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CentraCare Launch of COVID Antiviral Therapy
Get PDFEfficiently monitor the limited available stock of oral antiviral COVID therapies during surge states Prescribe safely and appropriately Dispense to patients close to home.https://digitalcommons.centracare.com/nursing_posters/1123/thumbnail.jp
Open All Hours!: Bariatric Surgery Patients Love CSC
Get PDFDuring the fall and winter of 2020, St. Cloud Hospital saw a dramatic increase in the number of COVID-19 patients. Additionally, elective surgeries in Minnesota were on hold during the early months of the pandemic, and later in 2020 there was a significant backlog of these patients, waiting for their procedure. To serve patients and their families, St. Cloud Hospital teams planned for a way to safely and professionally offer surgical care needs to Central Minnesota.https://digitalcommons.centracare.com/nursing_posters/1121/thumbnail.jp
Improving the Management of Tardive Dyskinesia on an Inpatient Mental Health Unit
Get PDFImplement a practice change on the adult mental health unit to improve the accuracy and increase the rate of completion of the abnormal involuntary movement scale (AIMS) for tardive dyskinesia (TD).https://digitalcommons.centracare.com/nursing_posters/1127/thumbnail.jp
Medication Therapy Management Implementation in Conjunction with a Rural Health Clinic in Minnesota: A CQI Impact on Diabetes Metrics
Get PDFThe purpose of this continuous quality improvement project was to implement a pharmacist-led Medication Therapy Management (MTM) clinic in rural, central Minnesota and assess the impact on patients’ healthcare over a six-month period. Patients were identified through the clinic’s diabetes registry, which included patients 18 through 75 years old with a diagnosis of diabetes not meeting all five D5 goals, as recommended by the Minnesota Community Measurements, independently referred by the provider, or be identified by their insurance company as a patient that would benefit from an MTM visit. The D5 focuses on blood pressure and blood sugar control, appropriate statin and aspirin use, and cessation of tobacco products. Referred patients were offered and scheduled for an appointment with the pharmacist. MTM visits were provided both in person and via telephone. The pharmacist identified and documented drug therapy problems (DTPs) and implemented changes, via the system’s clinical pharmacy collaborative practice agreement, to improve patient outcomes. All MTM visits, DTPs, and composite D5 scores were analyzed after the conclusion of the study period. Thirty-one visits were provided by the pharmacist at the clinic between October 1st, 2021 and March 31st, 2022, with 22 unique patients seen. Seventy-three DTPs were identified, with 69 DTPs documented as closed. Of the 22 unique patients seen, 13 patients were reviewed for D5 metrics. Referral processes were created, implemented, and modified over the six-month period to increase patient volume
Nursing Annual Report: 2022
Get PDFMessage from the CNO
Message from Central Operations, SVP - St. Cloud Hospital President
St. Cloud Hospital Statistics
Magnet Program Director Message, Nursing Strategic Plan FY 2022
Patient Experience
Nursing Care Delivery
Exemplary Professional Practice
Shared Governance
Working Relationships
Professional Development
Nursing Makes a Differenc
Human Biology and Astrophysics
No full textThis work includes studies which are under the umbrella of the Natural Sciences. Areas of study such as Biology, Physics, and Astronomy all strive to better understand the natural world. When we wish to understand a particular phenomenon, it is often helpful to observe it through the lens of more than one discipline because they are interrelated and often interdependent. Physics, Astronomy, and Biology are interwoven throughout this project. In fact, some cited sources herein are co-authored by a biologist and a physicist. Astrophysicist, Neil DeGrasse Tyson, puts it this way, “Sciences, like people, undergo phases as they mature. What we know, and how we know it, changes at the same time. Until the 19th century, for example, biologists primarily concerned themselves with cataloging the species of life on Earth; today, on the other hand, they care about the molecular and physical processes that govern life. Biology, in other words, has absorbed chemistry and physics into its ranks (Tyson and Trefil 2021, 57).
Preoperative Weight Loss for Patients Undergoing Lumbar Spine Surgery Utilizing Motivational Interviewing to Decrease Postoperative Complications: A Quality Improvement Project
Get PDFDo patients who are obese, based on BMI\u3e30 and are offered lumbar spine surgery, who undergo preoperative MI via telehealth to lose weight, compared to those who don’t undergo MI have decreased postoperative complications at 30 days postoperatively?
Conclusions/Implications: Results from this QI project suggest a higher BMI class is associated with postoperative complications-wound infection. However, given the small sample size no conclusions could be drawn This QI project should be replicated on a larger scale The process for recruitment and intervention is established. The Neurosurgical providers are supportive of the continued study.https://digitalcommons.centracare.com/nursing_posters/1133/thumbnail.jp
Promoting Patient Outcomes: CLABSI Prevention
Get PDFWhat is a CLABSI?
“A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs (usually bacteria or viruses) enter the bloodstream through the central line” (CDC, 2021)
Best practices for preventing CLABSIs: Perform hand hygiene Don proper PPE Sterile/aseptic technique during insertion Prioritize for cares related to central line first Daily assessment for need of central line Daily chlorhexidine gluconate bathing Remove catheters that are unnecessary Scrub the hub BEFORE EVERY access Change dressings every 7 days or as needed Assessment of site/dressing condition Change purple Ultrasite caps with dressings Tubing changes per CentraCare policy Discard piggyback tubing after disconnection Patient education regarding central line Staff education and auditshttps://digitalcommons.centracare.com/nursing_posters/1126/thumbnail.jp
PureWick External Female Catheter
Get PDFCatheter-Associated Urinary Tract Infection (CAUTI) rates increased in FY21 compared to FY20, and many units continue to not meet their National Database of Nursing Quality Indicators (NDNQI) target goal even through FY22.
A group of CentraCare stakeholders gathered, including bedside nursing staff, urology techs and nursing leadership, to discuss barriers and areas for opportunity. Representatives from BARD®, our urinary catheter supply company, were invited to conduct an analysis on our urinary catheter/ CAUTI reduction practices. Findings from the analysis included an opportunity to implement an external female catheter.https://digitalcommons.centracare.com/nursing_posters/1132/thumbnail.jp
Bidirectional Recanalization of a Complete Postradiation Stricture of the Hypopharynx and Esophagus
Get PDFA 65-year-old patient was referred for endoscopic management of a complete radiation-induced stricture, 5 cm in length, of the hypopharynx and esophagus (Fig. 1, Video 1). He had a history of curative chemoradiation therapy for T2N1 squamous cell carcinoma of the larynx. His nutrition was exclusively maintained through a percutaneous gastrostomy. Recanalization of the esophagus was considered after a multidisciplinary discussion