Raise your game: The UP Campaign. Bruce Spurlock, M.D. Cynosure Health

Size: px
Start display at page:

Download "Raise your game: The UP Campaign. Bruce Spurlock, M.D. Cynosure Health"

Transcription

1 Raise your game: The UP Campaign Bruce Spurlock, M.D. Cynosure Health 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8

9 9

10 10

11 11

12 12

13 13

14 14

15 15

16 Can we streamline & simplify making it easier for front-line staff and still improve safety? 16

17 17

18 WHY THE UP CAMPAIGN? Increases impact on harm reduction Generates momentum in your organization Focuses support from leadership Engages front line staff connects the dots creates a vision Applies throughout organization Simplifies patient safety implementation Help patients recover faster and with fewer complications 18

19 # 1 OPIOID & SEDATION MANAGEMENT ADE FTR Delirium Falls AS VTE VAE W A K E - UP 19

20 # 2 EARLY PROGRESSIVE MOBILITY Falls PrU Delirium CAUTI VAE VTE Readmissions G E T - U P 20

21 # 3 HAND HYGIENE CDI CAUTI SSI VAE CLABSI Sepsis S O A P - U P 21

22 Foundational Questions: 1. Is my patient awake enough to get up? 2. Have I protected my patient from infections? 22

23 23

24 24

25 When am I going to walk? I walked yesterday. It s better than just being in the chair. I feel better when I am walking.

26 # 1 OPIOID & SEDATION MANAGEMENT ADE FTR Delirium Falls AS VTE VAE W A K E - UP 26

27 SLEEP VS SEDATION

28 IMPROVE PATIENT COMFORT, SAFETY, AND OUTCOMES PAD SYMPTOMS PAIN AGITATION DELIRIUM ASSESSMENT AND MONITORING TOOLS NRS: Numeric Rating Scale BPS: Behavioral Pain Scale CPOT: Critical Care Pain Observation Tool RASS: Richmond Agitation Sedation Scale SAS: Sedation Agitation Scale CAM-ICU: Confusion Assessment Method for ICU ICDSC: Intensive Care Delirium Screening Checklist CARE IMPROVEMENT ABCDEF BUNDLE Assess, Prevent and Manage Pain Both Spontaneous Awakening Trials and Spontaneous Breathing Trials Choice of Sedation Delirium: Assess, Prevent and Manage Early Mobility and Exercise Family Engagement and Empowerment

29 No discharge from PACU No additional opioids S = Sleep, easy to arouse Acceptable; no action necessary; may increase opioid dose if needed 1 = Awake and alert Acceptable; no action necessary; may increase opioid dose if needed 2 = Slightly drowsy, easily aroused Acceptable; no action necessary; may increase opioid dose if needed 3 = Frequently drowsy, arousable, drifts off to sleep during conversation Unacceptable; monitor respiratory status and sedation level closely until sedation level is stable at less than 3 and respiratory status is satisfactory; decrease opioid dose 25% to 50% 1 or notify primary 2 or anesthesia provider for orders; consider administering a non-sedating, opioid-sparing nonopioid, such as acetaminophen or a NSAID, if not contraindicated; ask patient to take deep breaths every minutes. 4 = Somnolent, minimal or no response to verbal and physical stimulation Unacceptable; stop opioid; consider administering naloxone 3,4 ; stay with patient, stimulate, and support respiration as indicated by patient status; call Rapid Response Team (Code Blue) if indicated; notify primary 2 or anesthesia provider; monitor respiratory status and sedation level closely until sedation level is stable at less than 3 and respiratory status is satisfactory. *Appropriate action is given in italics at each level of sedation. 1 If opioid analgesic orders or hospital protocol do not include the expectation that the opioid dose will be decreased if a patient is excessively sedated, such orders should be promptly obtained. 2 For example, the physician, nurse practitioner, advanced practice nurse, or physician assistant responsible for the pain management prescription. 3 For adults experiencing respiratory depression give intravenous naloxone very slowly while observing patient response ( titrate to effect ). If sedation and respiratory depression occurs during administration of transdermal fentanyl, remove the patch; if naloxone is necessary, treatment will be needed for a prolonged period, and the typical approach involves a naloxone infusion. Patient must be monitored closely for at least 24 hours after discontinuation of the transdermal fentanyl. 4 Hospital protocols should include the expectation that a nurse will administer naloxone to any patient suspected of having life-threatening opioid-induced sedation and respiratory depression. 1994, Pasero C. Used with permission. As cited in Pasero C, McCaffery M. Pain Assessment and Pharmacologic Management, p St. Louis, Mosby/Elsevier,

30 POSS AKA GOLDILOCKS SCALE S- Sleep, easy to arouse 1- awake and alert 2- slightly drowsy 3- frequently drowsy, drifts off to sleep during conversation 4- somnolent, minimal or no response to stimulation

31 Just Right! Over Medicated: Hibernating Under Medicated: Not Happy

32 W A K E Warn Yourself: this is high risk. Assess: use tools (STOP BANG, POSS, RASS, PA-PSA). Know: Your drugs, Your patient. Engage: Patients and Families to set realistic pain expectations, use of non-sedating analgesics, risks of opioids. - U P Utilize: dose limits, layering limits, soft and hard stops. Protect: The Patient our ultimate job. 32

33 NOT JUST SEDATIVES AND OPIOIDS Anti-histamines/anti-cholinergics Anti-psychotics Some anti-depressants Anti-emetics Muscle relaxers 33

34 # 2 EARLY PROGRESSIVE MOBILITY Falls PrU Delirium CAUTI VAE VTE Readmissions G E T - U P 34

35 PATHOPHYSIOLOGICAL CHANGES WITHIN 24 H OF BED REST 35

36 WHAT IS PROGRESSIVE MOBILITY? Progressive mobility is defined as a series of planned movements in a sequential matter beginning at a patient's current mobility status with goal of returning to his/her baseline (Vollman 2010) Ambulation Dangling Elevate HOB Manual turning PROM AROM CLRT and Prone positioning Upright / leg down position Chair position 36

