new hires review with supervisors and/ or directors to add AcuDose fingerprinting and checklist, and to add Hourly Rounding/Bedside Shift report discussion. These forms are in the Nursing Orientation Task Folder.
--Updated the CNA orientation checklist to remove floor #'s and keep only floor names so as not to confuse staff as units move around during construction. These forms are in the Nursing Orientation Task Folder.
-Falls are now going to be trended by Risk Mgt. to look at medication variances. **