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Clinical nurse specialist mentored staff nurse as champion of performance improvement
(12/22/2017)
Purpose: The clinical nurse specialist (CNS) mentored a unit based staff nurse as Champion of Performance Improvement through nursing’s shared governance council.
Significance: Within shared governance, nurses are empowered to make decisions about practice, quality, and development. A staff nurse, acting as a unit based champion, can role-model effective decision making affecting clinical practice and patient outcomes. Performance improvement is one area that benefits from staff nurse participation. CNSs can be instrumental in developing staff nurse knowledge of and skills in performance improvement.
Background: The CNS identified within the shared governance structure at a large, public hospital that identification and development of a unit based champion was one method to advance practice. A staff nurse, serving as a unit champion, is expected to act as a practice leader for improved patient outcomes. Performance improvement was an area selected for the unit champion initiative.
Description: The CNS initiated a mentored experience for a medical-surgical staff nurse Champion of Performance Improvement. Teaching and coaching were the primary strategies. The staff nurse champion learned to describe problem significance, review evidence, identify needed changes, establish goals aligned with organizational mission, determine methods for evaluation, and mobilize resources. Expected outcomes for the mentored experience included collecting and analyzing data; collaborating to identify resources; designing strategies to improve outcomes using feedback to reinforce practice changes and disseminating results of performance improvement to stakeholders at unit and organizational levels.
Outcome: Three performance improvement projects were implemented by the staff nurse Champion for Performance Improvement under the mentorship of the CNS. The staff nurse evaluated the mentored experience as most valuable in developing knowledge and skills for conducting unit based performance improvement. The shared governance structure was pleased with the mentoring experience provided by the CNS.
Interpretation: CNS mentorship of a staff nurse was a successful strategy for developing a Champion for Performance Improvement.
Implications: CNS competencies in teaching, coaching and mentoring can support the professional development of a staff nurse and can contribute to overall shared governance initiatives to empower nursing staff....
Optimizing the management of emergency department patients with atrial fibrillation
(2017-12-05)
Purpose: Atrial Fibrillation is the most common cardiac dysrhythmia in adults, with an annual cost of care estimated at $6.65 billion (3/4 of cost due to hospitalization), and greater than 70% of patients admitted with AF ...
Hospital-wide communication to improve quality outcomes of stroke patients
(2017-12-04)
Purpose: Time is vital in the initial care of stroke patients. Swift recognition of symptoms, immediate access to diagnostic tests, and appropriate treatment play a vital role in a patient’s functional outcomes ...
Code stroke
(2017-12-05)
Purpose: The objective was to decrease ED door to CT and lab turnaround time to results to less than or equal to 45 minutes, improve the percentage of tests resulted in under 45 minutes to 85% or greater and decrease ...
Neuro-alert: Hemorrhagic stroke expedited transfer process from ED to NCCU
(2017-12-05)
Purpose: We sought to develop a Neuro-Alert process for non-traumatic intracerebral hemorrhages in an effort to reduce transfer time from emergency department (ED) arrival to Neuro Critical Care Unit (NCCU) and bring the ...
Sepsis checklist decreases sepsis mortality
(2017-12-04)
Purpose: Lean Six Sigma Yellow Belt Project chartered to increase the use of our Sepsis Checklist as we were at 0% compliance and our Mortality OE was 1.35.
Aim: Primary: to increase initiation of Sepsis checklist, by 50% ...
Teleneurology: Streamlining care of stroke patients in emergency rooms
(2017-12-05)
Session A presented Thursday, September 14, 2017
Purpose: Patients in Emergency Departments (EDs) that are having strokes now have an opportunity to receive endovascular therapy(EVT) for improved outcomes.1,2,3 Unfortunately, ...
Evaluating EMS door-to-CT times using an EMR based communication tool
(2017-12-05)
Session H presented Saturday, September 16, 2017
Purpose: Evidence-based standards of care in EMS and emergency nursing are well defined in clinical populations. Communication between pre-hospital and emergency ...
Impact of emergency department sepsis policy
(2017-12-05)
Purpose: Sepsis and the care of sepsis patients impact the healthcare industry on a number of levels. It is a serious concern for health care providers, policy-makers, and patients due to the large number of cases, high ...