37 TEAMING UP TO MOBILIZE OT PT RN Admin CNA MD RT Family 37

38 G E T Go: determine the resources in your institution and how you will implement a mobility program. Evaluate: (patient capabilities): Which scale/tool/evaluation method will you standardize on? Team up for progressive mobility: rehab, nursing, and respiratory join to implement the mobility plan. - U P Unite: Engage patients, families and friends in mobility progression. Promote progress: Measure and report unit mobility performance. 38

39 GO DETERMINE THE RESOURCES NEEDED Assess current state of nursing skill and confidence in mobilization Mobility Aid PTA or CNA Instead of low census days pilot mobility aid Ambulate patients twice a day Unit based PT/OT staff Bedside treatment Involve nursing in transfers and ambulation to build skill and confidence. ICU Mobility Team Critical Care RN, CNA, PT Equipment Gait belts in rooms 39 Sit to stand transfer device

40 EVALUATE Select or develop a tool to assess patient readiness for early mobilization Exercise / Mobility Safety Screen Parameters examples AACN Protocol M Myocardial stability No myocardial ischemia x 24H No dysrhythmia requiring new antidysrhythmic x 24 H O - Oxygenation is adequate FiO2 > 6 PEEP < 10cm H2O V Vasopressors minimal No increase of any vasopressors x 2 H E Engage to voice Patient responds to verbal stimulation 40 Other Screening Prameters PaO2/FiO2 > 250 Peep < 10 RR HR MAP SBP RASS 3 or greater No new or increasing vasopressors

41 TEAM UP Develop the mobility protocol as a team MD NP, Clin Spec Nursing RN, CNAs Physical Therapy Occupational Therapy Respiratory Consider ICU and Med Surg Decide where to start 41

42 SAMPLE MOBILITY Unconscious Conscious Conscious Conscious PROTOCOL WAKE FOREST UNIVERSITY Morris P,et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crti Care Med 2008:36(8):

43 43

44 # 3 HAND HYGIENE CDI CAUTI SSI VAE CLABSI Sepsis S O A P - U P 44

45 S O A P Scrub: for 20 seconds with the right product. Remember soap for C.diff. Own: your role in preventing HAIs. Address: immediately intervene if breach is observed. Place: hand hygiene products in strategic locations. - U P Update: hand hygiene products and policies as needed to promote adherence. Protect: patient and families, get them involved. 45

46 TIME TO SOAP UP YOUR HAND HYGIENE GAME! 46

47 SCRUB Scrub: for 20 seconds with the right product. Remember soap for C.diff. Scrub hands with appropriate agents, length of time and with proper technique. Use soap and water for C.diff, minimum 15 seconds, with friction on all surfaces of the hands. Use alcohol-based gel, rub until dry on all surfaces of the hands. 47

48 OWN: Your Role in Prevention Own your role in preventing hospital acquired infections, develop automaticity in HH performance. Surveillance of yourself and others is a must. Share observation data and establish personal accountability with the health care worker. 49

49 ADDRESS Observation and surveillance of hand hygiene is the best way to ensure appropriate compliance. Schedule an unscheduled observation by trained observers. Intervene immediately if a breach in HH is observed. Provide scripts for reminding peers to perform HH. Promote culture of safety. 50

50 PRODUCT PLACEMENT Thoughtful and strategic placement of HH products for: Healthcare workers Visitors Patients Place signage as reminders Place gloves inside patient rooms Implement a no glove zone outside patient rooms 51

51 UPDATE Update products, equipment and policies with staff input. Update equipment and displays of HH product frequently. 52

52 PROTECT PATIENT Protect our patients from HAI by performing HH. Promote patient and family engagement- give them permission to speak up for clean hands. Promote patient HH for patients. 53

53 Foundational Questions: 1. Is my patient awake enough to get up? 2. Have I protected my patient from infections? 54

54 55

HRET-HIIN Roadshow The Way UP. Barb DeBaun, MSN, RN,CIC & Pat Teske, MHA, RN Kentucky State Hospital Association HIIN Roadshow March 15, 2017

HRET-HIIN Roadshow The Way UP. Barb DeBaun, MSN, RN,CIC & Pat Teske, MHA, RN Kentucky State Hospital Association HIIN Roadshow March 15, 2017 HRET-HIIN Roadshow The Way UP Barb DeBaun, MSN, RN,CIC & Pat Teske, MHA, RN Kentucky State Hospital Association HIIN Roadshow March 15, 2017 1 The Way UP 2 Objectives Outline the three UP Campaign crosscutting

More information

HRET HIIN UP Campaign. Thursday, February 16, :00 a.m. 11:50 a.m. CT

HRET HIIN UP Campaign. Thursday, February 16, :00 a.m. 11:50 a.m. CT HRET HIIN UP Campaign Thursday, February 16, 2017 11:00 a.m. 11:50 a.m. CT 1 Emily Koebnick, Program Manager, HRET WELCOME AND INTRODUCTIONS 2 Agenda for Today 11:00-11:10 a.m. Welcome and Introductions

More information

Get UP to Drive Harm Down. ND Webinar March 29, 2018 Maryanne Whitney RN CNS MSN Cynosure Health

Get UP to Drive Harm Down. ND Webinar March 29, 2018 Maryanne Whitney RN CNS MSN Cynosure Health Get UP to Drive Harm Down ND Webinar March 29, 2018 Maryanne Whitney RN CNS MSN Cynosure Health What is your role in your organization? Quality Leader RN MD Rehab specialist RT Other- please chat in your

More information

HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) Jessica Stultz, Director of Clinical Quality May 23, 2017

HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) Jessica Stultz, Director of Clinical Quality May 23, 2017 HOSPITAL IMPROVEMENT INNOVATION NETWORK (HIIN) Jessica Stultz, Director of Clinical Quality May 23, 2017 Great things are happening! Hospital milestone 4 achievement Total 91.8% or 67 HIIN hospitals Earn

More information

South Central HIINergy Partners

South Central HIINergy Partners Six states partnering for quality and patient safety through the Hospital Improvement Innovation Network UP Your Game with HIIN! Purpose is a group of six geographically proximal state hospital associations

