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Providence Portland Medical Center

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Providence Portland Medical Center

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    1. Providence Portland Medical Center 5G-Diabetic/Renal Unit RT2C Productive Ward Update CareOregon November 2, 2010

    3. Our Team Karen Logsdon (chief nursing officer) Kris Kalman-Yearout (med/surg director of nursing) Janiece Zauner (project manager/facilitator) Diane Goodmanson (nurse manager 5G) Kelly McCoy (associate manager 5G) Candice Hoag (RN unit project leader) Myra Thue (administrative assistant/data analyst) The Magnet Team meets monthly

    4. First step of RT2C: developing our unit vision Olive trees represent peace, prosperity, and wisdom Olive trees are known to not produce fruit during times of war or chaos. They bear fruit best when the environment is peaceful and fertile With the help of the creative minds in our Magnet Team, we decided to use the olive tree as a theme for 5G’s journeyWith the help of the creative minds in our Magnet Team, we decided to use the olive tree as a theme for 5G’s journey

    5. Instructions To Our Staff Gave them these brief instructionsGave them these brief instructions

    6. And “grew” a beautiful tree full of ideas, statements, thoughts, hopes and wishes for our unitAnd “grew” a beautiful tree full of ideas, statements, thoughts, hopes and wishes for our unit

    7. “5G is a place where excellent interdisciplinary relationships and teamwork promote the provision of safe, efficient, individualized, patient-centered care in a peaceful environment." The final productThe final product

    8. Knowing How We Are Doing Determining our baseline on 5G Data collection Daily and monthly Data points determined by 5G staff and hospital wide committees Activity follows

    9. Quality Measures List of measures and frequency Hospital Acquired Pressure Ulcers (monthly) Falls (daily and monthly) Pain Management (monthly) Medication Reconciliation (daily and monthly) Staff Injury (daily) Take Meal Break (daily/shift) 15 min OT (bimonthly) Direct Care Time (monthly) Patient Satisfaction (monthly) 12 nursing specific questions per Press Ganey Survey Unit Compliments (daily)

    10. Daily Data-Safety Crosses Began mid monthBegan mid month

    11. Monthly Data-Spider Graph Currently Janiece and the data analysts are compiling the information needed to create a spider graph unique to the quality measures chosen by 5GCurrently Janiece and the data analysts are compiling the information needed to create a spider graph unique to the quality measures chosen by 5G

    12. Activity Follows Doing Activity Follows 20 hours done thus far at varying times throughout the day, including hours from all shifts 8 RNs followed 2 CNAs followed Data that made an impression We provide less direct care time than we had anticipated (46%) Many interruptions were validated (122 in a 12 hour shift) Our staff spends a lot of time walking and charting

    13. Getting started on WOW Well Organized Ward is the module following KHWD WOW board on display to solicit staff input regarding: Locations on unit that need reorganization Nursing process that need reevaluation Ideas for improvement Volunteers to help!

    15. Well Organized Ward After 2 weeks, WOW board information gathered and consolidated Chose 3 simple yet high impact areas for staff to have final vote on which area to “WOW” first Volunteers chosen to assist with WOW announced

    17. Our First WOW Location

    18. Barriers Encountered Lucky to have very engaged and enthusiastic staff However, some staff not taking initiative to attend staff meetings or read boards “How would you like to receive information” chart RT2C is a very large project and time intensive-some staff having trouble grasping concept Timeline to be posted in breakroom A few members are not in the habit of engaging in unit based projects Ask them to help lead modules Safety crosses not always being updated Night AHN agreed to oversee and educate staff

    19. Staff Feedback

    20. Staff Feedback

    21. Staff Feedback

    22. What’s next? “WOW” our first area Continue to “WOW” the rest of 5G Begin Patient Status at a Glance board Other units applying to partake in RT2C for January 2011 start date Assistants—one staff members who is a proven leader and one who shows resistance Staff input– idea board with sticky notes (barriers, locations to address, work arounds)Assistants—one staff members who is a proven leader and one who shows resistance Staff input– idea board with sticky notes (barriers, locations to address, work arounds)

    23. Questions?

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