11/15/2015. Who We Are. Agenda and Objectives. Safe Patient Handling. Implementation Steps from the Ground Up. Facility, Worker, and Patients

Transcription

1 Safe Patient Handling Implementation Steps from the Ground Up Facility, Worker, and Patients Laurie Muratore, PT, CSPHP Monica Manske, MSM Who We Are Rochester Regional Health (RRH) was created in 2014 resulting from the merger of two large health systems, Rochester General Health System and Unity Health System. RRH wrapped in Clifton Springs Hospital and Clinic and United Memorial Medical Center. Our SPH path began first in 2003, one facility at a time. We are 16,000 employees strong and our newly form system hosts: 5 Acute Care Hospitals 6 Long Term Care Facilities 1 PACE Programs Home Health Care Services A full compliment of Out-Patient Services and Providers Agenda and Objectives Today s objectives. List elements of a successful SPH program. Setting a Foundation for a SPH program Policy Development Equipment Needs /Assessments Touch points in SPH education Who owns it? Accountability Achieving Sustainability Identify issues that may arise while implementing SPH programs From the trenches.our lessons learned Describe the importance of a SPH committee. 1

2 Setting a Foundation Having the right person for the right job Data collection and trending. What are your key indicators Assessment of existing structure/program. Policy review, if multiple facilities identification of a way to integrate while remaining flexible. Don t forget about your external resources. Your workers compensation broker, carrier or TPA.» Data» Program and safety materials RGHS System Assessment/Readiness 10 months (July 2010 to May 2011) 2 hospitals, 2 LTCs, 1 PACE program Rochester General Hospital Newark-Wayne Community Hospital Hill Haven Long Term Care DeMay Living Center ElderONE Review existing/develop system policy Identify available equipment and needs Develop education strategies Perform injury follow up/consults Develop SPH Committees Policy Lessons Learned-1 Gather and review all affiliate policies (mobility, equipment, etc.) and established competencies Competencies identified too specific or very lengthy System policy thorough enough to cover all areas/topics Flexible enough to allow for affiliate specific needs Allow for effective practices or procedures to continue Avoid multiple policies Confusion and different expectations of staff Able to incorporate acute and long term care under one policy 2

3 Policy Lessons Learned-2 Obtain current policy formatting May benefit from looking at other clinical policies Keep brand names out Takes time and multiple working drafts Multi-persons review and input PCTs, CNAs, Nurses, Rehab Staff, Managers, Administration, EVS, Laundry Non patient care and patient care staff Acute and Long Term Care Review and update at minimum every 2 years or as needed Cascade any changes Equipment Lessons Learned-1 Partner with units/facility to assess and determine needs Physical visits and exploration of all patient care areas Interview-communicate with local management and PCS Check closets, storage areas, basement, offsite, etc. Units/areas may not be fully aware of their current assets Wants versus needs Policy in line with equipment availability Equipment Lessons Learned-2 Equipment trials on multiple units Organized and simultaneous trials Trial same piece on different units Written formal feedback Daily rounding/promotion of use Provide assistance/education 3 to 5 vendors bidding on business Long term relationship development Local availability, knowledgeable, and vested in partnership not just sales Vendor education style, staff connection and time commitment Terms and agreements in writing Divided vendor choices for equipment provisions Budget for specific training equipment/forgotten extras 3

4 Equipment Lessons Learned-3 Proposal for funding ROI and Actual Anticipated Costs Requested $175,000 initial investment Clearly Defined Goals/Success Reduction of Claims/Costs associated with patient handling injuries Implementation plan Foundation/Board Members Follow through with all suggestions Donations/Funding Page Director Nursing Operations Take advantage of Grant writing department searches Workers Compensation Trust Education Lessons Learned-1 Increase basic awareness/education SPH Online PPT and quiz for entire staff Attend/Present at Safety Committees, Town Halls, Board Meetings, Yearly Skills Training Know audience-how SPH will affect them specifically Front end providers Support services Managers Rehab Administration-Decision Makers CNOs Patient handling injury follow up Individual re-education Share events with dept. Learn from others mistakes Roving in-services, multiple shifts Education Lessons Learned-2 New hire orientation All Staff Injury prevention brochure Back safety and office ergonomics Assigned online Injury Prevention/SPH learning/quiz Patient Care Staff also gets Injury prevention 3-hour session PPT and quiz SPH learning Originally all lecture Added educators to transition to hands on return demonstrations 4