More information

The Way UP: How Four Cross-Cutting Strategies Can Reduce Harm Across the Board. DFW Tuesday January 9 th, 2018 Barbara DeBaun, RN, MSN, CIC

The Way UP: How Four Cross-Cutting Strategies Can Reduce Harm Across the Board. DFW Tuesday January 9 th, 2018 Barbara DeBaun, RN, MSN, CIC The Way UP: How Four Cross-Cutting Strategies Can Reduce Harm Across the Board DFW Tuesday January 9 th, 2018 Barbara DeBaun, RN, MSN, CIC 1 A Fresh Approach to Harm Reduction Script Up Soap Up Get Up

More information

Opioid Sedation Comparison Study

Opioid Sedation Comparison Study Opioid Sedation Comparison Study Barbara U. Ochampaugh, RN, BSN, CPAN Level IV; Sandra Lowery, RN, CPAN Level III; Deborah J. Marra, RN, BS, CPAN Level III; and Nancy Salerno RN, MSN Respiratory depression

More information

AHA/HRET HEN 2.0 GET UP WEBINAR MOVE IT OR LOSE IT : CROSSCUTTING INTERVENTIONS TO ACCELERATE IMPROVEMENT. May 26, :00 a.m. 12:00 p.m.

AHA/HRET HEN 2.0 GET UP WEBINAR MOVE IT OR LOSE IT : CROSSCUTTING INTERVENTIONS TO ACCELERATE IMPROVEMENT. May 26, :00 a.m. 12:00 p.m. AHA/HRET HEN 2.0 GET UP WEBINAR MOVE IT OR LOSE IT : CROSSCUTTING INTERVENTIONS TO ACCELERATE IMPROVEMENT May 26, 2016 11:00 a.m. 12:00 p.m. CT 1 WELCOME AND INTRODUCTIONS Emily Koebnick, Program Manager,

More information

VAE PROJECT MASTER ACTION PLAN. Note: Please be aware that these areas overlap to reduce duplication and optimize the synergies

VAE PROJECT MASTER ACTION PLAN. Note: Please be aware that these areas overlap to reduce duplication and optimize the synergies VAE PROJECT MASTER ACTION PLAN Note: Please be aware that these areas overlap to reduce duplication and optimize the synergies Practice NHSN Surveillance Data Collection Is VAE NHSN Surveillance data collection

More information

Foundation for Healthy Communities NH Partnership for Patients Hospital Improvement & Innovation Network (HIIN) 2.0

Foundation for Healthy Communities NH Partnership for Patients Hospital Improvement & Innovation Network (HIIN) 2.0 Foundation for Healthy Communities NH Partnership for Patients Hospital Improvement & Innovation Network (HIIN) 2.0 Hospital NHSN Workshop February 22, 2017 Greg Vasse Anne Diefendorf Our charge is clear:

More information

Let s Join the Movement Towards Movement Using the UP Campaign Strategies to Decrease Falls and other HACs. June 13, 2018

Let s Join the Movement Towards Movement Using the UP Campaign Strategies to Decrease Falls and other HACs. June 13, 2018 Let s Join the Movement Towards Movement Using the UP Campaign Strategies to Decrease Falls and other HACs June 13, 2018 1 Agenda Morning Welcome Get UP as a cross cutting strategy to reduce harm 12:00-12:30

More information

HEN 2.0 Monthly Update

HEN 2.0 Monthly Update HEN 2.0 Monthly Update Jessica Rowden, MHA, BSN, R.N., CPHQ Director of Clinical Quality http://web.mhanet.com/quality-and-health-improvement.aspx HEN 2.0 Monthly Webinar Agenda Data Stipend Update Reports

More information

Saving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013

Saving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Saving Lives: EWS & CODE SEPSIS Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Course Objectives At the conclusion of this training, you will be able to Explain the importance

More information

Collaboration and Coordination in the MRICU: An Interprofessional Approach to Implementation of a Daily Review of Sedation Strategy, Liberation

Collaboration and Coordination in the MRICU: An Interprofessional Approach to Implementation of a Daily Review of Sedation Strategy, Liberation Collaboration and Coordination in the MRICU: An Interprofessional Approach to Implementation of a Daily Review of Sedation Strategy, Liberation Potential and Mobility Plan Amy Dean, MS, RN, CCRN Kristin

More information

Sedation/Analgesia by Non-Anesthesiologists. THE UNIVERSITY OF TOLEDO Approving Officer:

Sedation/Analgesia by Non-Anesthesiologists. THE UNIVERSITY OF TOLEDO Approving Officer: Name of Policy: Policy Number: 3364-100-53-11 Department: Hospital Administration Medical Staff ^HEALTH THE UNIVERSITY OF TOLEDO Approving Officer: Chief Executive Officer - UTMC Responsible Agent: -Chief

More information

MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY

MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY POLICY MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY A policy sets forth the guiding principles for a specified targeted

More information

Exemplary Professional Practice: Patient Care Delivery Model(s)

Exemplary Professional Practice: Patient Care Delivery Model(s) Exemplary Professional Practice: Patient Care Delivery Model(s) EP7EO Nurses systematically evaluate professional organizations standards of practice, incorporating them into the organization s professional

More information

Pain: Facility Assessment Checklists

Pain: Facility Assessment Checklists Pain: Facility Assessment Checklists This is a series of self-assessment checklists for nursing home staff to use to assess processes related to pain management in the facility, in order to identify areas

More information

Pharmacy Services. Division of Nursing Homes

Pharmacy Services. Division of Nursing Homes Pharmacy Services Division of Nursing Homes 1 483.45 Pharmacy Services Overview The Pharmacy Services section of Appendix PP contains all Pharmacy Services requirements and interpretive guidelines (IG)

More information

Using People, Process and Technology to Enhance Outcomes for Patients and Their Caregivers

