Children s Hospital of Pittsburgh of UPMC Evidence Based Practice and Nursing Research Council. September 17, :30AM-11:30AM

Transcription

1 Children s Hospital of Pittsburgh of UPMC Evidence Based Practice and Nursing Research Council September 17, :30AM-11:30AM Attendance: Alissa Adams, Carolyn Biglow, Pat Brandt, Jeanne Brytus, Sheila Hahner, Chelsea Langford, Debbie Prosser, Chris Stine, Bessy Tsai, Shanon Young Via Phone Conference: None Approval of Minutes from August 20, 2013 EBP Meeting: Alissa Adams, seconded by Shanon Young. Topic Discussion Action Responsible Person Bullet-point Recorder Jeannie Brytus volunteered Jeannie will record Bullet-points to be sent out to council members. Jeannie Brytus/Co Chairs and Vice Chairs EBP Yearly Award Subgroup Request for interested members to join subgroup that would investigate and then recommend nomination and eligibility criteria for yearly EBP award, the method used to determine the winner, winners prize(s) Debbie Prosser joined by Bessy Tsai. They started to review current notes and further defined eligibility criteria, prize suggestions and evaluation criteria. Plan to present to EBP committee members before end of year for the Committee s input Debbie Prosser, Bessy Tsai October OASIS Award CHP 5 th Annual Pediatric Nursing Conference Suggested nominees for October award: Ann Spence, Melissa Bender, Maggie Kuhnlein for Palliating more than our patients: Acknowledging the challenges of caring for sick children Donna Miller, Michelle Capan, Stephanie Killian for QI project re: clean catch urine samples in the ED Driving for Improved Outcomes: Implementing Best Practices in Pediatric Nursing is scheduled for October 11, 2013 Attendance is encouraged Discussion of awardees revealed EBP council members desire to learn more about how far along the projects are before deciding the award winner. Donna Weyant monitors project progress but was unable to be present at meeting Members needed for help with conference. Jeannie, Shanon, Pat, Sheila, Debbie and Penny have volunteered to assist. More help always welcome! Pat will contact Donna for status report on projects and members with Donna s update so members can vote. Council

2 Topic Discussion Action Responsible Person The Source Contest Participation Names of those submitting correct answers to date announced to committee. Will check for any last minute entrants and then randomly select winner from all Winner will receive $5 Starbucks gift card ED had the most participants, but response remained low. correct answers. Discussion among members for ways to promote participation on their units New Member Introductions No new members in attendance at this None Subgroup for EBP/Practice Council Policy Process meeting Much discussion ensued as to the most productive time to involve EBP Council in the policy development process whether it should be before the policy goes to the clearinghouse as opposed to after presented at Practice Council. Suggestions made that when reminder goes to policy holder 3 months before policy is due, a letter be drafted to include with that reminder that will notify policy holder that EBP Council and librarian Carolyn Bigelow are available as resources. Want to make articles quoted be pertinent and have resources that can be tapped into to help evaluate/level articles etc. Jeannie will check with Donna Weyant, Diane Ankney, Pat Giampa and possibly Diane Hupp for their input and guidance Project Presentation Jodi Licata presented the Quality and Research project Family Presence during Resuscitation in the PICU. Coinvestigators include Tracy Pasek, Alicia Vereb and Nicole May. Also suggested that MAJOR practice changes should be presented to EBP before going to the clearinghouse Jodi discussed the AACN practice alert, AHA recommendation and lit search all supporting offering families the option to be present during resuscitation efforts. during resuscitation. Discussed survey to evaluate nurse perception via a nurse belief scale. A group of multidisciplinary Champions formed that will be educated in crisis intervention, communication and family coping. Champions will then train all PICU nurses over a 1 month period. The nursing staff will then be resurveyed. EBP Council members made suggestions to the wording of the hypothesis to more

3 Sweet Award Topic Discussion Action Responsible Person accurately reflect what is being measured. Sweet award presented to Bessy Tsai for her work on the yearly EBP award criteria and The Source Congratulations to Bessy! Brandt EBP Practice Council Liaison Update Alissa will attend next month s Practice Council meeting for her introductory visit. Alissa discussed with committee how they see the role evolving. Alissa will report back to EBP Council ideas from Practice Council. EBP Project Research Time EBP Council project re: best practice for NG tube placement work continues. Review and discussion of articles continued: Group I ( led by Sheila) Comparing methods of determining insertion length for placing gastric tubes in children one month to seventeen years of age by, Ellett, Cohen, Perkins, Croffie, Lane and Austin. Members to review articles to completion to be active participant in October meeting when the plan is to join groups to create synthesis table Predicting the insertion length for gastric tube placement in neonates by Cirgin- Ellett, Cohen, Perkins, Smith, Lane and Austin Group II (led by Debbie) A weight- based formula for the estimation of gastric tube insertion length in newborns by Freeman, Saxton and Holberton New Knowledge Rounds EBP wheel further updated with padding on spinner to decrease noise level when wheel spun Predicting internal distance to the stomach for positioning naso-gastric and orogastric feeding tubes in children by Beckstrand, Cirgin-Ellett, and McDaniel. Rounds took place on Same Day Surgery pre-op and swing areas EBP Council Members

4 *Meeting adjourned at 11:30AM. Our next meeting will be on October 15, 2013, in the Plaza Building, Room 309 at 7:30AM Or via dial in at Access Code

