VCSQI Nurse Navigators and Co-Pilots Summer 2017 Quarterly Meeting The Boar’s Head Inn

Panel Discussion / Q&A Panel Members: Robbin Shifflett, UVA Pam Thorpe-Kirstein, Sentara Jill Melia, Bon Secours Liza Szelkowski, Inova Moderator: Debbie Nadzam

A Day in the Life of a Cardiac Surgery Co-pilot 0630 Meet with the surgery patient in pre-op holding, review plan of care 0700 Pre-round on in-patients, discuss issues/concerns with patient and bedside nurse 0730 Round with Cardiac Surgery Team 0830 Meet with families in the main surgical waiting area, provide update from OR 0900 Round on in-patients, provide review of care, post-op instructions, discharge medication education and follow up with orders from rounding

A Day in the Life of a Cardiac Surgery Co-pilot 1000 Place follow-up calls to discharges from previous day Review plan of care at home Answer questions Review medications Confirm follow up appointments 1030 Update families in the surgical waiting room 1100 See 5 day post op in office to reinforce education

A Day in the Life of a Cardiac Surgery Co-pilot 1200 Update families with surgeon immediately post-op 1300 Round on in-patients to reinforce education and encourage activity, assist with discharge education. 1330 Escort family of the Cardiac Surgery patient to CVI, provide update 1400 See pre-op testing patients in the office

DISCUSSION / Q&A Initiatives to mitigate 30-day readmissions Patient and Family Engagement