Using People, Process and Technology to Enhance Outcomes for Patients and Their Caregivers Using People, Process and Technology to Enhance Outcomes for Patients and Their Caregivers Melissa A. Fitzpatrick, RN, MSN, FAAN VP & Chief Clinical Officer, Hill-Rom Trends Driving Our Industry Aging

More information

Acknowledgement. Speaker Disclosure Statement. ASPMN 21 st National Conference Tucson, AZ September 9,

Acknowledgement. Speaker Disclosure Statement. ASPMN 21 st National Conference Tucson, AZ September 9, Monitoring Over Sedation in Adult and Pediatric Patients Receiving Opioids for Michele Farrington, BSN, RN, CPHON michele farrington@uiowa.edu Staff Nurse Anne Smith, MSN, RN BC anne m smith@uiowa.edu

More information

Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center

Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center Early Response Teams Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center OBJECTIVES Provide an overview of an Early

More information

Ruchika D. Husa, MD, MS

Ruchika D. Husa, MD, MS Early Response Teams Ruchika D. Husa, MD, MS Assistant Professor of Medicine Division i i of Cardiovascular Medicine i The Ohio State University Wexner Medical Center OBJECTIVES Provide an overview of

More information

Beyond the Bundle. Improving Ventilator Related Outcomes through Multidisciplinary Collaboration

Beyond the Bundle. Improving Ventilator Related Outcomes through Multidisciplinary Collaboration Beyond the Bundle Improving Ventilator Related Outcomes through Multidisciplinary Collaboration Definitions VAE Ventilator associated event global term for NHSN reporting criteria VAC: Ventilator Associated

More information

Louise Rose RN, BN, ICU Cert, Adult Ed Cert, MN, PhD

Louise Rose RN, BN, ICU Cert, Adult Ed Cert, MN, PhD Louise Rose RN, BN, ICU Cert, Adult Ed Cert, MN, PhD TD Nursing Professor in Critical Care Research, Sunnybrook Health Sciences Centre Associate Professor, LSBFON, University of Toronto CIHR New Investigator

More information

Code Sepsis: Wake Forest Baptist Medical Center Experience

Code Sepsis: Wake Forest Baptist Medical Center Experience Code Sepsis: Wake Forest Baptist Medical Center Experience James R. Beardsley, PharmD, BCPS Manager, Graduate and Post-Graduate Education Department of Pharmacy Wake Forest Baptist Health Assistant Professor

More information

EXPERIENCE OF NH HOSPITALS: FALLS DATA NH FALLS RISK REDUCTION TASK FORCE ANNUAL DATA MEETING MARCH 7, 2017 PRESENTED BY: ANNE DIEFENDORF FOUNDATION

EXPERIENCE OF NH HOSPITALS: FALLS DATA NH FALLS RISK REDUCTION TASK FORCE ANNUAL DATA MEETING MARCH 7, 2017 PRESENTED BY: ANNE DIEFENDORF FOUNDATION EXPERIENCE OF NH HOSPITALS: FALLS DATA NH FALLS RISK REDUCTION TASK FORCE ANNUAL DATA MEETING MARCH 7, 2017 PRESENTED BY: ANNE DIEFENDORF FOUNDATION FOR HEALTHY COMMUNITIES Objectives Review 2015 NH Adverse

More information

FHA Call to Action: Eliminating Infection-Related Ventilator-Associated Complications IVAC Bi-Monthly Webinar #2 May 3, 2018

FHA Call to Action: Eliminating Infection-Related Ventilator-Associated Complications IVAC Bi-Monthly Webinar #2 May 3, 2018 FHA Call to Action: Eliminating Infection-Related Ventilator-Associated Complications IVAC Bi-Monthly Webinar #2 May 3, 2018 Agenda FHA MTC Call to Action for IVAC Data Review HRET HIIN Hospital Peer Sharing

More information

In a common ICU situation like this, there are two main questions we have to answer daily:

In a common ICU situation like this, there are two main questions we have to answer daily: MICU ROUNDING PLAN // 12.3.2014 This document contains 4 sections: 1. Rationale 2. Assumptions and ground rules 3. Detailed plan for rounding structure 4. 1-page outline of rounding structure 1. Rationale

More information

Checklists for Preventing and Controlling

Checklists for Preventing and Controlling Checklists for Preventing and Controlling Clostridium difficile Infection (CDI) This document has been developed to specifically assist senior management and all ward staff to take appropriate actions,

More information

Stopping Sepsis in Virginia Hospitals and Nursing Homes Hospital Webinar #2 - Tuesday, March 21, 2017

Stopping Sepsis in Virginia Hospitals and Nursing Homes Hospital Webinar #2 - Tuesday, March 21, 2017 Stopping Sepsis in Virginia Hospitals and Nursing Homes Hospital Webinar #2 - Tuesday, March 21, 2017 Welcome and Introductions Today s objectives: Introduce Sepsis Practice Collaborative Model Tier 1

More information

Policies and Procedures. I.D. Number: 1145

Policies and Procedures. I.D. Number: 1145 Policies and Procedures Title: VENTILATION CHRONIC- CARE OF MECHANICALLY VENTILATED ADULT PERSON RNSP: RN Clinical Protocol: Advanced RN Intervention LPN Additional Competency: Care of Chronically Mechanically

More information

Abdominal Surgery. Beyond Medicine. What to Expect While You Are in the Hospital. ilearning about your health

Abdominal Surgery. Beyond Medicine. What to Expect While You Are in the Hospital.  ilearning about your health ilearning about your health Abdominal Surgery What to Expect While You Are in the Hospital www.cpmc.org/learning Beyond Medicine. Table of Contents On the Day of Your Surgery...3 Your Nursing Care...3

More information

OHA HEN 2.0 Partnership for Patients Letter of Commitment

OHA HEN 2.0 Partnership for Patients Letter of Commitment OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information

More information

Hip Replacement Modern Total Hip Replacement in an Ambulatory Surgery Center. A Brief History of Total Hip Replacement

