8South PP 17 PERSONNEL BUDGET WORKSHEET 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 7-3 SHIFT CENSUS 13 12 13 19 18 16 15 12 12 6 8 12 12 15 183 RN/LPN 24 24 32 32 32 28 24 24 24 16 16 24 24 24 NA/PCT 12 4 0 8 4 8 8 8 8 8 8 8 8 12 TOTAL 36 28 32 40 36 36 32 32 32 24 24 32 32 36 3-7 SHIFT CENSUS 11 12 16 16 19 14 13 12 10 7 11 11 12 8 172 RN/LPN 12 12 16 16 16 16 12 12 12 8 12 12 12 8 NA/PCT 4 4 4 4 4 4 4 0 0 0 4 4 4 4 TOTAL 16 16 20 20 20 20 16 12 12 8 16 16 16 12 7-11 SHIFT CENSU 11 9 13 18 17 13 11 12 6 8 12 11 13 8 162 RN/LPN 12 12 16 16 16 12 12 12 8 8 12 12 12 8 NA/PCT 4 4 4 4 4 4 0 0 0 0 4 4 0 0 TOTAL 16 16 20 20 20 16 12 12 8 8 16 16 12 8 11-7 SHIFT CENSU 11 13 18 18 16 13 12 12 6 8 12 12 13 8 172 KVI'S TO DATE RN/LPN 16 24 32 32 24 24 28 24 16 16 24 24 24 16 NA/PCT 8 4 8 8 8 8 0 0 0 8 8 0 0 0 TOTAL 24 28 40 40 32 32 28 24 16 24 32 24 24 16 Targeted Hours 102.08 120.64 167.04 167.04 148.48 120.64 111.36 111.36 55.68 74.24 111.36 111.36 120.64 74.24 1596.16 Targeted Hours to Date (total night shift on Total Direct Hours 92 88 112 120 108 104 88 80 68 64 88 88 84 72 1256 Direct Hours to Date (total of all -10.08-32.64-55.04-47.04-40.48-16.64-23.36-31.36 12.32-10.24-23.36-23.36-36.64-2.24-340.16 Hours plus or minus (diff = targe -4.252 FTE plus or minus Sitters - Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5B Sitter Other RN Orrientation 12 12 12 12 12 12 HUC Hrs (budget 144) 8 8 8 8 8 8 8 8 8 8 80
Meeting Minutes Date: February 11, 2014 Time: 7:30AM Topic: 8 South Unit Staff Meeting Recorded by: Darlene Rihel MSN RN Attendees: Lou Trizna, Sue Zajac and Julie Lemock Minutes Guest: John Braeger Store room and supply chain Jon presented an informational presentation on the supply chain, on the lean principals and how to eliminate waste from our workflow. The goal is to make chages as needed that obstrct workflow. Jon asked that staff stop,step back and ask what can we make better? He provided strategies on reducing costs through elimination of waste, yet still provide quality and service to our patients. We all need to meet the expectations of our patients, but also model corporate responsibility within our organization Jon surprised everyone when he informed the group that the purple pads are 6 times the cost of the regular underpads and that the unit uses over a case a week. Jon informed staff that the cloth pads on linen cart are a good option. Staff brought up issues with the linen quality, noting that several of the sheets have large holes in them. Jon asked that staff place these in the mesh bag attached to the linene cart. Also stated that we pay for the linen and that he would be happy to set up a meeting with the vendor about the condition and quality of the linens that we aare receiving Staff informed Jon that the unit supply room is far away from the patient care area and that staff spend a lot of time running for supplies. They questioned whether there was an opportunity to get supplies closer so that it is a better workflow for nurses. Discussed the room down hall across from the AccuDose. Unit will work with the store room and place some things in the room down hall across from AccuDose. Supplies in this area will be things that are needed emergently, staff need right away and cannot go down hall to retrieve. Wash basins, wipes are not emergent items. Store room will work with nurses on lisdt of itms for this area Page 1
FlowMeters No flow meters in patient rooms Page respiratory any time you notice that there is not a flow meter in one of the rooms. We do not want a missing flow meter to be the cause of delay for an admission or transfer. Staffing Concerns Darlene and Julie showed staff volume /staffing data they enter daily that validates that staffing does not match volumes Staff concerned about rising patient volumes and lack of staffing to match volumes Darlene and Julie informed staff that they are working with executive leadership to increase staffing Volume has grown faster than expected Marci will be attending the staff meeting next month, satff are encouraged to attend Staff appreciates float pool and pulled help but see the need for dedicated unit staff 8 south staff Current staff frustrated at short staffing Many days where the unit is severly understaffed Pharmaceutical Waste Disposal of New Process for handling pharmaceutical waste (medications like warafin) All hazardous pharmaceutical waste must be disposed of in the Black container specifically marked for these pharmaceutical wastes The wasted product (medication) is to be placed into a Ziplock bag. The Ziplock bag needs to be labeled with the name of the drug Scanning Compliance 99% compliance with patient scans 97% compliance with medication scans Vitals Link Technology utilizes positive patient Identification Results flow directly from the machine into the patient s medical record without needing to be transcribed Modifiers (rt arm, large cuff, O2 delivery method, etc) will still need to be entered manually at this time Page 2
Devices can be set up for monitor mode which allows the user to take vitals q 15 minutes and upload into CERNER Training will be train the trainer style. We are looking for staff interested in being trained and then will be responsible to train other staff Alaris Upgrade Hamot is transitioning to the UPMC Drug Library on our Alaris pumps in March. The plan is to provide training for our super users, NERC and Nursing Informatics council members, clinical educators and clinicians Moving to utilize guardrails library for all primary and secondary infusions VTBI needs to reflect the true volume so that it does not impact the rate (If it is a 50cc bag, the bag has approx. 7cc more fluid so that the line does not go dry) Moving forward..when a nurse completes the rate change on the pump, the rate change documentation will be integrated into CERNER (no need to document only validate New Found and Valuables Tags We have new tags that are to be placed on all items found or left in patient rooms after discharge Tags are yellow, Need to complete required information on tag so that the items can be returned ot the right owner Please call patient who left item, inform item left, tell them they can retrieve item in security where lost and found is located and then take item to subbasement to security office Downtime box Shirley has created the unit downtime box Very helpful when there is a computer system downtime or outage All papers needed can be located in this box along with the policy NIH Stroke Scale Now mandatory at shift change Perform NIH scale at bedside at time of bedside report - discussed at last month s meeting and was a recommendation from Ann Sokoloff. NIH stroke scale is to be done at shift change with the oncoming nurse on all neuro patients Can easily be done at time of bedside report Completing the NIH stroke scale will help the oncoming nurse understand why something was scored the way it was as sometimes there is quite a variation in scores from nurse to nurse. Page 3
PATrauma Outcome Functional Status Form Ad hoc form to be completed on every patient at time of discahrge Form is short and quick, just 4 areas that you click This will help increase our compliance with completion CHG Bathing Needs done on every patient going to OR or for procedure still missing some baths Make sure that baths are documented on pre-op check sheet If pre-op checklist completed ahead of time, go in and modify to reflect bath given PACU asks patients if they had a bath pre-op Ecigarette Not permitted. Joint Commission et al view them as smoking MyHealth@Work is Moving UPMC Hamot MyHealth@Work Clinic is moving to 300 State Street, Suite 304. Due to the move, the clinic will be closed on Friday, Feb. 7 and Monday, Feb. 10, reopening on Tuesday, Feb. 11 at 7:30 a.m. Next meeting: March 11, 2014 Page 4