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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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.
Hardwiring Excellence: Applying Healthy Work Environment Principles to the Pediatric/NICU Department

Diane Pelant

The goals of HWE is to improve trust, communication, employee engagement, patient satisfaction, patient safety, and patient clinical outcomes through skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, and authentic leadership.
Methadone Use in Palliative Care Patients

Kim Ruprecht

Methadone is increasingly being used for palliative cancer patients for pain management. Physicians are "rotating" opioids to help reduce opioid side effects, and help increase pain response due to tolerance of another opioid. Methadone has been compared to other opioids in studies in which it has been rotated with another opioid. The studies compared the adverse effects, cost, and the rate of success to achieve adequate pain management.
Blood Transfusion in Elective Total Hip and Total Knee Arthroplasty Patients

Naomi Schneider and Gina Anderson-Malum

To standardize the use of blood transfusion in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients.
Nursing Bed Side Report: Changing our Relationship with our Patients

Naomi Schneider and Mary Leyk

To improve bed side shift reporting in order to standardize practices, to increase efficiency, to decrease RN late clock outs, and to increase patient satisfaction.
Rehabilitation Fall Prevention Strategies

May Schomer and Kathy Toulouse

To improve communication and education among health care workers on fall prevention measures in order to decrease fall rates and increase patient satisfaction.
A Practical Solution to the Challenges of Rehabilitation Nursing Documentation

Ann Summar, Joyce Belanger, and Melissa Vee

To evaluate and improve the daily progress note template in rehabilitation nursing documentation.
Capnography Monitoring: A New Tool for SCH

Brenda Swendra-Henry and Peggy Lange

To incorporate capnography into the care of patients receiving or recovering from continuous opioid infusions or sedation or at the discretion of RN or RT for patients with respiratory compromise.
The Use of Simulation in Staff Preparation for a New Environment of Care

CentraCare Health

Overview: The use of experiential learning in the form of simulation enabled our staff to prepare to coordinate and deliver care during a department move and within the new environment.

The Task: Planning and execution of simulation as a staff training modality for a complete patient department move into a newly constructed environment of care encompassing training of new technology systems including call light and infant security systems, new equipment, and expanded physical space from
Distress Screening

Jolene Dickerman

The purpose of this project is to implement an evidence-based distress screening tool and referral process to support patients diagnosed with cancer. Evaluations of success will include comparison of patient satisfaction and distress level changes over time.
Evidence Facilitating Culture Change: Should Everyone Have Routine Supplemental Oxygen?

Tamara Miller

To evaluate the use of routinely administered supplemental oxygen in postoperative total joint replacement patients compared to like patients who had not had supplemental oxygen applied routinely as measured by SpO2.
Wiki's and EBP: Linking Academia and Practice

Susan Schleper, Joyce Simones, Rachelle Larsen, and Judy Gilsdorf-Gracie

To evaluate the advantages and disadvantages of using a Wiki to develop an evidence-based practice research project.
Expanding the Concept of Presence During Radiation Therapy Treatment

Carol Thelen

Background: Radiation Oncology is an invasive invisible process often given during a time that both patients and their families feel considerable burden. The acute phase of treatment after diagnosis is a time of uncertainty, fear and anxiety. The psychological impacts of this fear and anxiety reduce patient's ability to take in all of the information they are given. Families are often active participants in supporting patients as a second set of eyes and ears. There are no national or organizational guidelines on family presence during radiation treatment. Coborn Cancer Center's practice is not consistent but generally included family waiting in the reception area.
Advancing Employee Engagement Through the Development and Responsible Use of an Internal Social Media Wiki

Marci Timlin

The purpose of this Evidence-based practice project is to increase employee engagement on the Surgical Care Unit through the use of social media. The fundamental reason for the project is to increase cohesion among employees by increasing communication, team building, and personal relationships.