Hip Replacement Modern Total Hip Replacement in an Ambulatory Surgery Center. A Brief History of Total Hip Replacement Modern Total Hip Replacement in an Ambulatory Surgery Center James T. Caillouette, M.D. Chairman Newport Orthopedic Institute 1 A Brief History of Total Hip Replacement Hip replacement 1990: LOS 7 Days

More information

Policies and Procedures. ID Number: 1138

Policies and Procedures. ID Number: 1138 Policies and Procedures Title: VENTILATION Acute-Care of Mechanically Ventilated Patient - Adult RN Specialty Practice: RN Clinical Protocol: Advanced RN Intervention ID Number: 1138 Authorization: [X]

More information

POLICY & PROCEDURE POLICY NO: IPAC 3.2

POLICY & PROCEDURE POLICY NO: IPAC 3.2 POLICY & PROCEDURE POLICY NO: IPAC 3.2 SUBJECT SUPERCEDES August 2007, July 2008 S 1of 5 APPROVAL: Infection Prevention & Control Committee DATE: September, 2010 Professional Advisory Committee DATE: January

More information

Improving Patient Surveillance: Instituting a Respiratory Risk Screening Tool

Improving Patient Surveillance: Instituting a Respiratory Risk Screening Tool Improving Patient Surveillance: Instituting a Respiratory Risk Screening Tool Sandra Maddux, RN, MSN, CNS-BC, Michelle Giffin, RN, BSN, & Patti Leglar, RN-C, BSN Purpose To share an evidence-based protocol

More information

Patient Safety: Fall Prevention. Unlicensed Assistive Personnel

Patient Safety: Fall Prevention. Unlicensed Assistive Personnel Patient Safety: Fall Prevention Unlicensed Assistive Personnel Purpose and Objectives Purpose: Review the UCH Fall Prevention Program Objectives: 1. Present evidence about patient safety and falls. 2.

More information

ABCDEF Bundle Implementation

ABCDEF Bundle Implementation ABCDEF Bundle Implementation Anne Putzer, MS, RN, ACNS-BC, CCRN Cat Zyniecki, BSN, RN, CCRN Columbia St. Mary s Wisconsin Association of Clinical Nurse Specialists CNO/CNS/Shared Governance Breakfast September

More information

Patient Controlled Analgesia Guidelines

Patient Controlled Analgesia Guidelines Patient Controlled Analgesia Guidelines Date: August 2005 Ref : PCD005 Vers : 2 Policy Profile Policy Reference Number PCD005 Version 2 Status Approved Trust Lead Director of Nursing/Acute Pain Team Implementation

More information

Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3)

Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Goals GOALS AND OBJECTIVES To analyze and interpret

More information

FHA MTC HIIN Lead Quarterly Virtual Meeting April 30, 2018

FHA MTC HIIN Lead Quarterly Virtual Meeting April 30, 2018 FHA MTC HIIN Lead Quarterly Virtual Meeting April 30, 2018 Today s Agenda Welcome and Overview for today s HIIN Lead Virtual Meeting HIINgagment and HIINaction Florida s Success, Opportunities and Line

More information

ADMINISTRATIVE CLINICAL Page 1 of 6. Origination Date: 6/2009, 10/2009

ADMINISTRATIVE CLINICAL Page 1 of 6. Origination Date: 6/2009, 10/2009 ADMINISTRATIVE CLINICAL Page 1 of 6 INTRA-FACILITY TRANSPORT OF CRITICALLY ILL PATIENTS TO AND FROM SPECIAL CARE AREAS Origination Date: 6/2009, 10/2009 Revision/Reviewed Date: 9/2010 8/2011, 1/2013; 4/2014

More information

Nurse-Driven Safe Patient Early Mobility: Making it Happen In Your ICU

Nurse-Driven Safe Patient Early Mobility: Making it Happen In Your ICU Nurse-Driven Safe Patient Early Mobility: Making it Happen In Your ICU Kathleen Vollman MSN, RN, CCNS, FCCM, FAAN Clinical Nurse Specialist/Educator/Consultant ADVANCING NURSING LLC kvollman@comcast.net

More information

Preparing for Thoracic Surgery and Recovery

Preparing for Thoracic Surgery and Recovery Division of Thoracic Surgery Preparing for Thoracic Surgery and Recovery A Guide for Patients and Families Brigham And Women s/faulkner Hospitals Important Phone Numbers Important Phone Numbers BWH NUMBERS

More information

To outline the criteria and management for the patient receiving moderate sedation (conscious

To outline the criteria and management for the patient receiving moderate sedation (conscious Section: HRMC Division of Nursing Index: 8620.157b Page: 1 of 6 Issue Date: July 1, 1996 Revised Date: January, 2011 PROTOCOL TITLE: MODERATE SEDATION PURPOSE: sedation) To outline the criteria and management

More information

APC 20 Procedural Sedation Analgesia by Non-Anesthesia Provider. Assessment & Provision of Care

APC 20 Procedural Sedation Analgesia by Non-Anesthesia Provider. Assessment & Provision of Care APC 20 Procedural Sedation Analgesia by Non-Anesthesia Provider Policy Executive: VP Medical Affairs/CMO Patient Care Policy Assessment & Provision of Care Policy Owner: Director Nursing ATTACHMENTS: 1.

More information

Protocol/Procedure XX. Title: Procedural Sedation/Moderate Sedation

Protocol/Procedure XX. Title: Procedural Sedation/Moderate Sedation Protocol/Procedure XX Title: Procedural Sedation/Moderate Sedation A. DEFINITION Procedural Moderate Sedation/Analgesia is a drug-induced depression of consciousness during which patients respond purposefully

More information

Best Practices for Prevention of Ventilator Associated Pneumonia. Marti Shaver, RN, CIC Derreck Wallace, RRT Ruth Sidor, MSN APRN

Best Practices for Prevention of Ventilator Associated Pneumonia. Marti Shaver, RN, CIC Derreck Wallace, RRT Ruth Sidor, MSN APRN Best Practices for Prevention of Ventilator Associated Pneumonia Marti Shaver, RN, CIC Derreck Wallace, RRT Ruth Sidor, MSN APRN North Decatur Hillandale Downtown Decatur DeKalb Regional Health System

