Huddle of the Day NEWS FROM THE NAVIGATOR

Transcription

1 J ANUARY 26, 2018 NEWS FROM THE NAVIGATOR HEART FAILURE: linical Ladder Opportunities!! C We currently have 2 programs available now for Heart Failure for those of you searching for clinical ladder opportunities. A third opportunity will be announced at a later date as it pertains to stroke. Here is a quick glace of the programs currently available: HF Call-Back RN: Clinical Nurse II-III: Follow up with acute CHF patients after discharge to reinforce education and promote compliance with self-care management; a key component to our HF in reducing readmissions and improving patient satisfaction. Clinical Nurse IV-V: Collect, track, and report data obtained during call backs to improve quality of care across the healthcare continuum. 2. HF Quality Champion: Clinical Nurse II-III: Become a valuable resource for team to ensure success for our HF patients. Conduct post-discharge chart audits and submit to the Navigator weekly. Clinical Nurse IV-V: Make a direct impact ensuring that our HF patients receive the standard of care by conducting real-time chart reviews, intervening when necessary, tracking interventions and reporting to management to help meet and sustain our Key measures goals. For more information, please contact Cherice via VOCERA or to get started! Speaking of HEART FAILURE... LOOK how close we are to meeting our Key measures for this month!! Only one week left! Lets get 80% across the board!!!

2 NEWS FROM THE NAVIGATOR STROKE: ED, RRT, ICU, and PCU Nurses: If you haven t already, please complete your NIHSS and submit your certificate of completion to Holly Nyhuis in education. MS and CDU Nurses: Did you know you can complete the NIHSS training and receive free CEUs? Although your units are not required to complete the training, this is a great educational opportunity. Contact Cherice if interested for instructions. **ALL RNs and PCTS: 2-hour Mandatory Time is Brain: Initial Stroke Training : Please make sure you have registered for one of the 10 sessions available in NetLearning. If you are experiencing difficulty, please notify your Clinical Resource Nurse for assistance. Questions? Please contact Cherice Gertsman, Special Programs Navigator/ Stroke Coordinator via VOCERA ( Nurse Navigator ) or via Cherice.Gertsman@orlandohealth.com STROKE is a MEDICAL EMERGENCY in which time is of the essences in achieving positive patient outcomes. For this reason, there are critical documentation pieces and time sensitive tasks that must be met when Policy Update for Discharge Planning Information Policy # Discharge Planning has been archived. Discharge planning information (shown below) can be found in policy # Plan of Care. Discharge Planning: 1. The discharge planning process is initiated early in the care, treatment and services process. 2. Early identification of patients requiring discharge planning will be accomplished by the following methods: a. Admission screening by nursing staff, case management and/or social work. b. Interaction with the physician at admission to coordinate the discharge date. c. Referrals, as identified, for care planning. 3. Interdisciplinary rounds: a. Unit managers will determine the frequency of discharge planning rounds based on patient population and required participants. b. Rounds will be: 1) Coordinated by the RN case manager and/or charge nurse as needed, and 2) Will involve the medical treatment team. 3) Involve the patient/family in the planning process to see that the patient s post-hospitalization care needs are met. 4) Post-acute care needs will be assessed and referrals for such care needs and interventions will be documented in CIS. c. If the frequency of the interdisciplinary rounds does not meet an individual patient s needs, the patient s nurse will be responsible for consulting the appropriate disciplines to arrange for services to meet the patient s needs after discharge. 4. Discharge instructions: a. The discharge nurse will provide instructions to the patient/family based on the discharge orders to include as appropriate to the patient, information on activity, medications, wound care and follow up appointments. b. The patients understanding and receipt of the discharge instructions will be documented. Page 2

3 PDR is pleased to announce the 4th Quarter of 2017 Daisy Award Winner: presented on 1/22/2018 Sonja Mattingley- OB (Nursery & Mother-Baby) Pictured with CNO, OB Manger, Sonja & immediate past Daisy winner from ICU Page 3

4 Reducing Surgical Site Infections H ave you noticed more green scrubs lately? These green scrubs worn by team members assigned to procedural or surgical areas. Team members change into the green scrubs when they arrive at work, and will change out of them before they leave the building. This is one way that we are continuing to keep our patients safe and free from surgical site infections. Other ways that South Lake Hospital protects their patients are: Proper hand hygiene every time In the Operating Room the surgeon scrubs their hands and arms up to the elbows with an antiseptic agent We clean our patients with Sage Wipes prior to sending them to surgery We use electric clippers if necessary, never a razor All team members in the OR will completely cover their hair with a OR bonnet and may wear booties to cover their feet If indicated, antibiotics are given before surgery and then continued after surgery, but discontinued within 24 hours We work with our dieticians to create a meal plan which will provide appropriate nutrition for healing We will educate our patient and family members about proper care of the surgical site once they get home A ll of us can participate in this important goal of keeping our patients free from surgical site infections by practicing proper hand hygiene and keeping our environment clean. March of Dimes S outh Lake Hospital is partnering again this year with the March of Dimes to help raise funds crucial to understanding the needs of prematurely born babies and developing technologies to help them. We need team captains for the walk! The Walk is May 5th, 2018 right here at the National Training Center and South lake Hospital. Please think of energizing your department, families, friends, and social media networks to join us and be a part of a bigger team effort to help babies who cannot help themselves. The commitment is not time consuming and is actually a lot of fun! All participating team captains are invited to a brunch kickoff party on Feb 1 at 10am. Please RSVP to Linda Piper at Linda.Piper@orlandohealth.com if you plan to attend and become a captain for the 2018 walk! Page 4

