The Movement Behind The Move: BEGINNING WITH A VISION

Transcription

1 The Movement Behind The Move: Envisioning, Designing and Implementing A 36 Bed ICU Powerpoint Templates Page 1 BEGINNING WITH A VISION City wide need for ICU beds Guiding principles: Powerpoint Templates Page 2 1

2 KEY STAKEHOLDERS 2 bedside nurses Nurse and Respiratory managers from all 3 sites Medical Directors from all 3 sites Physiotherapist Infection, Prevention and Control Practitioner In house maintenance Powerpoint Templates Page 3 KEY STAKEHOLDERS Regional nursing director Regional medical director Planning committee Consultants Architects Interior Designers Powerpoint Templates Page 4 2

3 GUIDING PRINCIPLES Patient Care Family centered care Pleasing and safe work environment Powerpoint Templates Page 5 GUIDING PRINCIPLES Patient care Private rooms Reduce noise Decrease infection rates Natural light Larger rooms to accommodate family Access to hemodialysis for each bedside Powerpoint Templates Page 6 3

4 GUIDING PRINCIPLES Family Centered Care Space for families to spend time with love ones On unit washrooms including showers for family On unit areas for family conferences On unit areas for short breaks from patient room Large family area including eating area and televisions Powerpoint Templates Page 7 PRINCIPLES Pleasing and Safe Work Environment Rooms large enough to accommodate the medical equipment Equipment and supplies readily available Short distance to Diagnostic Imaging Staff room with tables Locker rooms with showers Pod lock down option Powerpoint Templates Page 8 4

5 OPERATIONALIZING Frequent meetings (monthly to biweekly) Representatives from all departments (Physician, nursing, PT, RT, house keeping, maintenance, Administration Table top exercises Preparing staff for move Powerpoint Templates Page 9 GOALS: ORIENTATION Familiarization with new unit Layout New equipment Feedback Asking staff to help shape the new work environment Reduce anxiety surrounding move Powerpoint Templates Page 10 5

6 ORIENTATION PLANNING OF THE ORIENTATION: Brainstorming at bedside Determine resources available Determine learning needs regarding new environment and equipment Timingi Which learning modality fits? Powerpoint Templates Page 11 ORIENTATION PLAN: Multi-modal and inter-disciplinary Tours at different phases of completion Website with learning materials easily accessed before and after move Simulation In-services Powerpoint Templates Page 12 6

7 PLAN OF DAY Powerpoint Templates Page 13 Powerpoint Templates Page 14 7

8 Powerpoint Templates Page 15 ARCHITECURAL DRAWING Powerpoint Templates Page 16 8

9 UNIT MAP Powerpoint Templates Page 17 IT WAS THE NIGHT BEFORE PLAN: Patient s family, lines, meds and belongings organized Planned new ICU room number Aimed to keep census low Powerpoint Templates Page 18 9

10 MORNING OF 0600 ROUNDS Two teams: One for each ICU Powerpoint Templates Page AM GO TIME! Varied order of acuity Path of least disruption Extra hands CNE coverage Communication Plan Powerpoint Templates Page 20 10

11 AN AMAZING TEAM EFFORT! All planned moves completed by 1400 First admission to ICU in McCaig Tower via STARS at 1500 X admissions in the following 24 hours Powerpoint Templates Page 21 LESSONS LEARNED Powerpoint Templates Page 22 11

12 THE UNPREDICTABLE Last Transfer! The vultures descend Equipment blips Who would fly? Powerpoint Templates Page 23 CELEBRATE! Celebration of our history Closing Powerpoint Templates Page 24 12

13 RESPONSIVE TO FEED BACK Posters Wireless Keyboards Pod Switch Powerpoint Templates Page 25 MINIMIZE NON-ESSENTIAL CHANGE Imagine what we were asking Moratorium on change Powerpoint Templates Page 26 13

14 CHECK AND DOUBLE CHECK Electrical Equipment Powerpoint Templates Page 27 VARIED MEETING SPACES Variety of configurations Powerpoint Templates Page 28 14

15 PHYSICAL CHANGES IMPACT WORKFLOW Literature indicated 12 beds ideal Huge impact on staffing, coverage, supply distribution Powerpoint Templates Page 29 CONSISTENT LEADERSHIP Powerpoint Templates Page 30 15

16 PHONE A FRIEND! FMC ICU joy.teppler@albertahealthservices.ca joan.harris@albertahealthservices.ca pam.hruska@albertahealthservices.ca lana.mcfadden@albertahealthservices.ca laura.robinson@albertahealthservices.ca Powerpoint Templates Page 31 16