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DigitalCommons@CentraCare Health CentraCare Health

Home > POSTERS_SCHOLARLY_WORKS > NURSING_POSTERS

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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  • Increasing Access to Data through Microsoft's Power BI by Rumana Ahmad and Kristi Patterson

    Increasing Access to Data through Microsoft's Power BI

    Rumana Ahmad and Kristi Patterson

    What is Power BI?

    • A collection of software services, apps, and connectors that work together to turn unrelated sources of data into coherent, visually immersive, and interactive insights.

    What’s in it for me?

    • Users can quickly & easily explore trends for CC inpatients across common outcome measures including case counts, length of stay, mortality, & unplanned readmissions to help identify variation & opportunity for improvement. For example, compare COPD patient case counts, length of stay,and in-house mortality across CC hospitals.

  • No One Goes Missing: Creating an Elopement Risk Safe Plan of Care by Jennifer Burris, Kathryn Collins, Holly Kockler, Tiffany Omann-Bidinger, and Elizabeth Plante

    No One Goes Missing: Creating an Elopement Risk Safe Plan of Care

    Jennifer Burris, Kathryn Collins, Holly Kockler, Tiffany Omann-Bidinger, and Elizabeth Plante

    To identify patients at risk for elopement by developing an evidence-based elopement risk screening tool and plan of care.

  • Admission Documentation Overhaul by Jennifer Burris, Holly Kockler, and Hillary Waldum

    Admission Documentation Overhaul

    Jennifer Burris, Holly Kockler, and Hillary Waldum

    Improve the admission documentation workflow by revamping the admission Navigator and Functional Health Assessment

  • Providing Education Regarding Antimicrobial Stewardship for the Bedside Nurse by Anna Boeke

    Providing Education Regarding Antimicrobial Stewardship for the Bedside Nurse

    Anna Boeke

    • Two million people acquire drug resistant bacteria and around 23,000 die from infection-related resistance each year (CDC, 2018a) and Up to 50% of antibiotics are incorrectly prescribed, including usage, dosage, and duration (CDC, 2017)
    • Clostridium difficile (C.diff) is a common problem seen in the hospital
    • Antimicrobial stewardship (AMS) as a proven method of addressing the problem of antibiotic resistance by education, multidisciplinary efforts, and refined resource utilization
    • The biggest problem is nursing staff are unsure how to participate in AMS!

  • Preventing CRBSI'S in Hemodialysis by Kristen Dombovy

    Preventing CRBSI'S in Hemodialysis

    Kristen Dombovy

    The aim of this project was reducing CRBSI’s below the predicted number of bloodstream infections with the implementation of the ClearGuard® chlorhexidine-based antimicrobial disinfecting cap.

  • St. Cloud Hospital Hand Hygiene Achievers by Patricia Dumonceaux, Sara Maciej, Jessica Reed, and Tamara Welle

    St. Cloud Hospital Hand Hygiene Achievers

    Patricia Dumonceaux, Sara Maciej, Jessica Reed, and Tamara Welle

    Develop and adopt a culture change to increase hand hygiene compliance across all St. Cloud Hospital (SCH) inpatient and outpatient departments

    • Hand hygiene is the best method to prevent the spread of infection (CDC, 2017).
    • Historical data for SCH indicated below desired goal of 95% compliance with hand hygiene practices and continued identification of hospital associated infections.
    • Employee engagement best achieved through promoting culture of safety supporting hand hygiene best practices (Piras et al., 2018).
    • Educating staff on the WHO 5 Moments of Hand Hygiene, developing monitoring process for assessing opportunities to complete moments of hand hygiene, and providing detailed feedback can enhance results and improve culture (Haas, 2014).
    • All staff survey identified best sources of performance feedback comes from peers and direct leadership.

  • Reduced Frequency Monitoring Post-Stoke Treatment by Melissa Freese

    Reduced Frequency Monitoring Post-Stoke Treatment

    Melissa Freese

    In 2020, the nation was faced with a pandemic that quickly depleted health care resources. Standards of care were reviewed to identify opportunities to reduce the burden on healthcare resources. One of the standards of care that was reviewed nationally and locally at the St. Cloud Hospital (SCH), was the postalteplase/ thrombectomy patient placement and monitoring.