5 Education Lessons Learned-3 Annual Re-training All PCS Initially multiple shifts, roving in-services Flyers, , and reminder calls to all units particular off shifts Attendance record/reporting Initially large groups-not as effective Now available during 12 Annual Skills Day 8 hours-average 150 staff 4 to 5 staff every 15 minutes Multiple stations available SPH hands on return demonstration Added larger unit specific dates and times OR Radiology ED WCU Dialysis SPH Committees-Lessons Learned Affiliate Specific Affiliate Lead/Co-Chair 30 to 60 minutes Free standing committee Senior CNAs Education Council Monthly or Quarterly Patient care staff (PCTs, CNAs, LPNs, RNs) Unit Peer Leaders Clinical ladder advancement SPH equipment experts Train-the-trainer Escalate SPH issues Manager support Department specific SPH committees Be consistent, Send meeting reminders Provide tools to cascade CC: Managers Empower members Listen and Respond Next Steps Rochester Regional Health 5 hospitals, 6 LTC centers, 1 PACE program multiple outpatient clinics Recently merged this past year with Unity Health System United Memorial Medical Center Clifton Springs Hospital and Clinic In process of integrating Each affiliate-different stages Expect updated SPH policy early 2016 Unity Health System SPH Lead-Injury Prevention Specialist Adoption of best practices/strengths Clifton Springs needs assessment complete United Memorial Medical Center to be assessed 5

6 Accountability WHO OWNS THE PROGRAM? Leader buy-in to the SPH program Nursing executive Financial executive Front line managers Recommended ownership of the program Clinical specialist Operations manager Goal Setting a Culture of Safety What gets measured gets done. Safety Committees: Great source for cascading SPH data and annual competency compliance aswell-as patient or employee falls, workplace safety (violence), BBP. OSHA DART rates. Leader Performance Goals: These can be attached to the leader performance review or annual incentives, to the departmental or affiliate level dashboards, etc. Larger organizations: consider goals by leader or by department. Smaller organizations: consider goals by the organization/affiliate, or by service line. Lessons Learned. Begin process of informing and including leaders well before recommending performance goals. The leaders (owners) need to be a part of the process and know that they can make a difference. Program Sustainability First, understand that you can have all of the tools in place, but not really have a program. Develop your leaders and key contacts. Train the trainer PT Manager Rehab Transporter Clinical Educator Senior C.N.A. s and P.C.T. s Maintain dashboard and ensure the data is current. That way you can identify leading indicators vs. being reactive. Promotion of the SPH program: Clinical leadership meetings Safety committee meetings Departmental rounding Lessons Learned: It is a lot of work! Don t Go Solo! Need the whole team involved! New hire and staff turnover requires continued and ongoing training 6

7 Lessons Do s Don ts Walk the Walk-Talk the talk Go it alone Keep leaders and staff informed Give up Dedicated affiliate resources Cancel meetings Participate in patient care Lose track of objective measures and goals Share successes and best practices Just go through the motions Showcase benefits to patients and staff Listen/Acknowledge/Respond Communicate to all levels of organization Share with passion and excitement Questions Laurie Muratore, PT, CSPHP Manager, SPH and Ergonomic Safety Rochester Regional Health Rochester General Hospital 1425 Portland Avenue Rochester, NY laurie.muratore@rochesterregional.org Monica Manske, MSM Sr. Manager, Workers Compensation and Employee Safety/Ergonomics Riedman Campus 100 Kings Highway South Rochester, NY monica.manske@rochesterregional.org 7