Nursing Posters

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  Sustaining Pressure Ulcer Prevention: Implementing a Skin Champion Model

  Jennifer Burris

  Purpose Question: Will an evidence-based skin champion model in the ICU improve nursing knowledge and perceptions about pressure ulcer prevention and reduce hospital acquired pressure ulcers?

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  Treating Early Sepsis Outside of the ICU Using a Bundle of Interventions

  Jennifer Burris

  To decrease cost and length of stay for sepsis patients by standardizing treatment in the progressive care units (PCUs).

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  Pneumonia: Ongoing Efforts to Improve Outcomes

  CentraCare Health

  Background: Original improvement efforts emphasized correct antibiotic, early mobilization, adequate hydration, and early and ongoing oxygen weaning. Ongoing efforts include: early mobilization, obtaining room air sats on admission, early and ongoing oxygen weaning, and patient education.

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  What the Heck is Value-Based Purchasing??

  CentraCare Health

  Medicare has changed the way hospitals get paid. The new payment program is called Value-Based Payments (VBP). VBP is made up of two parts: incentives & penalities.

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  Cultural Competency at the Bedside: Developing a Plan of Care for Limited English Proficiency Patient Populations

  Jenna Czech

  To improve nursing skills and competency in caring for culturally diverse and limited English proficiency patient populations.

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  Improving SCIP-4 Glucose Measures

  Melissa Fradette

  A performance improvement project was initiated to increase the Surgical Care Improvement Project (SCIP) glucose measure compliance. Order sets were modified to standardize glucose monitoring frequency and initiate insulin infusions. A previous practice of double documentation (manual and glucose meter interface documentation) were abstracted as 2 separate results. When glucose interfacting became an option, the practice of manual entries did not stop. The use of manually documented results for decisions failue to prompt interface confirmation; non-validated results do not interface. The plan: implement order set changes; eliminate manual documentation; and rely on interfaced measures to make clinical decisions.

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  Giving Time Back: Implementing a Electronic Nursing Protocol for Skin Care

  Amy Gorecki, Sue Omann, and Kim Schuster

  Purpose Statement: To improve the accessibility of evidence based skin care interventions for the clinical nurse without the need of a CWOCN consult.

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  Shifting the Paradigm of Classroom Nursing Orientation

  Mary Leyk

  Purpose Statement: The purpose of the Evidence-Based Practice Nursing Orientation Project is to find evidence to support a change in teaching strategy for newly hired RNs (both New Grads as well as experienced nurses), from the current process in order to improve outcomes of clinical competence, independence and nurse confidence, and retention.

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  Using Core Competencies to Help Staff Remain Proficient

  Mary Leyk

  Problem: Implement a competency program that engages staff compared to usual computer-based training modules. Objective: Design a multi-modal competency program for bedside nursing staff.

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  Creating Successful Mentoring Relationships

  Mary Leyk and Colleen Porwoll

  Literature suggests that a formal mentoring program increases nursing engagement and retention. Objective: Develop a nurse mentor program to enhance new nurse satisfaction and retention.

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  Heart Failure and Depression: Reducing Readmission Rates

  Janelle Maciej

  Purpose Statement: Reduce heart failure readmissions through implementation of a depression assessment in the acute care setting.

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  I Heard it through the Grape Vine

  Terri McCaffrey

  Purpose Statement: Patients who are informed and active in their care are more likely to follow recommendations. Providers play a vital role in accomplishing positive communication with cleft team and families.

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  Implementing a Tiered Pain Protocol in the Total Knee Arthroplasty Patient

  Heidi Meyer, Kelen Sohre, and Tamara Welle

  Objective: Address the culture of pain management with physicians and nurses utilizing a tiered pain protocol in conjunction with non-pharmacological approaches to achieve improvement in pain satisfaction to a tolerable level.

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  Medical-Surgical Certification - You can do it!

  Mallory Mondloch

  Nursing certification is an official recognition of a nurse's knowledge and expertise within an area of specialty practice. Nurses value certification as it contributes to personal accomplishment and satisfaction. Certification is valued not only by the individual nurse, but also by patients. It has been correlated with increased patient satisfaction scores and improved quality of care. Some of these positive patient outcomes include decreased fall rates and decreased mortality and failure respond rates. Evidence has shown that certification enhances staff nurses empowerment, subsequently decreasing turnover and increasing retention. Enhanced feelings of personal accomplishment, personal satisfaction, and validation of specialized knowledge, along with recognition from peers and employwers, have been experienced with attainment of med-surg certification.

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  Reducing Readmissions for Newborns with Hyperbilirubinemia

  Kristi Patterson

  Purpose Statement: The purpose of this project is to reduce 30 day readmissions rates by 20% for normal newborns with hyperbilirubinemia on their index admission by utilizing the AAP clinical practice guideline including: utilizing the AAP nomogram based on age in hours, screening prior to discharge, and implementing the recommended interventions at discharge.