5 Library and Clinical Resources O rlando Health s Swift web-site provides a wealth of up-to date knowledge-based information available 24 hours a day, 7 days a week. Available under the Clinical tab are links to Library Services, CareNotes, CDC, Lexi-Comp, and more. Reference materials are current until newer ones are released. For example, BLS and ACLS reference materials are good until updates are released from the American Heart Association. Drug companies publish reference books every year, so they must be replaced every year. M ake sure clinical reference materials are current and utilize Swift s Resources for the most current clinical resources. Page 5

6 New STEMI Flow Chart The flow chart for the STEMI process has been updated. Please take a look at the new STEMI Flow Chart to stay up to date and informed! Page 6

7 The Baby-Friendly Hospital Initiative The U.S. push toward encouraging breast-feeding at hospitals is an outgrowth of the global Baby-Friendly Hospital Initiative, launched in 1991 by the World Health Organization and UNICEF in response to research showing the health benefits of breastfeeding. Breast-fed babies have lower rates of diabetes, childhood leukemia, sudden infant death syndrome and other illnesses. The WHO (World Health Organization) maintains that breast-feeding will help cut child deaths from malnutrition, which is now responsible for nearly half of all deaths of children younger than 5. To become certified, a hospital must adopt 10 practices that research has shown to promote breast-feeding, including skin-to-skin contact between mother and infant within the first hour of life and rooming in 23 out of 24 hours a day. It s a myth that moms sleep better when the baby s in the nursery, said Macenroe, whose organization has been designated by WHO to certify U.S. hospitals. Research shows that moms sleep better when babies are closer to them. The U.S. government s goal is to have 80 percent of new moms breast-feeding initially, 60 percent of moms continuing to breast-feed at six months and 34 percent breastfeeding for a year the recommendation of the American Academy of Pediatrics. The guidelines also call for decreasing the share of newborns who receive infant formula within the first two days of life from 24 percent in 2006 to 14 percent in In 2011, the Centers for Disease Control and Prevention reports, 79 percent of all moms began to breast-feed, but that 49 percent continued nursing at six months and only 27 percent after a year. The biggest disparities fall along socioeconomic lines, with higher-income mothers exclusively breast-feeding. Macenroe said her work is slow going. We re trying to change a hospital culture that s been in place for many, many decades, Macenroe said. As late as 2011, the CDC reported that 78 percent of U.S. hospitals still gave nonbreast milk (infant formula) to healthy, breast-feeding infants. Many still send new mothers home with goodie bags filled with bottles and formula. Although the baby-friendly movement has been growing, in 2007, barely 2.9 percent of all U.S. births were in babyfriendly facilities, HHS reports. Its goal is 8.1 percent by South Lake Hospital began its journey towards becoming designated as a Baby Friendly Hospital in We are currently in the final phase known as the Designation Phase, as of January Our goal is to host a site visit, which includes staff questions about Baby Friendly Hospital practices, and to become designated by the end of Page 7

8 It will be a series of 10 classes that will focus on the parts of medical words, what they mean and how to pronounce and spell them correctly. Upon successful completion of the class you will receive a certificate of completion. The class if free of charge. Sign up in net learning now for medical terminology the classes will be held from 4:30 6:00 twice a week with a start date of February 27th. For more information contact: As part of South Lake Hospitals SHINE program medical terminology will be available again in February. The medical terminology class is geared towards our ancillary team members that are looking to grow within South Lake Hospital. Rosemary Crain, MSN, RN, PCCN rosemary.crain@orlandohealth.com ext January PEAK is now in NetLearning Tittle: End of Life care- Respiratory Symptoms D H ave you lost your stethoscope? ue to See the the national shortage sor of to IV describe solu- and claim. administrative supervition bags, we have been doing many IV medications as an IV push/bolus instead of an infusion. If you have any questions about how to administer Page 8

9 Joint Commission Corner Each week you will get a chance to win a prize if you Lynn Obrien the correct answer. Lynn.OBrien@orlandohealth.com The 5th responder gets the prize. Answer from last week: What is the turn around time for STAT lab work? 1 (one hour) from the time the specimen is received into the laboratory. What equipment can power strips be used for? A. ALARIS Pump B. DINAMAP C. No medical equipment D. O2 Sat Monitor SLH Field Day Register in the bebetter portal. Registration closes two weeks from today, Wednesday February 7th. Bringing family members? Awesome! RSVP for them by ing SLHWellness@orlandohealth.com with their names and ages. What fun events will you participate in on Friday, February 9th from 6:00-7:00pm? Check out the flyer for all this information and more. This is a FUN, family-friendly field day join in today! High Census = High Stress Woah! You all been BUSY! Please take time for yourself by checking into the Chillax Room located across from Outpatient Registration. Take 5 minutes to recharge. Enjoy the tranquil nature scenes displayed on the TV, listen to the fountain, follow the meditation exercise, or simply close your eyes and just breathe. Stress Relieving Tools and Tips 1. Beat stress by initiating positive relationships 2. Get Moving regular exercise is a powerful stress reliever 3. Prioritize & Organize 4. Eat Well 5. Get Enough Sleep 6. Break Bad Habits Page 9

10 Your Pet s Picture If you would like your pet s picture to be featured in our huddle please send a picture to: ma.monrealdumaop@orlandohealth.com