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A Practice Innovation to Improve Staff Vaccination Knowledge and Skills
Get PDFAbstract:
The practice improvement project explored the best practices for equipping CentraCare Health System\u27s (CCHS) Licensed Practical Nurses (LPNs) and Certified Medical Assistants\u27 (CMAs) with childhood vaccination knowledge and communication skills necessary to educate hesitant patients and parents about the benefits of vaccination compliance. Innovative computer-based education (CBE) was identified and developed to empower LPNs and CMAs working in the ambulatory setting with childhood vaccination knowledge and communication skills to improve their ability to educate hesitant patients and parents about the benefits of vaccination. The CBE module was guided by the Theory of Planned Behavior in identifying vaccination knowledge and communication intention. Intentions to use acquired vaccination knowledge and communication skills were assess pre and post the CBE.
Results:
The results are statistically significant indications that both new and existing LPNs and CMAs gained the necessary vaccination knowledge and communication skills to be advocates of vaccination compliance. Post CBE mean scores on vaccination knowledge and communication skills were statistically higher in both new and existing employees (all p\u3c 0.0005). Self-reported intentions to use vaccination knowledge, initiate vaccination conversations, and utilize the vaccination communication skills post CBE were high. Continuation of the CBE vaccination education may increase vaccination compliance rates and avert potential outbreak of communicable diseases. Further studies should explore LPNs and CMAs experiences with hesitant patients at the point-of-care.https://digitalcommons.centracare.com/nursing_posters/1144/thumbnail.jp
Improving Hepatitis B Vaccination Rates in Nephrology Patients with Chronic Kidney Disease: A QI Initiative
Get PDFHepatitis B vaccination is an important health maintenance preventative measure for patients with chronic kidney disease (CKD) Prior to initiating dialysis, hepatitis B vaccination administration is proven to be more effective than waiting until patients begin dialysis treatments. Efficacy and immune response of the hepatitis B vaccine is greater when kidney function is greater To better improve hepatitis B vaccine administration among the CKD stage 4 population, education measures and Epic modifiers will be implemented to achieve change Nursing knowledge and hepatitis B vaccine administration will improve after implementation of these measureshttps://digitalcommons.centracare.com/nursing_posters/1136/thumbnail.jp
Suspension of Independent Double-Check for SubQ Insulin Administration
Get PDFStudy:
After a 1-month pilot of suspending the dual sign-off/independent double-check process, 160/163 random subQ insulin administrations from various units were administered correctly. This yielded a 98% success rate. No patient harm occured.
Plan:
Per Institute of Safe Medication Practices, dual sign-offs/independent double-checks are more effective for select high risk meds and not all. Since implementation of the insulin calculator, medication errors related to subQ insulin administration have reduced compared to previously when solely two licensed staff members performed a manual, independent double-check. After implementation of the validated eMAR tool - the insulin calculator - it was still required for two licensed staff members to perform independent double-checks. Due to caring for COVID patients in isolation, nurses observed workaround practices with great variation related to subQ insulin administration and documentation because of this independent double-check requirement. Nurses raised concern for patient safety and workflow efficiencies. A literature review was conducted which revealed support for utilization of the insulin calculator without the need for the additional manual independent double-check/dual sign-off in Epic.https://digitalcommons.centracare.com/nursing_posters/1143/thumbnail.jp
Assessing Real-World Spot Urine Sodium Values During Continuous Intravenous Infusion of Loop Diuretics
Get PDFThe use of spot urine sodium (UNa)\u3e60 mmol/L as an objective measure to guide diuretic therapy in patients receiving bolus intravenous loop diuretics has been associated with increased weight loss and decreased length of stay. There is limited published data evaluating UNa use in patients receiving continuous intravenous loop diuretic infusions.https://digitalcommons.centracare.com/pharmacy_posters/1004/thumbnail.jp
Increasing Access to Data through Microsoft\u27s Power BI
Get PDFWhat is Power BI? A collection of software services, apps, and connectors that work together to turn unrelated sources of data into coherent, visually immersive, and interactive insights.
What’s in it for me? Users can quickly & easily explore trends for CC inpatients across common outcome measures including case counts, length of stay, mortality, & unplanned readmissions to help identify variation & opportunity for improvement. For example, compare COPD patient case counts, length of stay,and in-house mortality across CC hospitals.https://digitalcommons.centracare.com/nursing_posters/1118/thumbnail.jp
Admission Documentation Overhaul
Get PDFImprove the admission documentation workflow by revamping the admission Navigator and Functional Health Assessmenthttps://digitalcommons.centracare.com/nursing_posters/1117/thumbnail.jp
Evaluation of Antibiotic Use and Duration for Febrile Neutropenia
Get PDFIntroduction: Febrile neutropenia (FN) affects over 80% of patients with hematologic cancer and 10% to 50% of patients with solid tumors National Comprehensive Cancer Network (NCCN) guidelines recommend empiric broad-spectrum monotherapy until the absolute neutrophil count (ANC) is over 500 cells/uL. Extended durations with broad-spectrum agents leads to increased risk of antibiotic resistance, toxicity and C. difficile infection.
Purpose To evaluate antibiotic prescribing patterns for patients with FN to optimize antibiotic stewardship.https://digitalcommons.centracare.com/pharmacy_posters/1006/thumbnail.jp
Huddle to Enhance Patient Progression of Care
Get PDFCentraCare (CC) is committed to improving patient flow and is now using the Geometric Mean Length of Stay (GMLOS) Index as our primary measure of success. This is a Key Performance Indicator that is monitored by the Patient Flow Steering Committee and Executive Leadership. In recent years, SCH GMLOS Index is higher than expected.https://digitalcommons.centracare.com/nursing_posters/1112/thumbnail.jp
Nursing Annual Report: 2020
Get PDFMessage from the CNO
St. Cloud Hospital Statistics
Message from Craig Broman, St. Cloud Hospital President/CEO
Nursing Strategic Plan FY 2020
Message from Tom Schrup, MD/CPO
Education & Certification
Patient Experience
Nursing Care Delivery
Exemplary Professional Practice
Shared Governance
Working Relationships
Professional Development
Nursing Makes a Differenc
Preventing CRBSI\u27S in Hemodialysis
Get PDFThe aim of this project was reducing CRBSI’s below the predicted number of bloodstream infections with the implementation of the ClearGuard® chlorhexidine-based antimicrobial disinfecting cap.https://digitalcommons.centracare.com/nursing_posters/1107/thumbnail.jp