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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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Successful Mentoring Relationships

Mary Leyk and Colleen Porwoll

A poster presentation on the structure, process, and outcomes of a successful mentoring program.
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.
DSM V: Review of Commonly Seen Diagnosis Found in the Inpatient Mental Health Setting

Joyce Salzer

Objectives: increased awareness of where to find some of the most commonly seen diagnosis within the DSM V and knowledge of some of the changes that have been made in diagnostic classification.
Nursing Skin Integrity Guidelines: A New Approach to Skin Care

Kim Schuster, Amy Gorecki, and Jennifer Burris

What is nursing skin integrity guidelines: a nursing driven order to provide evidence based skin integrity interventions; provides a streamlined process for immediate application of best practice interventions for identified skin impairments; the interventions can be implemented based on assessment findings and clinical judgment; and provides a guideline for consulting the WOC Nurse, including when wounds are not healing, all pressure ulcers, and ostomy needs.
Demonstrating Nurse-Sensitive Outcomes: Do Barrier Perceptions Differ By Role?

Jean Beckel

This study provides some of the first evidence to demonstrate the existence of barriers and differences in barrier perception related to role.
Northern Stars of Education: Enhancing Nursing Practice through Collaboration

Jenelle Brekken, Kristin Brandt, Tammy Filippi, and Mary Leyk

To utilize collaboration to increase communication, innovation, and support.
Important Message from Medicare: A New Delivery Process

Norene Chavez

To evaluate and change the current delivery guidelines of the IMM, and to communicate those changes to all involved staff through a live education session.
NICU EBP Project: Transitioning Caregivers to a Private Room NICU

Kristin Gjerset

To identify challenges, address concerns, and educate staff in order to make the transition to the utilization of private rooms in the NICU a smooth one.
Revising a Patient Medication Program to Improve Medication Adherence and Patient Outcomes

Rebecca Kastanek, Sandi Mulliner, and Ann Summar

To improve education and understanding of medications in order to improve overall quality of care, to ensure our patients stay healthy and retain the gains they made during their rehabilitation stay, and to decrease readmission rates.
Sitter Observation

Lisa Kilgard and Elizabeth Schuler

To implement a practice change at St. Cloud Hospital which reduces one to one observation in medical and behavioral patients as compared to current routine practice of one to one sitter use as a common intervention used.
It's Just an Insulin Pump! The Top 10 Questions Asked by Staff Nurses

Sue Kruse and Chelsea Kilanowski

To educate staff nurses on the use of insulin pumps.
Core Measures

Nikki Laudenbach, Kristi Patterson, and Carol Upcraft

Core Measures are hospital quality measures that are monitored and reported to the Joint Commission and the Centers for Medicare & Medicaid Services (CMS). They are evidence-based practices, scientifically researched standards of care which result in improved clinical outcomes for patients, and impact Value Based Purchasing reimbursement. They assist us to provide optimal care across all patient populations, help us identify areas where we can improve patient outcomes, and provide a focus for the development of clinical pathways and standard order sets.
Development and Implementation of a Pediatric Palliative Care Program

Terri McCaffrey, Diane Pelant, and Jean Beckel

To define, develop, and implement a pediatric palliative care program.
Improving the Preparedness of Discharge Education for Patients on the Bone and Joint Center

Angela Moscho

To improve discharge education in order to increase the percent of overall discharge and patient satisfaction in relation to being discharged.