    The standard of care for the placement and monitoring of post-alteplase patients was established during the 1996 NINDS trial and has not been studied since. Very minimal literature is available on the standard of care for patient placement and monitoring post-thrombectomy.

  • Huddle to Enhance Patient Progression of Care by Melinda Jennings, Kristi Patterson, and Jennifer Salzer

    Huddle to Enhance Patient Progression of Care

    Melinda Jennings, Kristi Patterson, and Jennifer Salzer

    CentraCare (CC) is committed to improving patient flow and is now using the Geometric Mean Length of Stay (GMLOS) Index as our primary measure of success. This is a Key Performance Indicator that is monitored by the Patient Flow Steering Committee and Executive Leadership. In recent years, SCH GMLOS Index is higher than expected.

  • Implementation of a Chemotherapy Guideline: A Quality Improvement Project to Standardize the Chemotherapy Delivery Process by Sara Maciej

    Implementation of a Chemotherapy Guideline: A Quality Improvement Project to Standardize the Chemotherapy Delivery Process

    Sara Maciej

    Adjusting chemotherapy rates is one gap in chemotherapy practice that evokes inconsistency. The purpose of this project was to implement a standardized guideline for staff to utilize in adjusting rates of chemotherapy medications.

  • Meeting the Educational Needs of the Busy Bedside Nurse: Curbside Education an Innovative Program by Ashley O'Connell, Kayla Waldoch, and Amy Junes

    Meeting the Educational Needs of the Busy Bedside Nurse: Curbside Education an Innovative Program

    Ashley O'Connell, Kayla Waldoch, and Amy Junes

    • Seek out educational needs of staff based on current changes, trends and new hires
    • Provide on the spot reinforcement of skills, policies, education and policy changes for all staff
    • Implement skill stations, including "off shifts", to increase staff cohesiveness and preparedness in emergent and nonemergent scenarios

  • Deep Tissue Injuries by Mary Pohlmann and Katie Meyer

    Deep Tissue Injuries

    Mary Pohlmann and Katie Meyer

    Purpose Statement from Poster:

    • Recognize and identify Deep Tissue Injuries
    • Ability to describe and define Deep Tissue Injuries
    • Increase awareness of Deep Tissue Injuries in order to promote early identification and treatment

  • St. Cloud Hospital Nursing Director Orientation and Mentorship Program by Deb Eisenstadt, Tiffany Omann-Bidinger, and Diane Pelant

    St. Cloud Hospital Nursing Director Orientation and Mentorship Program

    Deb Eisenstadt, Tiffany Omann-Bidinger, and Diane Pelant

    Develop and implement an evidence-based orientation and mentorship program for nursing directors using AONE’s Nursing Executive Competencies along with a structure curriculum.

  • Enhancing Retention for Nursing Assistants: Effective Strategies to Reduce Turnover by Tiffany Omann-Bidinger

    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).

  • The Hidden Impact of the Functional Independence Measure by Joyce Belanger

    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?

  • Overcoming New Hire Obstacles with an Individualized RN Orientation in the Critical Care Area by Heather D. Blais, Melissa M. George, and Jessica M. Thoma

    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.

  • Improving Nursing Skills in Caring for Culturally Diverse Patients by Jenna Czech

    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.

  • Building the Foundations of Practice of the LPN and CMA in Ambulatory Care by Renee Doetkott

    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.

  • Exploring Community Associated Clostridium Difficile by Patricia Dumonceaux MSN, RN, CIC, PHN and Dana Schmidt RN

    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).

  • Benefits of Bedside Report by Golden Fisk

    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.

  • Optimizing Documentation for Inpatient Nurses by Melinda Freund

    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.

  • Care Transitions for Hospital to Home: Ideal Discharge Planning by Jeanne Friebe

    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.

  • STOP: No-Suicide Contracts by Paul Friebe

    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).

  • Post-Stroke Bladder Management by Oniria Gillenwaters

    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.

  • Reducing Dialysis Tunneled Catheter Blood Stream Infections by Sharon Hoffman

    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.

  • EBP: House Wide Education by Melinda Jennings

    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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