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  Evidence to Support Standardized End of Life Care Utilizing Evidence-Based Training, Education, and Protocol/Order Sets

  Sara S. Revier

  Purpose Statement: Develop and implement evidence based standardized end of life care through education, case identification, and care delivery tools for adult med/surgical patients transitioned to comfort care as compared to current, non-standardized care for patients transitioned to comfort care.

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  Tipping the Sacred Cow: Hospital-wide Implementation of Bedside Report

  Bonnie Rozycki, Katie Schulz, Naomi Schneider, and Mary Leyk

  Purpose Statement: The purpose of this project is to implement bedside report hospital-wide in order to improve patient satisfaction scores.

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  Patient Education Barriers

  May Schomer and Hannah Newhouse

  Introduction: Our survey answers corresponded closely to the research data found. The typical barriers included time, subject knowledge, patient education needs assessment, setting for teaching and nursing teaching skills.

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  Evidence to Measure and Implement Patient Satisfaction in FBC Patients

  Meredith Wells

  Purpose Statement: The purpose of this project is to increase Family Birthing Center patient Press Ganey satisfaction scores by focusing on communication with nurses, implementing communication guidelines and nurse accountability for compliance.

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  Impact of Tranexamic Acid (TXA) on Hemoglobin Levels in Elective Total Knee Arthroplasty Patients

  Gina Anderson-Malum

  Over the last 2 years, the Bone and Joint Center has focused on blood utilization for total knee and total hip arthroplasty. With the use of a blood transfusion protocol, we significantly reduced blood transfusion rates and standardized the approach to care. As an expansion of this work, other ideas to further decrease blood utilization were considered. The purpose of the data collection of preoperative and postoperative Hemoglobin (HGB) levels was to evaluate the effect of Tranexamic Acid (TXA) on the average change in Hgb levels compared to Hgb levels of patients that did not receive the medication. In addition, a review of the consistency of practice for Hgb draws and review of the quality of patient care related to the number of lab draws, cost to the patient, and blood re-infusion per drain were recognized as other opportunities. The use of a post-operative drain has been shown to be associated with an additional cost to the patient and hospital, increased length of stay, possible risk of infection, potential increase in blood loss and increase in the need for a blood transfusion.

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  Disinfection of Shared Mobile Phones Carried by Registered Nurses: A Comparison of Two Methods

  Roberta Basol, Amy Hilleren-Listerud, Sherri Reischl, Terri McCaffrey, Jean Beckel, Terri McCaffrey, Pamela Rickbeil, Mary Schimnich, Kirsten Skillings, and Mary A. Struffert

  This study determined the efficacy of cleaning products on mobile phones. Previous research has demonstrated the risk for bacterial cross contamination between healthcare workers' hands, close contact equipment, and mobile communication devices. There is extensive literature on survival of organisms on inanimate objects. Mobile communication devices can act as a reservoir for bacteria associated with nosocomial infection. Additional studies show cross contamination between the healthcare workers hands, the mobile phones, and the patient.

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  Prevention of Unplanned Extubations

  Melissa Fradette and Donna Kamps

  Background: The trend of unplanned extubations is rising. Unplanned extubations are a safety concern for patients. A ventilator bundle is in place to guide nurses and respiratory therapists for weaning and extubating patients who meet criteria; it is not always being used. This concern has been discussed at the ICU safety team, ICU NP, ICU ROE, and ICU leadership meetings.

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  Timing of Surgical Antibiotic Prophylaxis vs. Therapeutic Antibiotics and the Risk of Surgical Site Infection

  Sandy Gilk, Joan Hemker, and Jeni Hansen

  Introduction: The CDC has developed criteria that define surgical site infection (SSI) as infection related to an operative procedure that occurs at or near the surgical incision within 30 days of the procedure or within 90 days if prosthetic material is implanted. Objectives: Differentiate between Prophylactic Antibiotics and Therapeutic antibiotic. Understanding SCIP guidelines with use of prophylactic antibiotics. Understanding the use of Therapeutic antibiotics by physician's order, prior to surgery.

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  Successful Mentoring Relationships

  Mary Leyk and Colleen Porwoll

  A poster presentation on the structure, process, and outcomes of a successful mentoring program.

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  Reducing Falls and Fall-Related Injuries in the Acute Care Setting

  Mallory Mondloch

  The Minnesota Hospital Association released a safety alert indicating there has been a significant increase in the number of reported patient fall events. Each year, falls and fall-related injuries account for an astounding number of unnecessary healthcare costs. Not only are falls costly, but many sadly result in major disabilities or deaths. Here are the steps we can take to reduce falls and fall-related injuries.