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DigitalCommons@CentraCare Health CentraCare Health

Home > POSTERS_SCHOLARLY_WORKS > NURSING_POSTERS

Nursing Posters

 
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 and clinical improvement.
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  • Clinical Research: Evaluation of Healing Touch's Effect on Coronary Artery Bypass Grafting (CABG) Recovery, a Randomized Study by Bridget Klein; Kirsten Skillings; Roxanne Wilson PhD, RN; Kathleen Sowada; Teresa Jahn; and Jessica Thoma

    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: Redefining Irrigation by Nicole Koening

    Irrisept: Redefining Irrigation

    Nicole Koening

    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.

  • Heart Failure Follow Up Phone Calls by Melissa Lampert and Anne Major

    Heart Failure Follow Up Phone Calls

    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.

  • Central Line Policy Updates by Hanni Lyon, Sara Maciej, and Alea Stanger

    Central Line Policy Updates

    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.

  • Introduction of a Yellow Flag List in a Call Center Setting by Allyson Mezera

    Introduction of a Yellow Flag List in a Call Center Setting

    Allyson Mezera

    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.

  • Proper Hand Hygiene Practice in the Clinic Setting by Wendy Middendorf

    Proper Hand Hygiene Practice in the Clinic Setting

    Wendy Middendorf

    The use of proper hand hygiene in the clinic setting is critical for infection control and prevention of nosocomial infections.

  • Orthostatic Blood Pressure Monitoring by Carla Olson

    Orthostatic Blood Pressure Monitoring

    Carla Olson

    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 by Tiffany Omann-Bidinger

    Enhancing Retention for Patient Care Assistants: Effective Strategies to Implement to Reduce Turnover

    Tiffany Omann-Bidinger

    Develop and implement a hospital-wide, evidence-based recruitment and retention program to reduce turnover rates for Patient Care Assistants (PCAs).

  • Carry Your Candle...and Light the Way by Tiffany Omann-Bidinger, Deb Eisenstadt, and Jenelle Brekken

    Carry Your Candle...and Light the Way

    Tiffany Omann-Bidinger, Deb Eisenstadt, and Jenelle Brekken

    The initial goal and purpose of this symposium was to develop a structured leadership class to prepare support charge nurses for the challenges they face in today's healthcare environment. Using a transformational leadership framework aligned with the Professional Practice Model (PPM): The Compass, a content outline was developed for the charge nurse's role. The focus was based on the charge nurse's role using the following components: autonomy, accountability, critical thinking, crucial conversations, innovation, productivity, coaching and mentoring, healthy work environment principles and shared governance. This would ultimately optimize the Neuroscience/Spine Unit and Inpatient Rehabilitation Unit charge nurse's professional function.

  • Collaboration to Improve Care of Oncology Patient by Kara Panek and Melinda Jennings

    Collaboration to Improve Care of Oncology Patient

    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.

  • I.D.E.A.L. Transition Plan by Colleen Porwoll

    I.D.E.A.L. Transition Plan

    Colleen Porwoll

    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?"

  • Decreasing Unnecessary Pharmacy Cost in the Cath Lab by Scott M. Scepaniak and Kristi Patterson

    Decreasing Unnecessary Pharmacy Cost in the Cath Lab

    Scott M. Scepaniak and Kristi Patterson

    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

  • RN Case Manager Case Consultation by Nancy A. Schug

    RN Case Manager Case Consultation

    Nancy A. Schug

    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 by Katherine A. Schulz

    Preceptor Class Evaluation & Redesign

    Katherine A. Schulz

    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.

  • Integrating Holsitic Care Modalities into an Inpatient Physical Rehabiliation Program by Kathleen Sowada

    Integrating Holsitic Care Modalities into an Inpatient Physical Rehabiliation Program

    Kathleen Sowada

    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.

  • Music Heals: Therapeutic Music to Reduce Pain and Anxiety in Adult ICU Patients by Kathleen Sowada

    Music Heals: Therapeutic Music to Reduce Pain and Anxiety in Adult ICU Patients

    Kathleen Sowada

    To decrease pain and anxiety in adult intensive care unit patients through the use of therapeutic music as compared to no music intervention.

  • Medication Assessment in the Older Adult: Using the Beer's List by Gretchen Zunkel

    Medication Assessment in the Older Adult: Using the Beer's List

    Gretchen Zunkel

    • 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

  • Quality and Quantitiy of Patient Sleep in the Hospital: Perceptions and Measures by Karen Chalich RN

    Quality and Quantitiy of Patient Sleep in the Hospital: Perceptions and Measures

    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 by Leah Roering NP, Michelle Peterson NP, Muhammad Shah Miran MD, Melissa Freese, Kenneth Shea MD, and M Fareed K. Suri MD

    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 by Laurie Annett, Nicole Higel-Backes, Jaclyn Hoppe, Michelle Huffman, Teresa Jahn, Bridget Klein, Jessica Mackedanz-Johnson, Kirsten Skillings, Jayna Theis, and Jessica Thoma

    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.

  • Protecting Patients from Hospital-Acquired Infections by Ann Backes

    Protecting Patients from Hospital-Acquired Infections

    Ann Backes

    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.

  • Mindfulness Program at Work by Chelsie Bakken, Kathleen Mahon, and Kristi Patterson

    Mindfulness Program at Work

    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.

  • SEP-1: Early Management Bundle, Severe Sepsis/Septic Shock by Roberta Basol and Jennifer Burris

    SEP-1: Early Management Bundle, Severe Sepsis/Septic Shock

    Roberta Basol and Jennifer Burris

    To educate, monitor, and improve the sepsis core measure SEP-1 results required by CMS.

  • Moving Weekly Team Conference to Bedside by Joyce Belanger

    Moving Weekly Team Conference to Bedside

    Joyce Belanger

    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.

  • Improving Transitions of Care for Newborns Requiring Home Phototherapy Through Innovation & Collaboration by Carla Bieniek and Kristi Patterson

    Improving Transitions of Care for Newborns Requiring Home Phototherapy Through Innovation & Collaboration

    Carla Bieniek and Kristi Patterson

    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.

 
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