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Plan Your Road Trip: An Algorithm for Safety

Plan Your Road Trip: An Algorithm for Safety. Presented by: Rebecca Shutts BSN Kathleen Carey MSN, CNS Kevin Hamel RN. Objectives. Increased understanding of a safe method of intra-hospital transport for PCU patients utilizing the appropriate staff and equipment.

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Plan Your Road Trip: An Algorithm for Safety

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  1. Plan Your Road Trip: An Algorithm for Safety Presented by: Rebecca Shutts BSN Kathleen Carey MSN, CNS Kevin Hamel RN

  2. Objectives • Increased understanding of a safe method of intra-hospital transport for PCU patients utilizing the appropriate staff and equipment. • Describe our process of sharing data with staff to hardwire an existing process.

  3. Concerns • “ I am off the unit for hours at a time with a stable patient, and I have to leave my other patients with a covering RN.” • “I have all of my patients and all of his / her patients so I can’t possibly teak a break right now” • “ I can’t be in two places at once.”

  4. The Purpose • To ensure patients traveling to other departments for testing and / or procedures are accompanied by the appropriate personnel and equipment. • To decrease number of hand of off care reports throughout the day. • To increase availability of critical equipment and personnel.

  5. Methods • Data Collection • Research • Collaboration

  6. The Algorithm

  7. Methods • Policy development • House-wide Education • Implementation

  8. Results 96.4 Hours 64.18 Hours 34.25 Hours RN Hours off PCU

  9. Conclusion • Successful implementation of a risk stratified approach to patient safety with 100% compliance. • Decreased the number of hand of off care reports throughout the day. • Increased availability of critical equipment and personnel. • Increased staff satisfaction while decreasing the need for additional FTEs.

  10. Future Opportunities • Insulin drip patients • Patients who have received thrombolytic therapy • Educating new nurses • Examining criteria • Expanding to other units

  11. Questions?? Rebecca Shutts RN, BSN, PCCN, WCC Email: rshutts@cvph.org Kathleen Carey RN, CNS-BC Critical Care, CCRN Email: kcarey@cvph.org Kevin Hamel RN Email: khamel@cvph.org

  12. Mayer NJ. Transporting telemetry patients: an algorithm enables safe patient transport without an RN or monitoring. Am J Nurs 2009;109 (11):35-37 • Larson, TS, Brady WJ. Electrocardiographic monitoring in the hospitalized patient: a diagnostic intervention of uncertain clinical impact. Am J Emerg Med 2008;26(9):1047-55. References

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