More information

SOAP UP w. July 18, 2017

SOAP UP w. July 18, 2017 SOAP UP Hand w Hygiene July 18, 2017 Agenda Welcome and Introductions IHA Hand Hygiene Survey Results Hospital Features SOAP UP Campaign Resources and Support Hand Hygiene Webinar Series 2 Indiana s Bold

More information

SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY PS1070 SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: POST ANESTHESIA CARE UNITS (PACU) EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of

More information

FHA MTC HIIN Quarterly Virtual Meeting January 22, 2018

FHA MTC HIIN Quarterly Virtual Meeting January 22, 2018 FHA MTC HIIN Quarterly Virtual Meeting January 22, 2018 Today s Agenda Purpose of the Call UP Campaign Review of the data Needs Assessment Feedback What do you Need? CMS HIIN GOALS GOALS: 20% Overall Reduction

More information

Pain: Facility Assessment Checklists

Pain: Facility Assessment Checklists Pain: Facility Assessment Checklists A facility system assessment is a starting point for a quality improvement project. The checklists included in this booklet will be most useful if you take a critical

More information

Case: Comparing Two Scenarios

Case: Comparing Two Scenarios The Case: Case: Comparing Two Scenarios Dale Urdick and Lauren Weizhart are both Quality Improvement Managers at two large pediatric hospitals in different provinces. Although hundreds of kilomiles separate

More information

Reducing Ventilator Associated Pneumonia (V.A.P) System and Patient Tracer

Reducing Ventilator Associated Pneumonia (V.A.P) System and Patient Tracer Reducing V.A.P.: SYSTEM Tracer Begin with Large Group General Questions: 1. Describe your surgical and then medical process related to the prevention of V.A.P. 2. The Team Leader will create questions

More information

Identify patients with Active Surveillance Cultures (ASC)

Identify patients with Active Surveillance Cultures (ASC) MRSA CHANGE STRATEGIES The following tables include change strategies proven to be effective in healthcare settings. Implementing these changes through current or new processes may result in reducing healthcare

More information

Tip Sheet Reducing Off Label Use of Antipsychotic Medications by Engaging Staff in Individualizing Care to Alleviate Resident Distress

Tip Sheet Reducing Off Label Use of Antipsychotic Medications by Engaging Staff in Individualizing Care to Alleviate Resident Distress Tip Sheet Reducing Off Label Use of Antipsychotic Medications by Engaging Staff in Individualizing Care to Alleviate Resident Distress WHAT IT IS Off label use of antipsychotic medications means uses the

More information

Early Progressive Mobility- Letting Go of Bedrest

Early Progressive Mobility- Letting Go of Bedrest Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Early Progressive Mobility- Letting Go of Bedrest Jacqueline Clapp BSN, RN Lehigh Valley Health Network Holly Leighton

More information

HOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program

HOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS (HACS) A medical condition or complication that a patient develops during

More information

Implementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story

Implementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story Pharmacy Roundtable Implementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story Presenter: Jon C. Francisco, Pharm.D, BCPS Clinical Specialist

More information

Paediatrics. PEWS & Deteriorating Patients Linda Clerihew

Paediatrics. PEWS & Deteriorating Patients Linda Clerihew Paediatrics PEWS & Deteriorating Patients Linda Clerihew SPSP 2007 SPSPP 2010 McQIC 2013 Aim 30% reduction in avoidable harm measured by the Paediatric Serious Harm Key Indicators by December 2015 Measuring

More information

The policy applies to all SHS employees involved in direct patient care and medical staff.

The policy applies to all SHS employees involved in direct patient care and medical staff. Restraints Use of Violent - System Introduction Restraints, Use of Violent System Introduction SCOPE The policy applies to all SHS employees involved in direct patient care and medical staff. Implementation

More information

RISK EVALUATION AND MITIGATION STRATEGY (REMS)

RISK EVALUATION AND MITIGATION STRATEGY (REMS) Initial REMS approval: XX/XXXX NDA 21338 IONSYS (fentanyl iontophoretic transdermal system) I. GOAL Fentanyl/Opioid The Medicines Company 8 Sylvan Way, Parsippany NJ 07054 Phone: 973-290-6050 RISK EVALUATION

More information

Barriers to Early Rehabilitation in Critically Ill Patients. Shannon Goddard, MD Sunnybrook Health Sciences Centre

Barriers to Early Rehabilitation in Critically Ill Patients. Shannon Goddard, MD Sunnybrook Health Sciences Centre Barriers to Early Rehabilitation in Critically Ill Patients Shannon Goddard, MD Sunnybrook Health Sciences Centre Disclosures/Funding No financial disclosures or conflicts of interest Work is funding by

More information

Patients Being Weaned From the Ventilator: Positive Effects of Guided Imagery. Authors McVay, Frank; Spiva, Elizabeth; Hart, Patricia L.

Patients Being Weaned From the Ventilator: Positive Effects of Guided Imagery. Authors McVay, Frank; Spiva, Elizabeth; Hart, Patricia L. The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based

More information

HRET HIIN Adverse Drug Events Virtual Event. Opioid Safety Fishbowl Event #4: Moving the Fish Forward August 24, 2017

HRET HIIN Adverse Drug Events Virtual Event. Opioid Safety Fishbowl Event #4: Moving the Fish Forward August 24, 2017 HRET HIIN Adverse Drug Events Virtual Event Opioid Safety Fishbowl Event #4: Moving the Fish Forward August 24, 2017 1 Erin Craig Senior Program Manager, HRET WELCOME AND INTRODUCTIONS 2 Webinar Platform

More information

How to Perform a Prevalence Study for Pressure Injuries August 22, 2017

How to Perform a Prevalence Study for Pressure Injuries August 22, 2017 How to Perform a Prevalence Study for Pressure Injuries August 22, 2017 Prevalence Studies for Pressure Ulcer/Injury Hosted by FHA Mission to Care HIIN Presenter: Jackie Conrad RN, BSN, MBA, RCC Improvement

