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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.