NDNQI SOAR ANALYSIS 2011
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1 HARMAR OUTPATIENT CENTER 1 st Floor Areas NDNQI SOAR ANALYSIS 2011 Perioperative Harmar Outpatient Surgery Center - YOUR UNIT HOSPITAL AVG. Teaching Average Unit Response Rate and Survey Instrument Option Average Unit 100% 98% n/a Response Rate # of Responses n/a Job Satisfaction Scales Tasks RN-RN Interactions RN - MD interactions Decision Making Autonomy Professional Status Pay Professional Development Nursing Management Nursing Administration
2 TASKS Nurses with whom I work would say that: 1. They are satisfied with the nursing care they provide to patients 2. They could do a better job if they did not have so much to do all the time. 3. They have plenty of time to discuss patient care problems with other nursing staff. 4. They have sufficient time for direct patient care. 5. They have plenty of opportunity to discuss patient care problems with other nursing service personnel. 6. They could deliver much better patient care if they had more time with each patient. Harmar 2011: Harmar 2010: (46.58) NDNQI Mean: (51.38)
3 HARMAR OUTPATIENT CENTER 1 st Floor Areas (Operating Room) NDNQI SOAR ANALYSIS 2011 Harmar OR staff felt impedance to completing their tasks was due to physical communication barriers to the nurse anesthetist (CRNAs). OPPORTUNITIES: Notification of CRNAs to bring patient to operating room. Lack of confirmation that CRNA heard page Miscommunication between CRNAs during breaks/relief Uncertainty of OR staff knowing primary or relief CRNA s status. Secondary communication chain from CRNA >>>>> OR RN>>>>>> anesthesiologist intra-op. Unsatisfactory time management of OR RN to locate CRNA. Expense to patient for being in OR too early. APSIRATION: OR nurses recommend CRNA s utilize pickle type phone for direct communication with OR staff and anesthesiologist. (PLAN): Discuss findings with Harmar Unit Director (UD) UD has discussed concern and problem with Director of Surgical Services, CNO, and St. Margaret communications personnel. The communication staff is exploring options for building/facility communications (wireless) that would enable OR Staff and CRNAs to have direct mobile communication. OR staff to document difficulties in completing tasks related to location of, communication with CRNAs related to patient entry to operating room. Review plan in April (after 3 month data collection); July, October, 2012.
4 RESULTS: In 3 months (April, 2012), 6 months (July) and, 9 months (October), PPC representative will follow up with UD to ascertain status of plan NDNQI survey results will reflect a better communication system to allow OR staff to complete tasks. Respectfully submitted by Abena-Yolanda H. Baskin, Harmar 1 st floor PPC Representative
5 HARMAR OUTPATIENT CENTER 1 st Floor Areas (Pre-Op/Post-OP) NDNQI SOAR ANALYSIS 2011 Harmar Pre/Post-Op staff felt impedance to completing their tasks was due to lack accessibility to anesthesiologists responsible for pre-op clearance. OPPORTUNITIES: Staff cannot contact one of three anesthesiologist responsible for pre-op clearance (Coyle, Roskoph, Coyle). Inaccessibility via phone Inaccessibility via physical location Unsatisfactory time management of pre/post-op nurse to contact anesthesiologist. Incomplete records resulting in narrowing timeframe for one week standard pre-op calls. Robin s issue ASPIRATION: Pre/Post-Op nurses recommend that one of three anesthesiologist (Coyle, Roskoph, Taormina) have physical assignment at Harmar to facilitate pre-op clearance. PLAN: Discuss findings with Unit Director (UD) UD to make form for Pre-Op phone call staff to document phone calls. Discuss findings and plan with Pre-Op phone call staff. Pre-Op phone call staff to complete form for phone calls for 3 months. RESULTS: In 3 months (April, 2012), summarize findings from phone call staff. Present and discuss findings with Pre-Op, UD, Director of Surgical Services, and anesthesia staff.
6 Based on findings, recommend that one of three anesthesiologist (Coyle, Roskoph, Taormina) have physical assignment at Harmar to facilitate pre-op clearance. Respectfully submitted by Abena-Yolanda H. Baskin, Harmar 1 st floor PPC Representative
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Mayo Clinic Rochester, MN Introduction The question of whether anesthesiologists are cost-effective providers of anesthesia services remains an open question in the minds of some of our medical colleagues,