More information

Clinical Pathway: TICKER Short Stay (Expected LOS 5 days) For Patients not eligible for other TICKER Clinical Pathways

Clinical Pathway: TICKER Short Stay (Expected LOS 5 days) For Patients not eligible for other TICKER Clinical Pathways Project TICKER Teamwork to Improve Cardiac Kids End Results Clinical Pathway: TICKER Short Stay (Expected LOS 5 days) For Patients not eligible for other TICKER Clinical Pathways Notes: (1) This pathway

More information

5/9/2015. Disclosures. Improving ICU outcomes and cost-effectiveness. Targets for improvement. A brief overview: ICU care in the United States

5/9/2015. Disclosures. Improving ICU outcomes and cost-effectiveness. Targets for improvement. A brief overview: ICU care in the United States Disclosures Improving ICU outcomes and cost-effectiveness CHQI grant, UC Health Travel support, Moore Foundation J. Matthew Aldrich, MD Associate Clinical Professor Interim Director, Critical Care Medicine

More information

Patient s Care Path Note: Welcome to Providence Orthopaedic & NeuroSpine TOTAL HIP ARTHROPLASTY. Questions/Concerns. Midlands. Orthopaedics, P.A.

Patient s Care Path Note: Welcome to Providence Orthopaedic & NeuroSpine TOTAL HIP ARTHROPLASTY. Questions/Concerns. Midlands. Orthopaedics, P.A. TOTAL HIP ARTHROPLASTY Welcome to Providence Orthopaedic & NeuroSpine Institute. You are scheduled for surgery on your hip. The Care Path is a guide designed to help you and your family know what to expect

More information

Unplanned Extubation In Intensive Care Units (ICU) CMC Experience. Presented by: Fadwa Jabboury, RN, MSN

Unplanned Extubation In Intensive Care Units (ICU) CMC Experience. Presented by: Fadwa Jabboury, RN, MSN Unplanned Extubation In Intensive Care Units (ICU) CMC Experience Presented by: Fadwa Jabboury, RN, MSN Introduction Basic Definitions: 1. Endotracheal intubation: A life saving procedure for critically

More information

Welcome to the Cooper Infection Prevention Team

Welcome to the Cooper Infection Prevention Team Welcome to the Cooper Infection Prevention Team We Need YOU on the Team Healthcare Associated Infections Increase Morbidity & Mortality (Pain, Suffering and Death) CDC estimates that each year about 2

More information

Appendix A: Encyclopedia of Measures (EOM)

Appendix A: Encyclopedia of Measures (EOM) Appendix A: Encyclopedia of Measures (EOM) Great Lakes Partners for Patients HIIN Hospital Improvement Innovation Network (HIIN) Program Evaluation Measures Adapted from Version 1.0 AHA/HRET HEN 2.0 HIIN

More information

MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER

MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER KINGSTON GENERAL HOSPITAL MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER LEARNING GUIDE FOR REGISTERED NURSES AND REGISTERED PRACTICAL NURSES Prepared by: Nursing Education Date: 2001 November Revised:

More information

Welcome and Instructions

Welcome and Instructions Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.

More information

Pre-surgical / Pre-procedure INFORMATION FOR ADULT PATIENTS

Pre-surgical / Pre-procedure INFORMATION FOR ADULT PATIENTS Pre-surgical / Pre-procedure INFORMATION FOR ADULT PATIENTS LANDMARK HOSPITAL OF SOUTHWEST FLORIDA Form OP.SS.851 (Original 05/2017) PRE-SURGICAL INSTRUCTIONS Thank you for choosing Landmark Hospital for

More information

Total Hip Replacement

Total Hip Replacement Total Hip Replacement Pre-operative Joint Class Updated: November 2017 Where to Begin Thank you for attending the UNC REX Joint Replacement Class today This presentation is designed to prepare you for

More information

The impact of nighttime intensivists on medical intensive care unit infection-related indicators

The impact of nighttime intensivists on medical intensive care unit infection-related indicators Washington University School of Medicine Digital Commons@Becker Open Access Publications 2016 The impact of nighttime intensivists on medical intensive care unit infection-related indicators Abhaya Trivedi

More information

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: TRACHEOSTOMY SPEAKING VALVE EFFECTIVE DATE: REVISED DATE: POLICY TYPE: 135.008 (Respiratory Therapy) (Patient Care) 134.900 (Rehab) 10/93

More information

SCIP. Surgical Care Improvement Project. Making Surgeries Safer. By: Roshini Mathew, RN

SCIP. Surgical Care Improvement Project. Making Surgeries Safer. By: Roshini Mathew, RN SCIP Surgical Care Improvement Project Making Surgeries Safer By: Roshini Mathew, RN Importance Hospitals could prevent 13,000 patient deaths and 271,000 surgical complications each year 4 measures are

More information

Understand nurse aide skills needed to promote skin integrity.

Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide s role in providing residents hygiene, grooming, and skin care. Indicator Understand nurse aide skills needed to promote skin

More information

K-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2

K-HEN Acute Care/Critical Access Hospitals Measures Alignment with PfP 40/20 Goals AEA Minimum Participation Full Participation 1, 2 Outcome Measure for Any One of the Following: Outcome Measures Meeting Either A or B: Adverse Drug Events (ADE) All measures are surveillance data Hospital Collected Anticoagulant (ADE-12) Opioid (ADE-111)

More information

Policies and Procedures. Title:

Policies and Procedures. Title: Policies and Procedures Title: PATIENT CONTROLLED ANALGESIA (PCA) LPN Additional Competency: Patient Controlled Analgesia with an Established Plan of Care RN Entry-Level Competency Authorization: [X] Former

More information

SOLUTION TITLE: Can Critical Care Become A Restraint Free Environment?

