Nursing Posters

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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.

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  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.

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  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?"

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  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

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  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.

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  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.

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  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.

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  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.

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  Conversion Disorder

  Ann Summar

  Conversion Disorder:

  • Neurologic symptoms that are inconsistent with a neurologic disease
  • Symptoms cause distress and/or impairment
  • No radiological or laboratory findings for symptoms
  • May have poor outcomes without proper treatment

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  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

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  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.