Meeting Minutes March 18, 2014

Transcription

1 Meeting Minutes March 18, 2014 Meeting: New Knowledge, Innovation and Improvements Council Date: March 18, 2014 Start: 7:30AM Finish: 9:00 AM Purpose: Projects, Research Opportunity, and Documenting EOs Location: Conference Room 3 Chair: Samantha Kunemoto Madonis, RN, MSN, CNOR Co-Chair: Neal Ketchum, RN, BSN Attendance by Unit ADMINISTRATION: - Vitale, Grettell, RN, BSN, PHN, Nursing Outcomes Coordinator - Matesic, Edith, RN, DNP, NEA-BC CNO/DON -Bailey, David, RN, MSN, MBA Asst DON -Kurnakova, Ksenia, MPH, Sr. Analyst BIOMEDICAL LIBRARY: Dobry, Adele, MLIS GV _P EM_P_ DB P_ KK P_ AD P_ MEDSURG (4NW): Marquez, Lina, RN Jurlin, Mija, RN NICU: Kearsley, Nancy, RN LM_ P_ MJ_ P_ NK P_ PTU/PACU: - Aguilar, Devie, RN - Bharwani, Marilou, RN - Connor, Lubna, RN CNIII, BA, CAPA RADIOLOGY: Hondrade, Louella, RN DA_P_ MB_ A_ LC P _ LH_A _ ICU CRITICAL CARE (4CW): - Ibrahim, Somayah, RN - Lawanson-Nichols, Mary, RN, CNS SI_ P MLN P_ OBGYN: - Fox-Nuccilli, Dorothy, RN DF A_ RESEARCH / NRE: - McNair, Norma, RN PhD (Int. Director) NM_P _ EMERGENCY: De Reyes, Lisa, RN, BSN (guest: Vanpelt, Tim, RN) LD_P_ ONCOLOGY (4SW): Cavcic, Ermina, RN BSN, ANII, OCN Jakel, Pattie, RN, CNS Laurilla, Camille EC_A_ PJ_P _ LC_P _ Nursing Supervisor: Connie Funston, Nursing Supervisor, RN, PhD CF _A _ GERIATRICS (5NW): - Fajeau, Stefan, RN, BSN, PHN SF_ P_ OPERATING ROOM: - Miller, Deborah, RN, BSN, RNFA - Madonis, Samantha K., RN, MSN, CNOR DM P_ SKM_ P_ ISS/ CareConnect: Diedre Keves, Readiness and Super User Program Manager, MITS-CareConnect DK P _ INTERMEDIATE CARE (5MN): - Lopez, Vera, RN, MSN, UD - Ketchum, Neal, RN - Sheehan, Patty, RN, CNS (Care Connect) MEDICINE (4MN): - Ellis, Donna, RN, ANI - Latchman, Angeline, RN, BSN VL_P_ NK_ P _ PS_ E DE_ A_ AL_P ORTHOPAEDICS (3NW): Burgos, Grace RN Sarah Nunn, CNE GB_ P_ SN A_ PEDIATRICS/PICU: - Goldberg, Amy RN AG_ P_ Guests (Name, Title, Unit): Mija Jurlin RN 4NW

2 Professional Practice Model Topic Reporting Discussion Summary Commitment / Progress (Action, Status, Outcome) Accountable (Who / When) Scientist Conducting a Search for Literature on the UCLA online library (5 min) Adele Sam Biomedical Library updates Journal Perma-Links- each unit needs to submit Journal title(s) to see if Adele can establish permalinks - Geriatrics: Geriatric Nursing - MedSurg 4MN: Medsurg Nursing - 4CW ICU: Critical Care Nurse - 5MN: American Journal of Critical Care - Oncology: Clinical Journal of Oncology Nursing - Surgery: AORN - NICU: Neonatal Network - PTU/PACU: TBD - Ortho: TBD - Emergency: TBD - Radiology: TBD We do have funding for the journals, if the CNS/UD is the one subscribing to the publication, they will be reimbursed for their subscription for the unit. Finding the perma-links: need VPN or need to be on campus to access the perma-links location for the online journals. Nursing website Professional development tab. Adele: Will be creating a research guide for RNs. Transfer of Knowledge Scientist Review, discuss & approve meeting minutes (5 min) EBP conference, (4 min) Magnet Orientation (3 min) Sam Norma Sam Member/unit introductions Meeting minutes from 02/18/14 Open Nominations for NKII Co-Chair (ballots) EBP Conference April 30, 2014 (Deadline for abstract oral presentation poster submissions is March 17 th ; poster submission deadline is March 28 th ) Magnet Orientation New Members: Alina Marquez from 4NW. Correction to Meeting Minutes: Magnet Orientation: March 21 st and not March 25 th. Ask 3/ Teach 3 to be added to meeting minutes from 03/18/2014. Magnet Orientation: Test-presentation scheduled for 03/21/ pm in Auditorium for Nursing leadership and Magnet Council chairs. First orientation for new Magnet Council members who have joined within the past 6 months will be on April 21 st, 12-5pm (confirmation pending, location TBD). Posters for UPC summit due on 04/07/2014; ring of All interested staff/council members David/ Sam/ Neal

