An integral piece to Rehabilitation is the Functional Independence Measure (FIM). All staff having a love/hate relationship with FIM scores. How do you make your staff understand the importance of FIM?
The purpose of this project is to improve nursing competency in caring for culturally diverse populations within St. Cloud Hospital through nursing education and initiation of a care plan related to Limited English Proficiency (LEP) patient populations.
The practice of the RN is well defined and supported across the profession. But, there is little published information supporting the practice of the LPN and MA in ambulatory care.
Patricia Dumonceaux MSN, RN, CIC, PHN and Dana Schmidt RN
Clostridium difficile (C. difficile) is a life threatening bacteria spread in spore form through diarrhea. C. difficile effects approximately 500,000 people annually (CDC, 2016). From 2009-2016, the incidence rate of C. difficile in Minnesota* has increased from 50 to 227/1000,000 persons, with 58% of cases considered community associated** (CA), 17% healthcare facility onset (HCFO), and 25% community onset-HCFO (MDH, 2016). MDH 2016 data indicates C. difficile is being transmitted within healthcare and community settings and among patients primarily greater than 65 years of age, with 54% of CA cases using antibiotics during the 12 weeks prior to positive specimen (2016).
Bedside report is part of the nursing handoff policy at St. Cloud Hospital. This research was used to identify benefits of bedside reporting to present to staff to reinforce the importance of following this hospital policy.
For nurses (P) that document motor strength on the assessment flow sheet, will a new prototype for documentation (I), compared to the current system (C), reduce confusion (o) as to where motor strength should be located?
Project Goals: decrease double documentation , decrease confusion, improve end-user satisfaction, improve patient outcomes, improve ability to mine data.
To increase patient satisfaction with the discharge process based on patient's readiness; for patients with uncomplicated vaginal and Cesarean birth through the application of the IDEAL model.
The purpose of this evidence-based project is to reduce the number of suicide attempts by identification of at risk patients with the Adult and Adolescent Mental Health Units (MHUs) through implementation of the APNA Psychiatric-Mental Health Nurse Essential Competencies for Assessment and Management of Individuals at Risk for Suicide as compared to the use of No-Suicide Contracts (NSCs).
Urinary incontinence is commonly observed in patients recovering from a stroke. Bladder management and nurse-led interventions such as timed voiding, and double voiding, may be helpful to decrease the risk of urinary tract infections and incontinence episodes in these patients.
To reduce bloodstream infections related to tunneled dialysis catheters through implementation of aseptic, sterile dressing changes completed by RN's.
The purpose of this evidence-based practice project is to improve the content and quality of Computer Based Training (CBT) education and reduce the average CBT module time, through the application of evidence-based guiding principles for CBT content and development, compared to previous practice of ineffective guidelines.
Clinical Research: Evaluation of Healing Touch's Effect on Coronary Artery Bypass Grafting (CABG) Recovery, a Randomized Study
Bridget Klein; Kirsten Skillings; Roxanne Wilson PhD, RN; Kathleen Sowada; Teresa Jahn; and Jessica Thoma
This study is assessing the efficacy of Healing Touch on patients receiving Coronary Artery Bypass Grafting at St. Cloud Hospital. A single previous research study determined Healing Touch, when added to standard nursing care, can significantly reduce anxiety and length of stay in patients undergoing CABG procedures.
IrriSept is the only FDA-Cleared device that delivers a pressurized solution containing Chlorhexidine Gluconate (CHG) for cleansing and debridement. As a final rinse, prior to closure in surgical procedures, IrriSept has the potential to help reduce SSIs and associated treatment costs. IrriSept was developed with the goal of becoming the "Standard of Care" and improving patient outcomes.
IrriSept has a wide range of activity against gram positive and gram negative bacteria, fungi, and viruses. It has demonstrated antimicrobial efficacy and persistence in laboratory testing.
Melissa Lampert and Anne Major
Increase the number of 72-hour post-discharge follow-up phone calls for patients hospitalized with a primary diagnosis of heart failure.
This is a quality measure required for Joint Commission Heart Failure Certification and also to maintain American Heart Association Gold Plus Status.
Hanni Lyon, Sara Maciej, and Alea Stanger
The policy changes reflect the current guidelines and standards used to prevent central lines and associated bloodstream infections and its complications.
Improve work processes of newly established triage/scheduling call center by creating a nurse driven yellow flag list that supports RN scope of practice, improves access to care, and an overall goal of reducing total cost of care.
The use of proper hand hygiene in the clinic setting is critical for infection control and prevention of nosocomial infections.
To apply the evidence of orthostatic blood (O B/P) pressure monitoring techniques as compared to inconsistent O B/P monitoring. Enhance the knowledge and skill of staff completing O B/P to promote consistent technique and reliable assessment data. Identify and modify order sets which include O B/P monitoring to ensure the order is written for use based on the evidence.
Enhancing Retention for Patient Care Assistants: Effective Strategies to Implement to Reduce Turnover
Develop and implement a hospital-wide, evidence-based recruitment and retention program to reduce turnover rates for Patient Care Assistants (PCAs).
Kara Panek and Melinda Jennings
It was identified that there were opportunities to enhance the care of the inpatient oncology patient when they were not on the Medical and Oncology Unit. Upon completing leadership rounding, patients identified that they did not receive consistent oncology specific interventions when they were transferred to a higher level of care.
Karen Chalich RN
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, and M Fareed K. Suri MD
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.
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, and Jessica Thoma
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.
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.
Chelsie Bakken, Kathleen Mahon, and Kristi Patterson
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.
Nurses at CentraCare Health are engaged in finding ways to improve all aspects of practice of nursing in the clinical setting. The following are posters created in the process of Evidence-based Practice Projects.
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