Presentation is loading. Please wait.

Presentation is loading. Please wait.

WELCOME to LEGACY HEALTH.

Published byDenílson Valente Figueiroa Modified over 6 years ago

Similar presentations

Presentation on theme: "WELCOME to LEGACY HEALTH."— Presentation transcript:

1 WELCOME to LEGACY HEALTH

2 Welcome Our staff is excited to help you develop your clinical skills, knowledge base, and professional experience. All to better deliver quality patient care. We will partner with you and your faculty advisor to develop a positive clinical experience for you. We do need you to actively participate in this process and our unique culture.

3 Student Expectations Be open to learning Participate Ask questions
Look for opportunities to learn, help, & grow Be prepared Work as a member of the team- this means answering call lights, assisting visitors at the desk Use the resources available to you

4 Our Staff Expectations
Be open to teaching and participate Have open dialog to determine level of comfort, level of skill, and knowledge base Look for opportunities to assist in learning, helping, and growing Be prepared Use the resources available

5 How We Work to Provide Quality Care To Every Patient - LEADING INDICATORS
Focus on preventative measures vs reacting to an outcome: White Boards… improve the patient’s perception of communication Purposeful Rounding… helps Prevent Falls and HAPUs Bedside Report… reduces chances that important information is lost during Shift Change Standardized Handoffs and Transitions… reduce the problems that can occur in the exchange of info across hospital units

6 LEADING INDICATORS

7 WHITE BOARDS (Expectations)
1 Date 2 Nurse 3 Tech 4 Doctor 5 Family Contact 6 Plan 7 Diet 8 Activity 9 Daily Goals 10 Pain Goal 11 Code Status

8 LEADING INDICATORS

9 BEDSIDE REPORT (Expectations)
STEPS 1 Focus 2 Pull up Epic 3 SBARQ 4 Safety Check 5 Include the Patient (When Possible) EPIC S Why are they being admitted B Pertinent Medical History Precautions, Code Status Abnormal Labs, Diagnostics A Abnormals R Harm Prevention Measures Pending Clinical Interventions / Medications Plan of Care Special Equipment (Glasses, CPAP, Walker) Q What questions do you have for me? What questions do you have about your care? SAFETY CHECK S Skin Integrity L Lines / Drains / Tubes I ID Band P Pumps / IVs E Environment Items Attached to Patient

10 Bedside Report Description
Verbal concise report at the bedside 3-5 minutes/patient Use SBARQ Introduction of new care giver – Manage Up! Check patient identifiers – ID band check Oncoming RN - log on in Epic Off-going RN - update white board (if not done yet) Both RNs to perform Safety Check of the environment: Don’t SLIP: Skin integrity, Lines/drains, IVs/tubing, Pumps Call light within reach, bed/chair alarms ON Encourage patient involvement Ask patient about concerns, questions, further comments November 8, 2018 LEGACY HEALTH

11 Incorporating SBARQ Situation: Identify self and patient-check identifiers Background: Diagnosis, pertinent history Assessment: What is happening with patient Recommendation: What needs to be done and when Questions: What questions do you have? QUESTIONS November 8, 2018 LEGACY HEALTH

12 Finding Errors Professional communication is necessary when discrepancies arise. We need to address them in a positive way. Remember we all want the best for the patient. Address errors with questions, not statements “Do we need to restart the Protonix drip?” “Should we restart the SCD machine?” “Should I get a new order for the patient’s restraints?” Professional Communication Non-judgmental Kind Supportive Major or Complicated Errors May investigate outside of room ** HAVING A CODE WORD – safe communication 11/8/2018 LEGACY HEALTH

13 LEADING INDICATORS Helps you plan ahead – stay c pt when up to BR
Provide sundial cards

14 What is Purposeful Rounding?
A structured workflow for CHTs/CNAs and RNs to meet the specific needs of every patient. Purposeful rounding is …… this means a partnership between staff to care for the patients together.

15 Teamwork Workload needs to be balanced Good Communication
Jump in and help when people fall behind Look for opportunities to provide assistance Keep a good attitude and have fun! All patients are OUR patients

16 POTTY PAIN POSITION POSSESSIONS PLAN
PURPOSEFUL ROUNDING (Expectations) Develop a practical patient-specific plan Ensure that the plan is communicated with appropriate team members ACTIVELY address the 5 P’s EVERY time (based on the patient’s needs) POTTY Transfer to bedside commode or ambulate to restroom (provide assistance if appropriate) PAIN Pain assessment and discuss pain management plan and effectiveness POSITION Reposition to offload any pressure points POSSESSIONS Make sure all items are within reach PLAN Tell patient when you will be back

17 Call light within reach Appropriate alarm set
Key Points CHT or CNA/RN Touch Base at the Start of Shift Bed in lowest position Brakes on Call light within reach Appropriate alarm set Free of clutter (ready for next activity) Before leaving patient room do a safety check that includes the above points If not familiar c equipment – ask!