SOLUTION TITLE: Can Critical Care Become A Restraint Free Environment? ORGANIZATION: ST AGNES MEDICAL CENTER SOLUTION TITLE: Can Critical Care Become A Restraint Free Environment? PROGRAM/PROJECT DESCRIPTION INCLUDING GOALS: The critical care environment is perhaps the last

More information

APIC NHSN Webinar. Kathy Allen-Bridson, Janet Brooks, Cindy Gross, Denise Leaptrot, Susan Morabit, & Eileen Scalise Subject Matter Experts

APIC NHSN Webinar. Kathy Allen-Bridson, Janet Brooks, Cindy Gross, Denise Leaptrot, Susan Morabit, & Eileen Scalise Subject Matter Experts APIC NHSN Webinar Kathy Allen-Bridson, Janet Brooks, Cindy Gross, Denise Leaptrot, Susan Morabit, & Eileen Scalise Subject Matter Experts April 27, 2015 National Center for Emerging and Zoonotic Infectious

More information

Why Does Hand Hygiene Matter? 1/26/2015 1

Why Does Hand Hygiene Matter? 1/26/2015 1 Why Does Hand Hygiene Matter? 1/26/2015 1 This presentation will Explain why hand hygiene matters Explain how to perform hand hygiene Describe how and when to perform a crucial conversation regarding Hand

More information

ADMISSION CARE PLAN. Orient PRN to person, place, & time

ADMISSION CARE PLAN. Orient PRN to person, place, & time ADMISSION DATE: CODE STATUS: ADMISSION CARE PLAN ADMISSION DIAGNOSIS: 1. DELIRIUM 2. COGNITIVE LOSS Resident will be as alert and oriented as possible Resident will be as alert and oriented as comfortable

More information

Barriers to Early Rehabilitation in Critically Ill Patients. Shannon Goddard, MD Sunnybrook Health Sciences Centre

Barriers to Early Rehabilitation in Critically Ill Patients. Shannon Goddard, MD Sunnybrook Health Sciences Centre Barriers to Early Rehabilitation in Critically Ill Patients Shannon Goddard, MD Sunnybrook Health Sciences Centre Disclosures/Funding No financial disclosures or conflicts of interest Work is funding by

More information

Clinical Pathway: Ventricular Septal Defect (VSD) or Atrial Septal Defect (ASD) Repair

Clinical Pathway: Ventricular Septal Defect (VSD) or Atrial Septal Defect (ASD) Repair Project TICKER Teamwork to Improve Cardiac Kids End Results Clinical Pathway: Ventricular Septal Defect (VSD) or Atrial Septal Defect (ASD) Repair Notes: (1) This pathway is a general guideline and does

More information

ICU Restraint Reduction: Development of Evidence Based Tools to Guide Interventions

ICU Restraint Reduction: Development of Evidence Based Tools to Guide Interventions ICU Restraint Reduction: Development of Evidence Based Tools to Guide Interventions January 2012 Sandy Maag, BSN, RN Manager of Nursing Quality Malissa Mulkey, MSN, APRN, CCRN, CCNS Neuroscience ICU &

More information

PROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY

PROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY CLINICAL PRACTICE POLICY PAGE: 1 OF 6 PURPOSE: These policies will allow clinicians to provide their patients with the benefits of procedural sedation and analgesia while minimizing the associated risks.

More information

Adult Patient Controlled Analgesia (PCA)

Adult Patient Controlled Analgesia (PCA) Contents... 1 Policy... 1 Scope/Audience... 1 Associated Documents... 1 Statement... 2 Criteria... 2 Patient and Whanau Education... 2 Procedural Considerations... 3 Pre Administration... 3 Patient Monitoring...

More information

SENTARA HEALTHCARE. Norfolk, VA

SENTARA HEALTHCARE. Norfolk, VA SENTARA HEALTHCARE Norfolk, VA 1 Sentara Healthcare Overview 11 Acute Care Hospitals in Virginia with a total of 2572 licensed beds 1E Extended dstay hospital 9 Ambulatory Care Campuses; 5 with freestanding

More information

Post-operative "Fast-Track" pathways for lung resection. Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic

Post-operative Fast-Track pathways for lung resection. Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic Post-operative "Fast-Track" pathways for lung resection Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic Post-operative "Fast-Track" pathways for lung resection Dennis A. Wigle Division of Thoracic

More information

Contents. Introduction 3. Required knowledge and skills 4. Section One: Knowledge and skills for all nurses and care staff 6

Contents. Introduction 3. Required knowledge and skills 4. Section One: Knowledge and skills for all nurses and care staff 6 Decision-making frameworks in advanced dementia: Links to improved care project. Page 2 of 17 Contents Introduction 3 Required knowledge and skills 4 Section One: Knowledge and skills for all nurses and

More information

Restraint Reduction. Moving Towards Restraint Free Care

Restraint Reduction. Moving Towards Restraint Free Care Restraint Reduction Moving Towards Restraint Free Care Revised: BW/January 2016 RESTRAINTS: Defined Any manual method, physical or mechanical device, material or equipment, that immobilizes or reduces

More information

THE ROLE OF HUMAN FACTORS FOR INFECTION PREVENTION IN THE EMERGENCY DEPARTMENT

THE ROLE OF HUMAN FACTORS FOR INFECTION PREVENTION IN THE EMERGENCY DEPARTMENT THE ROLE OF HUMAN FACTORS FOR INFECTION PREVENTION IN THE EMERGENCY DEPARTMENT Connie Savor Price, MD Director, Infection Prevention and Chief, Division of Infectious Diseases Denver Health and Hospital

More information

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version Policy No: OP49 Version: 4.0 Name of Policy: Patient Controlled Analgesia in Adult Patients Effective From: 28/11/2017 Date Ratified 21/09/2017 Ratified Medicines Group Review Date 01/09/2019 Sponsor Director

More information

HealthInsight HIIN Onboarding Event: DATA, DATA, DATA. April 12, a.m. to noon PT Noon to 1 p.m. MT

HealthInsight HIIN Onboarding Event: DATA, DATA, DATA. April 12, a.m. to noon PT Noon to 1 p.m. MT HealthInsight HIIN Onboarding Event: DATA, DATA, DATA April 12, 2017 11 a.m. to noon PT Noon to 1 p.m. MT Welcome So glad you are able to join us! This session is being recorded and a copy of the slides

More information