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.

Printing is not supported at the primary Gallery Thumbnail page. Please first navigate to a specific Image before printing.

Switch View to Grid View Slideshow

Deep Tissue Injuries

Mary Pohlmann and Katie Meyer

Purpose Statement from Poster:
- Recognize and identify Deep Tissue Injuries
- Ability to describe and define Deep Tissue Injuries
- Increase awareness of Deep Tissue Injuries in order to promote early identification and treatment
Neuroscience Spine Float Buddy Program

Jenna Czech

Why?

In our commitment as a unit to role model best practice as we support the staff that float to us from other departments, we initiated a new process so all staff that come to our unit will feel welcome, well-prepared, and supported in their roles with our patient population, environment, and our team. It has been identified that we had opportunities related to resources for staff floating from other units.
St. Cloud Hospital Nursing Director Orientation and Mentorship Program

Deb Eisenstadt, Tiffany Omann-Bidinger, and Diane Pelant

Develop and implement an evidence-based orientation and mentorship program for nursing directors using AONE’s Nursing Executive Competencies along with a structure curriculum.
Journey to Zero NG-related HAPI's

Kristin Gaarder

From October 2015 to April 2016, there were five Stage II or higher inner nares hospital acquired pressure injuries (HAPIs) caused by nasogastric (NG) tubes, with one being unstageable. These occurred despite previously implemented evidence- based prevention strategies, which included:

• Two-person skin assessments on admission and return from surgery

• Two-person skin assessment upon transfer from unit to unit

• Daily skin assessments including under devices

• Access to the Wound Ostomy Continence (WOC) team
Magnetizing: Post Operative Nausea and Vomiting

Andrea Nyquist

Purpose:

To guide nursing care in the early recognition and treatment of PONV.

Prevalence:

Postoperative nausea and vomiting (PONV) is the most prevalent postoperative complication occuring within 24 hours of surgery.

Risk Factors:

Adults at a higher risk of PONV include:
- Female
- History of PONV, motion sickness and/or gastroparesis
- Postoperative opioid recipient
- Volatile anesthetic and/or nitrous oxide administration intraoperatively
- Pregnancy
- Use of birth control pills
Implications:

PONV can create a plethora of adverse events for the patient: anxiety and a sense of dread, increased risk for bleeding, dehydration and electrolyte imbalance, risk for aspiration and airway obstruction, vasovagal response, wound dehiscence, increased intracranial pressure, and increased cost with use of antiemetics and potential for prolonged length of stay.
Enhancing Retention for Nursing Assistants: Effective Strategies to Reduce Turnover

Tiffany Omann-Bidinger

Develop and implement a hospital-wide, evidence-based recruitment and retention program to reduce turnover rates for Nursing Assistants (NAs).
Reducing Falls in the Neuroscience Patient Population

Elizabeth Plante

Purpose Statement:

The purpose of this evidence-based practice project is to reduce the fall rate from 5.52 to less than 4.80 on a Neuroscience/Spine Unit through increasing staff and patient awareness of fall risk and application of evidence-based fall prevention practices of communication, patient involvement and bedside report.
What? Not Another Fall!: Reducing Falls in the Neuroscience Patient Population

Elizabeth Plante

The purpose of this evidence-based practice project is to reduce the fall rate from 5.52 to less than 4.80 on a Neuroscience/Spine Unit through increasing staff and patient awareness of fall risk and application of evidence-based fall prevention practices of communication, patient involvement and bedside report.
If You Can Dream It, You Can Do It: Building an Escape Room to Meet Learning Needs

Katherine A. Schulz and Melinda Jennings

Use an Escape Room as an effective learning strategy to fill a gap in knowledge and practice in a fun, interactive, and competitive learning atmosphere.
The Hidden Impact of the Functional Independence Measure

Joyce Belanger

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?
Overcoming New Hire Obstacles with an Individualized RN Orientation in the Critical Care Area

Heather D. Blais, Melissa M. George, and Jessica M. Thoma

To improve RN new hire orientation in the Cardiac Care Unit (CCU). Research reveals we tend to assign two patients to a new hire too early. They may not be able to safely care for two acutely ill patients, causing both the new hire and preceptor to become frustrated.
Improving Nursing Skills in Caring for Culturally Diverse Patients

Jenna Czech

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.
Building the Foundations of Practice of the LPN and CMA in Ambulatory Care

Renee Doetkott

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.
Exploring Community Associated Clostridium Difficile

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).
Benefits of Bedside Report

Golden Fisk

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.
Optimizing Documentation for Inpatient Nurses

Melinda Freund

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.
Care Transitions for Hospital to Home: Ideal Discharge Planning

Jeanne Friebe

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.
STOP: No-Suicide Contracts

Paul Friebe

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).
Post-Stroke Bladder Management

Oniria Gillenwaters

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.
Reducing Dialysis Tunneled Catheter Blood Stream Infections

Sharon Hoffman

To reduce bloodstream infections related to tunneled dialysis catheters through implementation of aseptic, sterile dressing changes completed by RN's.
EBP: House Wide Education

Melinda Jennings

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: 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

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

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.