3 UPC Summit (3 min) Sam UPC Summit: NK Research sub- will attend the UPC Summit and evaluate each UPC poster submission (first exercise) knowledge card due 4/14/2014 UPC Summit May 9 th, 2014, 8am-12pm 5 Posters submitted from SM UCLA for EBP Conference so far, due date is March 28 th. 30 posters = maximum, 20 submitted so far. UPC members/ Research subgroup UPC Summit poster sizes: 36 x 48 tri-fold; limited ability to display roll-up posters on the walls. Posters follow IOWA model. Research Subgroup to evaluate posters at the UPC Summit May 9 th, Magnet Rounds Tool (15 min) Access to Hardcopy Nursing Journals (5 min) Sam/Neil Review finalized answers based on feedback from peers and current structures and processes in place. Each unit/dpt should have access to one peerreviewed journal as a tool to guide evidencedbased practices and transfer of knowledge to improve patient care and nursing practices. Really need to make connection to raw data: narratives are great, but it is important to find ways to connect the responses to data on your unit (low fall rates, low rates of infection, etc.). List of approved journals as of 03/18/2014 Have CNS send request for journal to Minda Miyamoto: mmiyamoto@mednet.ucla.edu Council members Minda has sent confirmation Council members Transferor of Knowledge MyUCLAHealth changes: Went live in September. After March 24 th, adult patients will continue to see their access code on the AVS; also proxy access instructions will be printed on AVS. Care Connect Sub-committee (included in the Break-out Technology subgroup) Patty Sheehan / Diedre Keeves This section will now be part of the Technology Subgroup CareConnect updates: Beacon Go-Live; MyUCLAHealth in-patient portal Idea of feedback box on each unit, integrate CC into UPC meetings? Adolescent patients (12-17) do not have access to myuclahealth. Pediatric patients (<12 yrs old) will have proxy access instructions printed on the AVS so their parents are able to access myuclahealth. Access code on MyUCLAHealth now will be larger font and bolded. New letter print option will be available for inpatient nurses and ACP/CCP users. These letters will give directions to the patients and family members for how to go about getting proxy access and activating their myuclahealth account while in the hospital. Proxy access: family has to have their own myuclahealth account before they can set up proxy access to a family members account.

