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Patient Move to Pavilion A

Patient Move to Pavilion A. Phillip Chang Amy Harrington Julie Ribes Garland Strang Vince Willoughby Audrey Yates. 128 patients. up to 48 ventilated, ICU patients. 12-hour move. Safe, Efficient, & Comfortable. Safety First. Ensuring a Safe Move. “too sick to move”

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Patient Move to Pavilion A

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  1. Patient Move to Pavilion A Phillip Chang Amy Harrington Julie Ribes Garland Strang Vince Willoughby Audrey Yates

  2. 128 patients up to 48 ventilated, ICU patients

  3. 12-hour move

  4. Safe, Efficient, & Comfortable

  5. Safety First

  6. Ensuring a Safe Move • “too sick to move” • Move Team composition • Acuity based • ICU: RN + NCT + RT • Acute/Progressive Care: 2 transporters • Standard Operating Procedure • Check lists • Signage • Communication, Communication, Communication

  7. Contingency Plans • Utilization of Rapid Response Team • Designated Trauma Bay as “pit-stop” • Code carts placement • “Andon” cord

  8. Military Precision extensive planning

  9. Issues Influencing Move Day Choice

  10. Additional Costs Incurred by Moving on Weekends & Non-dayshift

  11. 12-hour move

  12. Sunday

  13. day “t-30” • Staff education • In the loop • CareWeb • Countdown clock

  14. day “t-7” • Initiate strict cohort • Distribute move plans • Checklists to staff • RN (1 additional shift) • NCT (no additional increase) • RT (4 additional) • Transporters (8 additional transporters) • Customer services (possible increased staffing) • MD (consider increased presence on day of move)

  15. day “t-2” • Family education • Sincere apologies

  16. day “t-1” • Huddle • John Philips & designee • MDs • Attending from affected services • Chief residents • RNs • Capacity Command Center • Patient Care Managers • Respiratory Therapists • Transport Representative • Customer Service Representative

  17. day “t-1” • Check-list style • Patient identification • “too sick to move?” • “discharge within 24 hours?” • Potential downgrade • Location mapping • Route mapping

  18. day of move “t-0” • Command center • Communications • Vocera • Walkie-talkie • Small independent units • Patient care managers – “audible” • Elevator operators

  19. Sequence of move • Acuity based • ICU first • Nurse-centric • Minimal hand-offs • Minimal double-staffing

  20. SOP (standard operating procedure) during move

  21. 5-star moving experience

  22. Luxury hotel-style porter for patient and family belongings Welcome basket for our first inpatients – a small gesture for their inconvenience

  23. Conclusion • Safe • Efficient • Patient & Family Centered

  24. Operational Transition to Pavilion A • AIM: • Move 128 patients from Pav H to Pav A safely and efficiently by May 2011 • MEASURE: • Total cycle time, Patient Census Report • CHANGE: • Map current state process • Measure and test small cycle of change • Develop standard work • Implement process changes in current day-to-day operations Exec Sponsor: Ann Smith and Janice Marks Owners: John Phillips and Kathleen Kopser Leaders: Phillip Chang, Amy Harrington, Julie Ribes, Garland Strang, Vince Willoughby, Audrey Yates Members: Juanita Warner, Shari Fullenlove, Sean Reynolds, Rodney Conner, Leah Perkins, Christy Wilbur, Jon Philips, Julie Blackburn, Brandy Mathews, Jan Davis, Gordon Bingham, Debbie Sublett Meets: July 22 from 800 AM to 5 00 PM, August 30 from 100 PM to 500 PM September 20 from 800am to 100pm

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