Ward control alignment for Patient
This presentation is the property of its rightful owner.
Sponsored Links
1 / 16

Ronice Wagner 1 Igor Semhaev 1 PowerPoint PPT Presentation


  • 77 Views
  • Uploaded on
  • Presentation posted in: General

Ward control alignment for Patient's Anemia: Planning, constructing, staff-training, implementation and follow-up. Ronice Wagner 1 Igor Semhaev 1 Department of Nephrology and Hypertension, Rabin Medical Center, Beilinson Hospital, Israel 1. Background.

Download Presentation

Ronice Wagner 1 Igor Semhaev 1

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Ronice wagner 1 igor semhaev 1

Ward control alignment for Patient's Anemia: Planning, constructing, staff-training, implementation and follow-up.

Ronice Wagner1 Igor Semhaev1

Department of Nephrology and Hypertension, Rabin Medical Center, Beilinson Hospital, Israel 1


Background

Background

Erythropoietin is a glycoprotein hormone that controls and regulates red blood cell production. It is produced and secreted in the kidney. Chronic renal failure is associated with various degrees of anemia due to erythropoietin deficiency resulting from multiple factors


Among those factors we find

Among those factors we find -

  • Decreased erythropoietin production as a result of kidney damage.

  • Decreased RBC lifespan secondary to uremia.

  • Reduced bone marrow response to circulating erythropoietin.

  • Ongoing blood losses from dialyzer and tubing, blood sampling, gastrointestinal blood loss, and blood losses at the time of dialysis needle placement and removal.

  • Depletion of iron stores precedes impaired production of iron-containing proteins, the most prominent of which is hemoglobin


The mainstay anemia treatment includes administration of i v erythropoietin and iron

The mainstay Anemia treatment includes Administration of I.V Erythropoietin and Iron. .

  • Till the end of 2009 our patients received monthly prescriptions for medications and were required to purchase them personally.

    The reasons that this procedure was never smooth and effective were :

  • Physician’s decisions were based on narrow scope of data.

  • Delays in delivering reports to the physicians.

  • Patients were unreliable in purchasing and delivering medications on-time.


Objective

Objective

In order to reduce the burden and relieve the patients from this tedious procedure we decided to make the ward responsible for the monthly drug supply.


Method

Method -

On December 2009 a new role was established :

Anemia Coordinator


Ronice wagner 1 igor semhaev 1

Anemia Coordinator’s duties included –1 - Creating a ward monthly tabledisplaying blood tests and present prescribed treatment


Ronice wagner 1 igor semhaev 1

2 - Creating a monthly personal physicians’ tabledisplaying his/hers patient blood tests results and present medical treatment leaving empty space forchanges.


3 building a summing up order form for ward medication supply

3 - Building a summing-up order formfor ward medication supply.


Ronice wagner 1 igor semhaev 1

)

Create a registration formwhich checks indicates and updates the expiring dates of drug supply confirmation, given by the Central Pharmacy:

Ronice 2011


Anemia coordinator monthly duties are

Anemia coordinator monthly duties are -

1. Fill in the new Laboratory Results in the Monthly table , Personal physicians’ table and Ward Medication Supply List .

2. Give every physician his personal patients list. Get new medical orders and add them to the patient's files.

3.Send the corrected Ward Medication Monthly Supply Listto the Central Pharmacy

4.Upon medical supply arrivel, storeit according to the hospital and medical regulations.

5. Give proper instructions and guidanceto the ward team.


Mean hb levels during activity period of anemia coordinator n 100 110

Mean Hb levels during activity period of Anemia Coordinator (n=100 - 110)

Since appointing an Anemia

Coordinator we have observed –

1.Improved stability in ward Hemoglobin.


2 improved stability in iron saturation values

2.Improved stability in Iron saturation values


3 significant reduction in number of blood transfusions

- 3.Significant reduction in number of blood transfusions


Conclusions and recommendations

Conclusions and Recommendations

Observing the positive results of the new method we recommend other units to implement this management concept

in order to improve

Anemia Alignment.


Ronice wagner 1 igor semhaev 1

לכל המעוניינ/ת בטבלאות המצורפות

מוזמנ/ת לפנות במייל:

[email protected]

[email protected]


  • Login