4 Letter print workflow: Letters (under more activities section in care-connect; will be on RN/CCP/ACP template), clock MyChart status on upper right corner to launch letter activity. Search and select letter: Use IP Proxy Letter UCLA for pediatric patients and MyUCLAhealth activation letter for adult patients. Can download myuclahealth app on mobile device and get their results while an inpatient. Care Connect Website: Search functionality is now updated. Lower left hand side. Brainstorm on how all these updates impact patient safety and patient satisfaction. My story = landing page; is something that separates UCLA. Find ways to pull patient into technology. Find a way to show how Magnet has made an improvement in a process in nursing care. Scientist Breakout Session Sub-Groups: -Research -Technology -Innovation (40 working 10 reporting out) Groups will continue working on: Defining purpose, identifying measureable goals/outcomes (initiate EBP Focus PDCA to guide the group). EBP Research Group: *Direct Care RNs: 1. Lubna Connor* 6.Norma McNair (Mentor) 2. Camille Laurilla* 7. Adele Dobry (librarian), 3. Sam Madonis* 8. Edith Matesic (Resource) 4. Ermina Cavcic* 9.Grettell Vitale (Resource) 5. Tonya Martinez* 10. Mayah Ibrahim NK2: Provide one example of how nurses disseminate to internal audiences knowledge obtained through the organization s nursing research. Provide one example of how nurses disseminate to internal audiences knowledge obtained through the organization s nursing research. NK3 Clinical nurses evaluate and use ebp findings in their practice. 1 example of how clinical nurses use evidenced-base findings to implement a new practice. 1 example of how clinical nurses use evidenced-base findings to revise an existing EBP Research Group A) EBP/Research Group (Lead: Norma McNair) a. A lot of hurdles and barriers exist in regards to disseminating information b. Looking at a plan for dissemination of new knowledge and evidence based practice c. Best practices is a focus d. Similar to the innovation group e. Focus on identifying EBP projects that are taking place internally and finding a means to get this out to the rest of the healthcare organization f. Repository that staff could have access to i. Excellence Exchange Discussion: Sub group members to participate as peer critics for UPC Summit posters. Recognized need to help facilitate learning and demystify EBP (PPM, A3s/A4s, Focus-PDCA) via UPC council outreach and staff education.

5 practice. What resources do we have to guide and coach direct care nurses in ebp and research activities? What structures and processes do we have in place to identify and disseminate best practices to internal and external audiences? Technology Group *Direct Care RNs 1. Stefan Fajeau* (lead) 5. Patti Jakel (Resource) 2. Donna Ellis* 6.Deidre Keeves (Mentor) 3. Angeline Latchman* 7.David Bailey (Resource) 4. Bharwani, Marilou* 8. Patty Sheehan (Resource) NK5EO: Nurses are involved with the design and implementation of technology to enhance the patient experience and nursing practice. 1 example of an improvement in the nursing practice that resulted from clinical nurses involvement with design and implementation of technology. 1 example of an improvement in the patient practice that resulted from clinical nurses involvement with design and implementation of technology. Innovation Group *Direct Care RNs 1. Neal Ketchum * 5.Vera Lopez (Mentor UD) 2. Lisa De Reyes* 6.Mary Lawanson (Mentor CNS) 3. Lina Marquez* 7.Ksenia Kurnakova (Resource) 4. Grace Burgos* 8. Donna Ellis NK4EO: Innovation in nursing is supported and encouraged. Provide 2 examples with supporting evidence of an improvement that resulted from innovation in nursing. NK6EO: Nurses are involved in the design and implementation of work flow improvement and space design to enhance nsg practice. 1 example of nursing involvement in the design and implementation of work flow that resulted in operational improvement, waste reduction, or clinical efficiency. 1 example of nursing involvement in the design Technology Group a. Need to re-engage the super-users so they can serve as a conduit between staff and CareConnect b. Need feedback loop on reported items c. Status of optimization priorities d. Need for PDCA training before launching performance improvement efforts. Discussion: Find ways to optimize huddles; reactivation of UCLA Repository and help break down barriers to access resources (UCLA websites; making website more intuitive). Innovation Group a. Needs assessment i. We need to develop a strategic way of disseminating information to the staff ii. Need to determine what information is the priority 1. CPC alerts, journal articles, core measures, hospital policies, weekly updates, etc. iii. When problems are identified on the unit, we need to ensure that our staff know how to go about looking for evidence to support their innovation evidence to support their innovation b. Barriers i. Lack of downtime during the shift ii. NK dissemination often seen as a task, we need to find a way to change the culture around this and make it a part of nurses daily workflow Discussion: ED clinical summary and handover report too generic, requiring optimization and ticket to be submitted.

6 and implementation of work flow that resulted in operational improvement, waste reduction, or clinical efficiency. Safety issues in communication because reports are not specific enough. What structures and processes do we have in place to disseminate best practices to internal and external audiences? UCLASM Project Repository (submission for EBP Focus PDCAs, A3, A4s, Magnet Moments stories) Next meeting April 15, 2014 in Conference Rm. 3, 07:30-09:00am - Look for examples that meet the NK Sources of Evidence on your unit this is a great opportunity to showcase your unit!