5 The following contains peer review or other sensitive information and is therefore privileged and confidential. April 2014 PICU Edition Editor, Tracy Pasek, RN The Program By Jodi Licata & Tracy Pasek A member of what would become our PAGER team was assisting with CPR. Evaluation of the experience was poor the family could have been reunited with their child much sooner than what occurred. Coincidently, an AACN Practice Alert became available emphasizing the importance of family presence during resuscitation. Hence, the PAGER Program was born. P-A-G-E-R is an acronym for Parent Advocacy Group for Events around Resuscitation. The PAGER program is supported by our PICU leadership team. Prior to implementation, the program was presented to Critical Care Medicine at a PQRS meeting during which our physicians had an opportunity for input & questions. PAGER is an interdisciplinary collaborative nursing social work medicine. The scope and impact of the AACN Practice Alert (2010) is Evidence is mounting that family presence during resuscitation is beneficial to patients and families Karla Persia Becca Lavezoli Kylie Freshwater Cheri Cigna Alicia Duss Nicole May Abby Mysels Jodi Licata Tracy Pasek First, PAGER nurses attended an 8 hr. crisis intervention course sponsored by CHP s security officers. The course included staying safe during crises and interactive self-defense training. Second, they attended a 2 hr. session facilitated by Gwen Harcar, our Social Worker. This second curriculum was collaboratively developed by Gwen, Jodi, and Tracy and included didactic content (eg, stages of crisis, family response to crisis) and role play experiences. The role play entailed assessing parent readiness to reunite with their child who is experiencing a resuscitative event and therapeutic communication techniques. Evaluations for the latter course yielded positive comments from attendees. You will recognize our PAGER nurses as they are wearing this pin, graciously supported by Alyssa and Carrie. Family presence at the bedside of a child who is being resuscitated will NOT be imposed on families. It will be offered and supported, if the family wants to be with their child. PAGER nurses will function as a support to Social Work or function independently when Social Work is unavailable and time is of the essence. The PAGER nurses will stay apprised of new/current evidence as it relates to parental presence during pediatric resuscitation. PAGER nurses will evaluate how their role is developing (eg, positive experiences, barriers). Our Clinical Leaders will serve as important links in collaborating with and supporting PAGER nurses as resources. Lastly, the PAGER Program dovetails perfectly with our newly energized PICU Patient and Family-Centered Care effort! The End

6 From: Maxson, Jacqueline Sent: Monday, May 30, :10 AM To: #PICU Staff Cc: Aneja, Rajesh Clark, Robert (Anes/CCM) Subject: PAGER reminder Hello PICU! A friendly reminder about PAGER: What does it stand for? - Parent Advocacy Group for Events involving Resuscitation What is it? - The purpose of PAGER is to advocate for children and families during a tragic and vulnerable time in their lives by giving families the option to be at the bedside during CPR events. - A PAGER nurse is one who goes through required training to facilitate and support the family who decides to be present at the bedside during CPR events Who is part of the PAGER Group? Rebecca Lavezoli, RN Cheri Cigna, RN Amanda Geyser, RN Jenna Harper, RN Kylie Kostie, RN Nicole May, RN Abby Mysels, RN Joseph Carcillo, MD Alicia Duss, RN Gwen Harcar, LCSW Sandra Kitcho, RN Jodi Licata, RN Jacqueline Maxson, RN Tracy Pasek, RN If you have any further questions, feel free to ask someone!

7 From: May, Nicole Sent: Friday, July 03, :34 PM To: #PICU RNs Subject: Binder Update Hey Everyone I just wanted to let you know that I recently updated the binders. I have placed the new discharge process checklist in there as well as the PAGER guidelines. I updated the table of contents to include this information. Thanks Nicole May

8 From: Licata, Jodi Sent: Tuesday, December 15, :28 AM To: #PICU RNs Cc: Harcar, Gwen Carcillo, Joseph Weyant (Flook), Donna M <donna.weyant@chp.edu> Subject: RE: PAGER, your response is important! PICU Nurses- Just a friendly reminder if you have yet to complete the PAGER (Parent Advocacy Group involving Events around Resuscitation) survey please do so by December 21, It will only take 5 minutes or less Jodi Licata, RN, MSN, CCRN, CNL Programmatic Nurse Specialist, PICU Children's Hospital of Pittsburgh of UPMC office number (412) jodi.licata@chp.edu From: Licata, Jodi Sent: Monday, November 30, :28 AM To: #PICU RNs Cc: Harcar, Gwen; Carcillo, Joseph; Weyant (Flook), Donna M Subject: PAGER, your response is important! Importance: High PICU Nurses- We are evaluating our Family/Nurse Caring Beliefs as we did approximately 2 years ago. This survey supports our Parent Advocacy Group involving Events around Resuscitation (PAGER) work. It will bring the PAGER evidence-based project to closure. PAGER is linked with an American Association of Critical Care Nurses (AACN) Practice Alert (2010). Our PICU has been showcased for the PAGER initiative via conferences, an OASIS Award, and a pending publication (Critical Care Nurse). Please recall that we have a core group of specially trained PAGER nurses who advocate for parental presence during CPR. PAGER nurses role model caring for our families. Please complete the survey at the link below. Your completion of the survey constitutes your consent to participate. All responses are anonymous. We appreciate your feedback by December 21, Sincerely, Jodi, Alicia and Tracy

9 Jodi Licata, RN, MSN, CCRN, CNL Programmatic Nurse Specialist, PICU Children's Hospital of Pittsburgh of UPMC office number (412)