18 LEADING INDICATORS

19 HANDOFFS & TRANSITIONS (Expectations) Take a pause and be present
1 Focus 2 Pull up TTR / Kardex 3 SBARQ 4 Agree on Departure / Arrival Time 5 Safety Check 6 Include the Patient (When Possible) FOCUS Patients are at highest risk during a handoff or transition Some of our lowest AHRQ Scores are related to handoffs and transitions Take a pause and be present

20 HANDOFFS & TRANSITIONS (Expectations)
1 Focus 2 Pull up TTR / Kardex 3 SBARQ 4 Agree on Departure / Arrival Time 5 Safety Check 6 Include the Patient (When Possible) STEP WHAT WHO 1 Focus Patients are at highest risk during handoffs (take a pause and be present) 2 Pull up TTR / Kardex Receiving unit makes phone call and documents on TTR Both units are responsible for pulling up the Kardex 3 SBARQ Sending unit provides the verbal SBARQ 4 Agree on Departure / Arrival Time Both agree on an departure/arrival time Sending Unit: Ensure that the patient is prepared to transfer Receiving Unit: Ensure that you/team member are available to receive the patient 5 Safety Check Receiving department completes Safety Check SLIP (E) – Skin, Lines, ID, Pumps, Environment 6 Include the Patient (When Possible) Both parties are responsible for engaging the patient/family

21 QUESTIONS

Download ppt "WELCOME to LEGACY HEALTH."

Similar presentations

Real Time Abstraction A Multidisciplinary Approach

Real Time Abstraction A Multidisciplinary Approach
Patient Engagement: Begins with Patient- and Family- Centered Care Bernard Roberson, MSM, BA, HSC Administrative Director Patient and Family Centered Care.

Patient Engagement: Begins with Patient- and Family- Centered Care Bernard Roberson, MSM, BA, HSC Administrative Director Patient and Family Centered Care.
Introduction to Patient Education Purpose: Promote patient’s ability to a.Understand the hospital environment b.Independently meet their own health needs.

Introduction to Patient Education Purpose: Promote patient’s ability to a.Understand the hospital environment b.Independently meet their own health needs.
Workflow Initiatives: Driving Finance and Quality in a Hospital Setting Documentation tools, alerts and reminders – a nursing workflow enhancement process.

Workflow Initiatives: Driving Finance and Quality in a Hospital Setting Documentation tools, alerts and reminders – a nursing workflow enhancement process.
Communication Strategies for Health Care Facilities: Use of SBAR Provided Courtesy of Nutrition411.com Contributed by Rachel Riddiford, MS, RD, LD Updated.

Communication Strategies for Health Care Facilities: Use of SBAR Provided Courtesy of Nutrition411.com Contributed by Rachel Riddiford, MS, RD, LD Updated.
1 Our Culture of Safety Weaving Safety into Our Culture 2012.

1 Our Culture of Safety Weaving Safety into Our Culture 2012.
When you ask patients if they have to go to

When you ask patients if they have to go to
Fall Prevention Interventions

Fall Prevention Interventions
RENI PRIMA GUSTY, SK.p,M.Kes

RENI PRIMA GUSTY, SK.p,M.Kes
Bridging the Gap: Simulation in Orientation. Course Objectives Identify opportunities to utilize simulation as a tool in Orientation to bridge the gap.

Bridging the Gap: Simulation in Orientation. Course Objectives Identify opportunities to utilize simulation as a tool in Orientation to bridge the gap.
New Referral Received: Admit to Ward Ward Administrator: Gives Family Form 1 Gives Family Form 2 To Family Family: Completes Family Form 1 To Ward Administrator.

New Referral Received: Admit to Ward Ward Administrator: Gives Family Form 1 Gives Family Form 2 To Family Family: Completes Family Form 1 To Ward Administrator.
Safe Transitions Of Care STOC 2011 MHA Pilot- 4Q 2010 Transition responsibility belongs to the sending clinician/organization, until the receiving practitioners.

Safe Transitions Of Care STOC 2011 MHA Pilot- 4Q 2010 Transition responsibility belongs to the sending clinician/organization, until the receiving practitioners.
LEARN FROM A DEFECT Emily Pasola RN, MSN, CNL Clinical Nurse Leader Surgical Intensive Care Unit Saint Joseph Mercy Hospital Ann Arbor, Michigan.

LEARN FROM A DEFECT Emily Pasola RN, MSN, CNL Clinical Nurse Leader Surgical Intensive Care Unit Saint Joseph Mercy Hospital Ann Arbor, Michigan.
Department of Quality and Regulatory Affairs Barbara Ann Karmanos Cancer Center 2009 The Karmanos Cancer Center Quality, Patient Safety, and Performance.

Department of Quality and Regulatory Affairs Barbara Ann Karmanos Cancer Center 2009 The Karmanos Cancer Center Quality, Patient Safety, and Performance.
1 How to Talk To Your Doctor Marj Bernstein & Cathie Duncan Bridges Program.

1 How to Talk To Your Doctor Marj Bernstein & Cathie Duncan Bridges Program.
QSEN Primer Or, “QSEN in a Nutshell” 1.  1999—Institute of Medicine published “To Err is Human”  Determined errors have an effect on both patient satisfaction.

QSEN Primer Or, “QSEN in a Nutshell” 1.  1999—Institute of Medicine published “To Err is Human”  Determined errors have an effect on both patient satisfaction.
Trinity Regional Medical Center The Turnaround with Fall Prevention.

Trinity Regional Medical Center The Turnaround with Fall Prevention.
Commitment to Excellence

Commitment to Excellence
Department of Quality and Regulatory Affairs Barbara Ann Karmanos Cancer Center The Karmanos Cancer Center Regulatory Readiness (for Non Clinical Staff)

Department of Quality and Regulatory Affairs Barbara Ann Karmanos Cancer Center The Karmanos Cancer Center Regulatory Readiness (for Non Clinical Staff)
Improving handover in the ED setting “SBAR“. Objectives of the “SBAR Squad from A&E” Where we are Where we need to be What do our staff think How far.

Improving handover in the ED setting “SBAR“. Objectives of the “SBAR Squad from A&E” Where we are Where we need to be What do our staff think How far.

Similar presentations

Ads by Google