Nursing Posters

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  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).

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  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.

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  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.

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  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.

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  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?

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  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.

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  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.

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  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.

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  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).

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  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.

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  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.

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  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.

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  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).

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  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.

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  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.

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  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.

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  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.

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  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.

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  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.

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  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.

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  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.

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  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.

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  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.

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  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).

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  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.